Attitudes and Decision Regret Regarding Fertility Preservation in Transgender Individuals
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 616
- 试验地点
- 1
- 主要终点
- Decision Regret Scale (DRS) Score (5-Item)
研究概览
简要总结
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.
详细描述
Background & Rationale
For transgender individuals, fertility is particularly complex because gender-affirming treatments such as hormone therapy, hysterectomy, or orchiectomy can permanently impact reproductive potential. At our center, fertility preservation through gamete (egg or sperm) or gonadal tissue cryopreservation is routinely offered before initiating these treatments.
However, no studies in Italy have explored why transgender individuals choose to preserve or not preserve fertility, nor how satisfied or regretful they feel about these choices afterward. Understanding the motivations, barriers, and emotional outcomes around these decisions is crucial to providing truly informed, person-centered counseling that respects transgender individuals' reproductive autonomy and supports their overall quality of life.
This study aims to fill this gap by exploring these critical aspects within the Italian transgender community to improve fertility-preservation counseling practices.
Study Objectives & Hypotheses
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Self-identified as transgender
- •Age ≥ 18 years.
排除标准
- 未提供
结局指标
主要结局
Decision Regret Scale (DRS) Score (5-Item)
时间窗: Through study completion, approximately three months.
Scores collected with the 5-item Decision Regret Scale to assess participants' levels of regret about their fertility-preservation choice. Includes analysis of regret frequency by type and quality of counseling received and identification of personal factors (e.g., marital status, social support) that may have contributed to regret.
次要结局
- Frequency of Main Motivations for Fertility Preservation Decision(Through study completion, approximately three months.)
- Counseling Modalities and Satisfaction(Through study completion, approximately three months.)
- Barriers to Fertility Preservation and Psychological Impact(Through study completion, approximately three months.)
- Preferences and Attitudes Toward Counseling and Fertility Preservation(Through study completion, approximately three months.)
研究者
Maria Cristina Meriggiola
Prof.
IRCCS Azienda Ospedaliero-Universitaria di Bologna