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Updated: May 21, 2025

Fertility Preservation Through Oocyte Vitrification: Clinical and Laboratory Perspectives

Fertility Preservation Through Oocyte Vitrification: Clinical and Laboratory Perspectives

Published on: September 16, 2021

Fertility Preservation Options for Transgender and Gender-Diverse Individuals.

David Boedeker¹, Kiley Hunkler, Felicia Balzano

¹Department of Gynecologic Surgery and Obstetrics, the Department of Urology, the Department of Pediatrics, and the Department of Plastic Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland.

Obstetrics and Gynecology

|March 20, 2025

Summary

This study developed an educational video to improve fertility preservation counseling for transgender and gender-diverse (TGD) patients. The resource aims to support informed consent and reduce decisional regret by enhancing clinician education.

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Area of Science:

Reproductive Medicine
Gender-Affirming Care
Medical Education

Background:

Fertility preservation counseling is crucial for transgender and gender-diverse (TGD) patients undergoing interventions that may impact fertility.
A significant barrier to effective counseling is the lack of standardized clinician education.
Inadequate fertility information can lead to patient decisional regret and psychological distress.

Purpose of the Study:

To create a standardized educational tool for clinicians to counsel TGD patients on fertility preservation.
To support informed consent processes prior to medical interventions affecting fertility.
To provide a comprehensive overview of fertility preservation options for TGD individuals.

Main Methods:

A literature search was conducted to identify key fertility preservation considerations for TGD communities.
A detailed script was developed and reviewed by experts in reproductive endocrinology and TGD care.
An educational video was produced as a patient-counseling tool, available online.

Main Results:

The developed video serves as a standardized counseling resource for TGD patients seeking fertility preservation information.
The video is integrated into a monthly clinic for TGD patients pursuing gender-affirming surgery.
A reproductive endocrinology fellow provides direct patient support and discussion of options during these clinics.

Conclusions:

The educational video enhances fertility preservation counseling for TGD patients, promoting informed decision-making.
Standardized tools are essential to overcome clinician education barriers in TGD reproductive healthcare.
Improved counseling can mitigate decisional regret and psychological distress among TGD individuals.