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To study trends regarding the use of contraceptive methods and digital health modalities and to identify target groups of natural family planning (NFP). Using an online questionnaire specifically developed for this study in German (utilizing the online tool at ' www.surveymonkey.com ’), we analysed the attitude towards NFP -methods and -apps, the need for contraceptive effectiveness in general, the perceived contraceptive effectiveness of NFP methods, and differences between NFP users and non-NFP users among 779 sexually active German-speaking women of fertile age (18–50 years) from November 2019 to October 2020. Participants used NFP more frequently than they did five years ago. Women aged 30 years and older, with higher levels of education, who are living with a partner and have children, seem to be the target group for NFP methods. Concerning the wish for contraceptive effectiveness we found significant ( p  &lt; .001) differences between NFP and non-NFP users. Furthermore, an increasing number of women wants to use NFP-methods and -apps for contraception; thus, non-hormonal contraceptive options should be offered. The majority of current NFP users stated that the handling and effectiveness of NFP have been improved by digitalisation.

Trend natural family planning – an online survey to assess attitudes towards NFP among German-speaking women