The experience of fertility concerns in patients with testicular cancer: a qualitative study

• DOI: 10.1007/s00520-024-08720-y
• Publication Date: 2024-07-19T09:02:47Z
• Authors: Ya Hu; Xue Fu; Xiaoya Jiang; Mengxiao Jiang; Xia Zheng; Huiming Lu; Man Xu
• Keywords: Male; Adult; Research; Decision Making; Fertility Preservation; Young Adult; 03 medical and health sciences; Fertility; 0302 clinical medicine; Testicular Neoplasms; Adaptation, Psychological; Humans; Qualitative Research

Abstract Background Testicular cancer usually occurs in young adult men between the ages of 20 and 40 years, which largely coincides with the age of men’s reproductive intentions. However, a serious side effect of testicular cancer therapy could reduce the fertility of patients.

Purpose To explore the experience of fertility concerns in patients with testicular cancer.

Methods A phenomenological research was conducted on 12 patients with testicular cancer. Data collection was from May 2023 to August 2023, and Colaizzi analysis method was used to analyze the data.

Results Four themes were found: (1) multiple worries and negative emotions, (2) fertility decision-making faces many challenges, (3) self-coping strategies for facing fertility concerns, (4) unmet supportive care needs.

Conclusion Medical staff should pay attention to the fertility needs of patients with testicular cancer and provide relevant interventions and support to reduce their fertility concerns.