Fertility Preservation in Patients With Cancer: Insights From a National Survey of Moroccan Oncologists

Background In Morocco, as in many Arab countries, a relatively high proportion of patients with cancer are young adults compared with Western populations. With continuous advances in curative therapies, survival rates and prospects for long-term remission have significantly improved. Consequently, fertility preservation has evolved from a secondary concern into an essential component of comprehensive cancer care. Objective This study aims to assess the knowledge, attitudes, and practices of Moroccan medical oncologists and radiotherapists regarding fertility preservation in patients with cancer and to identify the main barriers and unmet needs in this field. Methods A descriptive cross-sectional study was conducted using an online questionnaire distributed to oncologists and radiotherapists practicing in Morocco. The survey explored awareness of fertility preservation centers, frequency of discussion with patients, referral patterns, and perceived challenges. A total of 70 physicians participated. Results Among respondents, 85% were medical oncologists, mostly working in the public sector. Only 37 physicians were aware of existing fertility preservation centers. Although most recognized the importance of the issue, just 38% systematically discussed fertility preservation with their patients. About half had referred patients to specialized centers, and 24 physicians reported successful preservation in at least one case. Reported barriers included the lack of dedicated structures, financial constraints, and the absence of national guidelines or standardized referral pathways. Conclusion This study highlights a significant gap between awareness and practice regarding fertility preservation among Moroccan oncologists. Developing a national oncofertility framework, expanding specialized facilities, and providing targeted education and multidisciplinary collaboration are urgently needed to ensure equitable access to fertility preservation for young patients with cancer in Morocco.