How do couples and spouses/partners consider fertility preservation decisions during cancer treatment planning? A qualitative analysis of dyadic decision making

Objective: This study assessed the needs and perspective of (1) couples and (2) spouses/partners when considering fertility preservation after a cancer diagnosis. Research Approach: Semi-structured interviews explored (1) couples’ shared decision-making and (2) spouses’/partners’ individual perspectives. Participants: Twelve female cancer survivors and their partners (spouses or domestic/romantic partners) (n = 24). Methodological Approach: Dyadic and individual interviews were conducted using a Decisional Needs Assessment interview guide. Thematic analysis identified key themes. Findings: Couples reported making fertility preservation decisions like other major decisions, including prioritizing mutual satisfaction. Partners also reported concerns about patients’ health, variable decision-making needs, and letting patients lead. Couples unanimously recommended fertility preservation consultations, and designing resources that provide information and assess needs for both patients and partners. Interpretations: Patients and partners have shared and unique needs when facing fertility preservation decisions. Implications for Psychosocial Providers or Policy: Whenever feasible, psychosocial providers should assess and address couples’ and partners’ fertility preservation decision-making needs.