<p>Fertility preservation is a vital issue in cancer care because cancer interventions can lead to temporary or permanent infertility. Previous studies have identified a gap in Muslim patients’ perspectives on fertility preservation. This qualitative study explored Jordanian Muslim cancer patients’ understanding of treatment-related fertility risks and their perceptions of fertility preservation and available options. Semi-structured interviews were conducted with 15 patients from cancer clinics in a referral hospital in Jordan using a validated interview guide. Data were analyzed using inductive thematic analysis following Braun and Clarke’s six-phase framework. Two major themes with four interconnected subthemes were identified: (1) Denied Fertility Rights (gaps in information and counseling; too late to decide) and (2) Sociocultural and Religious Influences (balancing cancer with fertility; fertility preservation is for men only). Participants described limited counseling on fertility risks and preservation options, often learning about fertility preservation only after treatment had begun. Women reported sociocultural barriers and a “culture of silence,” despite Islamic teachings that encourage seeking infertility treatment. Findings highlight the need for culturally responsive, gender-equitable integration of oncofertility counseling and services within cancer care pathways in Jordan.</p>