This paper reviews the current status and factors associated with fertility intention, as well as decision aids in young breast cancer patients. Fertility intention of young breast cancer patients is below average level; factors affecting fertility intention included demographic, disease-related, psychological and social factors. It is suggested that healthcare professionals should pay attention to the fertility intention of breast cancer patients, take measures targeted to the influencing factors, and develop culturally tailored fertility decision-making aids to provide comprehensive fertility health support for young breast cancer patients.