Influencing factors of fertility preservation decision-making in patients with testicular cancer:A qualitative study
HU Ya
FU Xue
FU Cang-mei
LI Xiang-dong
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.
Keywords：testicular cancerfertility preservationinfluencing factorsqualitative study
Publication Date：2025-08-20
Online Publishing Date：2025-09-22(First online date of this platform, not the publication date of the document)
Pages：6( 717-722 )