The goal of this observational survey is to learn how transgender adults think and feel about saving their fertility before gender-affirming treatment. We will ask at least 300 participants in Emilia-Romagna to answer an anonymous online questionnaire. The main questions are: * Why did people choose or decline fertility preservation? * How much regret do they feel about their decision? * What counseling or support did they receive, and was it helpful? * What personal or financial factors influenced their choice? This study will help doctors and counselors improve fertility-preservation advice for transgender adults in Italy.
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Decision Regret Scale (DRS) Score (5-Item)
Timeframe: Through study completion, approximately three months.