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

Abstract 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.