Fertility-related distress and female identity reconstruction among reproductive-age women with breast cancer in China: a qualitative study.
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This qualitative study explored how 25 reproductive-age Chinese women with breast cancer experience fertility-related distress and how these worries shape their sense of self. Through inductive content analysis of interviews, the authors identified four themes: distress worsened by limited fertility preservation knowledge, links between fertility worries and lowered self-worth shaped by maternal norms, coping dilemmas across individual, family, and medical domains, and identity reconstruction processes (expectation adjustment, self-value remodeling, post-traumatic growth, and multidisciplinary support-seeking). The authors suggest that early, stratified fertility counseling and culturally responsive psychosocial support may aid long-term recovery, though they note that quantitative studies are needed to confirm these benefits.
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