了解育龄期男性癌症患者的生育忧虑现状,分析其影响因素。方法:采用一般资料调查问卷、中文版癌症后生育忧虑量表、社会支持评定量表、医学应对问卷于2023年6月至2024年10月对湖南省某三家三级甲等医院404名育龄期男性癌症患者进行调查分析。结果:404名育龄期癌症患者的生育忧虑水平为(52.75 ± 11.70)分,患者的学历、婚姻状况–已婚、治疗方式–化疗/放疗、子女情况、生育意愿、社会支持、面对、屈服是育龄期男性癌症患者生育忧虑的影响因素(p Object: Understanding the reproductive anxiety status and its influencing factors in reproductive-aged male cancer patients. Methods: A survey was conducted from June 2023 to October 2024, involving 404 reproductive-aged male cancer patients from three tertiary hospitals in Hunan Province. The survey utilized a general information questionnaire, the Chinese version of the Cancer-Related Reproductive Concerns Scale, the Social Support Rating Scale, and the Medical Coping Questionnaire for data collection and analysis. Results: The fertility anxiety level of 404 cancer patients of childbearing age was (52.75 ± 11.70) points, and the patients’ educational background, marital status-married, treatment mode-chemotherapy/radiotherapy, children’s situation, fertility intention, social support, face and submission were the influential factors of fertility anxiety of male cancer patients of childbearing age (p < 0.05). Conclusion: Reproductive anxiety among reproductive-aged male cancer patients is at a moderately high level, and multiple factors influence this anxiety. For patients with fertility intentions, healthcare providers should make every effort to preserve their fertility, thereby improving their quality of life and treatment confidence.