Evaluation of an educational video assessing knowledge and attitudes of transgender youth on fertility preservation.

Objectives: While gender-affirming therapy can alleviate gender dysphoria in transgender individuals, such treatments may negatively impact fertility. As such, multiple organizations have highlighted the importance of counselling and offering fertility preservation (FP) prior to the initiation of medical therapy. To supplement fertility discussions, whiteboard educational videos were created to review and provide information on FP for transgender and non-binary youths and their families. This study assessed the understandability, actionability, and readability of the FP educational videos; patient perceptions, knowledge, barriers, and interest in FP; and overall satisfaction with the videos.

Methods: Participants (age 12 to 18) completed an online survey assessing their knowledge, perceptions, and overall thoughts on FP prior to watching a short educational video on FP. They were then invited to complete the survey again after watching the educational video and provide feedback on the video presented.

Results: Twenty-one participants were enrolled in the study. Seventeen participants completed the pre-video survey, and 12 completed the post-video and video feedback survey (completion rate of 81.0% and 57.1%, respectively). The mean age of participants was 15.50 (SD = 1.34). In the pre-video survey, one participant (1/15; 6.7%) rated their knowledge of FP as 'very good' or 'good' (1/15; 6.7%) compared to 10 participants (10/12; 83.3%) in the post-video survey (P = 0.039). Feedback regarding the videos was overwhelmingly positive.

Conclusions: Our results suggest that targeted patient education aids, such as a whiteboard educational video on FP, can be used to supplement fertility discussions with gender-diverse youth.