Influencing factors of fertility preservation decision-making in patients with testicular cancer： A qualitative study.
- Author:
Ya HU
1
;
Xue FU
1
;
Cang-Mei FU
2
;
Xiang-Dong LI
1
Author Information
1. The Sun Yat-sen University Cancer Center, Guangzhou, Guangdong 510060, China.
2. Cancer Center, The Sencond Xiangya Hospital of Central South University, Changsha, Hunan 410011, China.
- Publication Type:Journal Article
- Keywords:
testicular cancer;
fertility preservation;
influencing factors;
qualitative study
- MeSH:
Humans;
Male;
Fertility Preservation;
Testicular Neoplasms/therapy*;
Decision Making;
Qualitative Research;
Cryopreservation;
Adult;
Infertility, Male/prevention & control*
- From:
National Journal of Andrology
2025;31(8):717-722
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:The aim of this study is to explore the influencing factors of fertility preservation decision-making in testicular cancer patient and provide a basis for clinical decision.
METHODS:A descriptive qualitative study was conducted using purposive sampling in 18 testicular cancer patients. Semi-structured interviews were performed, and data were analyzed through content analysis.
RESULTS:A total of 3 themes and 10 subthemes were extracted including individual factors (fertility circumstance, concerns about sperm cryopreservation efficacy/quality, the preferred choice between treatment and fertility preservation, confidence in future fertility), medical factors (physicians' recommendations on fertility preservation, fertility-related information, urgency of treatment), and socio-environmental factors (traditional beliefs of fertility, family/partner support, accessibility/cost of cryopreservation).
CONCLUSION:This study highlights many influencing factors of fertility preservation decision-making in testicular cancer patients, emphasizing the need for clinicians to enhance awareness of fertility preservation, provide timely and targeted information, and advocate for policy interventions to reduce financial barriers. Strengthening healthcare support and systemic safeguards may optimize patients' decision-making outcomes.
