111 Recent research has shed light on the pressing issue of unmet supportive care needs among testicular cancer survivors. The comprehensive study, conducted by a team of international researchers, systematically reviewed and analysed 36 studies to provide a clearer understanding of the multifaceted needs of these individuals. The findings, published in the Journal of Cancer Survivorship, underscore the necessity for a holistic, patient-centred approach to enhance the quality of life and recovery for survivors. The study revealed that psychological needs are the most frequently reported unmet needs among testicular cancer survivors. Anxiety, depression, and stress are common, with many survivors experiencing fear of cancer recurrence and body image issues. One significant finding is the reluctance of men to disclose their emotional concerns due to societal expectations of masculinity. This reluctance often leads to a lack of timely emotional support and intervention. For instance, one participant noted, “The bounce back from this was something that I couldn’t cope with emotionally because I’ve never really dealt with a lot of emotions … I’m a guy … you need to be strong and that’s what I was taught and you just deal with it and suck it up”. Physical symptoms such as fatigue, pain, and sleep disturbances are prevalent among testicular cancer survivors. The study found that men often struggle with chemotherapy-induced alopecia and other treatment-related physical changes. Many participants reported not receiving adequate support or education on managing these symptoms, which significantly impacts their daily lives. One participant highlighted the emotional impact of hair loss, stating, “Losing my hair was probably more devastating than losing my testicle I think. Because I went from liking my hair to having none in about three days. And that was a big adjustment”. Intimacy and interpersonal relationships are another critical area where support is lacking. Survivors often feel embarrassed to discuss their sexual health with healthcare professionals, leading to unmet needs in this domain. The study found that a significant number of survivors reported issues in their sex lives post-treatment, with many experiencing long-lasting effects into survivorship. Only a small percentage of survivors reported having no issues in their sex life, indicating a substantial gap in support for sexual health. There is also a notable gap in the information provided to testicular cancer survivors about available support services. Many participants expressed a need for better guidance and information from healthcare providers. One survivor shared, “There was no discussion that I remember that was any, you know, ‘if you’re feeling like this, then come and talk to us,’ or, you know, ‘there’s counselling available,’ or anything like that. I don’t recall anything like that for the psychological side of any concerns, really”. This lack of proactive communication from healthcare providers leaves many survivors feeling unsupported and uninformed about managing their health post-treatment. Cognitive impairment is another area where testicular cancer survivors face challenges. Many survivors report difficulties with concentration and cognitive decline, which are not always reflected in objective neuropsychological testing. These cognitive issues can significantly impact their ability to work or study, highlighting the need for better support and intervention strategies. One study found that as many as 58% of testicular cancer survivors can experience cognitive impairment, underscoring the importance of addressing these needs comprehensively. Practical needs, such as assistance with accessing government benefits, guidance on life insurance, and workplace adjustments, are also critical yet often unmet. Testicular cancer survivors frequently face higher unemployment rates and difficulties returning to work due to cognitive and physical impairments. Additionally, social needs, including the desire to connect with other survivors and navigate sensitive conversations about their diagnosis, are commonly reported. These needs highlight the importance of providing comprehensive support that extends beyond the clinical setting to address the broader social and practical aspects of survivorship.