Reproductive Concerns and Awareness of Oncofertility Preservation among Female Cancer Patients: Implications for Sustainability

Background One of the greatest concerns for cancer patients of reproductive age is fertility. Numerous studies have demonstrated that patients with cancer lack regular access to fertility preservation information options. This study aimed to evaluate awareness of reproductive concerns for infertility preservation among female cancer patients. Methods A case series study was conducted between March and August 2024 at the gynecological oncology unit in collaboration with the assisted reproductive technology unit at Woman Health Hospital, Assiut University, Egypt. A purposive sample of 20 women aged 16–40 years with newly diagnosed early-stage cancer who had not yet initiated treatment and received fertility counseling was recruited. Data were collected through structured face‒to-face interviews via questionnaires covering personal, obstetrical, reproductive, and cancer-related characteristics, in addition to the Infertility Knowledge Questionnaire, the Reproductive Concerns after Cancer Scale, the Fertility Intention Scale, and the Decisional Conflict Scale. Associations between study variables and participants’ characteristics were examined via appropriate statistical analyses. Results Most women with cancer had poor knowledge about fertility preservation, high reproductive concerns, high fertility intentions and low decisional conflict. There was a highly significant difference between the levels of education, infertility knowledge and infertility intentions (p values <0.001 and <0.041, respectively). Conclusion Mostfemale cancer patients reported high reproductive concerns and strong fertility intentions despite limited knowledge about infertility and fertility preservation. Education level and selected obstetrical factors were significantly associated with infertility knowledge, fertility intentions, and reproductive concerns.