After Twelve Years, are there any developments in the Attitudes and Practices of Oncologists toward Fertility Preservation in Saudi Arabia?

Abstract Background Current practice of offering fertility preservation counseling and treatment has become one of the focal points in patient care throughout cancer treatment. The turning point was the approval of the Council of Senior Religious Scholars four years ago to freeze tissues from the ovarian membrane, the entire ovary, and the eggs for later use in reproduction to preserve the offspring. Thus, we aimed to assess any development in oncologists' knowledge, attitude, and referral practices toward fertility preservation (FP) in Saudi Arabia. Results Most oncologists showed superior knowledge and positive attitudes toward FP; however, their referral practices could be better. Most were familiar with FP options. The most significant factors influencing the oncologist-patient FP discussion were the number of existing children (96.6%), marital status, cost, and type of cancer (76.7%, 65.7%, and 58.9 respectively). Conclusions There is a significant improvement in the knowledge and attitude of oncologists toward FP. However, patients' counseling and referral to fertility services still need to be improved. There is a shortfall in the clinical practice guidelines for FP in cancer patients in Saudi Arabia. The implementation of clinical practice guidelines would enhance FP. However, patients' counseling and referral to fertility services still need to be improved.