The Experiences of Female Cancer Patients Undergoing Fertility Preservation: A Qualitative Study

Abstract

Purpose: Due to the fact that a significant proportion of cancer cases occur in children and women of reproductive age, fertility preservation (FP) has become an increasingly important issue. Presenting the experiences of women who undergo these treatments from a holistic perspective will contribute to clinical practice. Most studies in the literature focus on the decision-making process. Departing from the predominant focus of previous studies on the decision-making phase, this study aims to provide an in-depth understanding of the emotional responses, challenges, and support mechanisms experienced by women throughout the entire FP process.Methods: This descriptive qualitative study was conducted with 12 women diagnosed with cancer who underwent FP approaches. Data were collected via in-depth semistructured face-to-face interviews and concurrently analyzed via conventional content analysis.Results: The experiences of women undergoing the FP process were categorized into five main themes and 17 subthemes: the emotional impact of cancer diagnosis and the threat of fertility loss (initial shock and grief, psychological burden, and changing priorities), factors influencing decision-making (doctor's advice, limited information and awareness, personal values and beliefs, and partner and family support), challenges encountered during FP (side effects, financial burden, logistical difficulties, and challenges faced by single women), support from healthcare professionals (importance of communication and information, emotional support and empathy, and need for psychological support), and hope of having children (optimism and empowerment, changing perspectives on motherhood, and acceptance of uncertainty).Conclusion: Our study has provided insights into significant issues such as the decision-making process, treatment process, and emotional outcomes related to FP approaches in women with cancer.Implications for Practice: The findings of this study highlight the need for patient-centered fertility counseling for women with cancer. Healthcare providers should offer timely and individualized information, ensure emotional support throughout the FP process, and incorporate psychosocial care into routine oncology and reproductive services.