Attitudes and dilemmas facing fertility preservation decision-making by oncology patients from the perspective of healthcare professionals: a qualitative study - Scorecard - MDSpire

Attitudes and dilemmas facing fertility preservation decision-making by oncology patients from the perspective of healthcare professionals: a qualitative study

  • By

  • Qiao Deng

  • Wangmu Lazhen

  • Sushan Qian

  • Yanhui Zhou

  • Yujiao Li

  • Junrui Chen

  • Qifan Ren

  • Huichang Tan

  • June 25, 2026

  • 0 min

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Clinical Scorecard: Perspectives of Healthcare Professionals on the Challenges and Attitudes in Fertility Preservation Choices for Oncology Patients: A Qualitative Analysis

At a Glance

CategoryDetail
ConditionFertility Preservation in Oncology Patients
Key MechanismsReproductive toxicity from cancer treatments and the psychosocial impact of fertility loss.
Target PopulationYoung cancer patients aged 15–39.
Care SettingOncology departments in tertiary general hospitals.

Key Highlights

  • 1.19 million cancer diagnoses among those aged 15–39 in 2020.
  • 76% of infertile young cancer patients cite fertility as a key factor in treatment decisions.
  • Only 34% of patients received fertility counseling before treatment.
  • 63% of young female patients experience anxiety and depression related to fertility loss.
  • 19% of oncology-related departments engage in fertility preservation multidisciplinary collaboration.

Guideline-Based Recommendations

Diagnosis

  • Counseling for women of childbearing age diagnosed with malignant tumors.

Management

  • Explain the potential for infertility due to chemotherapy and discuss fertility preservation options.

Monitoring & Follow-up

  • Assess ovarian reserve function and fertility intentions.

Risks

  • Chemotherapeutic agents may reduce ovarian reserve by 40–70%.

Patient & Prescribing Data

Young cancer patients undergoing treatment.

Assisted reproductive technologies can preserve fertility for 80% of female patients.

Clinical Best Practices

  • Provide timely and individualized fertility preservation guidance.
  • Incorporate cultural considerations into fertility preservation discussions.
  • Enhance multidisciplinary collaboration in fertility preservation efforts.

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