Influencing factors of fertility preservation decision-making in patients with testicular cancer:A qualitative study
10.13263/j.cnki.nja.2025.08.008
- VernacularTitle:睾丸癌患者生育力保存决策影响因素的质性研究
- Author:
Ya HU
1
;
Xue FU
;
Cang-mei FU
;
Xiang-dong LI
Author Information
1. 中山大学肿瘤防治中心,广东 广州 510060
- Publication Type:Journal Article
- Keywords:
testicular cancer;
fertility preservation;
influencing factors;
qualitative study
- 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 tes-ticular cancer patient and provide a basis for clinical decision.Methods:A descriptive qualitative study was conducted using purpos-ive sampling in 18 testicular cancer patients.Semi-structured interviews were performed,and data were analyzed through content analy-sis.Results:A total of 3 themes and 10 subthemes were extracted including individual factors(fertility circumstance,concerns a-bout sperm cryopreservation efficacy/quality,the preferred choice between treatment and fertility preservation,confidence in future fer-tility),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,em-phasizing 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' de-cision-making outcomes.
