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

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.