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BACKGROUND Many studies reported that reproductive desire could be high among transgender individuals. In France, fertility preservation and sperm donation were very little proposed to transgender individuals until recently, mainly because the Bioethics Law allows the use of assisted reproductive technologies only in infertile couples and prohibits surrogacy. OBJECTIVES To evaluate the distribution of care on the French territory concerning fertility preservation and sperm donation in transgender individuals. MATERIALS AND METHODS A multicentric national survey was carried out between January 2019 and October 2020 in 28 assisted reproductive technology centres of the French CECOS (Centres d'Etudes et de Conservation des Oeufs et du Sperme) network. Each centre was questioned to find out how many transgender individuals came, were informed and cared for fertility preservation and sperm donation. RESULTS Concerning fertility preservation, 71.4% of centres received transgender individuals and performed gamete cryopreservation; 581 transgender individuals consulted for fertility preservation. Transgender women were more likely to desire (p

The current conditions of gamete donation in france. Law of bioethics and assisted reproductive technology legislation control gamete donation in France. Candidates for the gamete donation are still too few to date, not allowing to meet the needs of couples receiving gametes on French territory. This shortage leads to significant waiting times for these couples. The information provided to the candidates of gamete donation (oocytes and spermatozoa) is channeled through general practitioners as foreseen by the law. A good knowledge of recruitment rules for candidates and of the attribution conditions of the gamete donations allows the practitioners to disseminate the information and to support the recruitment of new candidates.Conditions actuelles du don de gamètes en France. Le don de gamètes en France est réglementé par la loi de bioéthique ainsi que par le guide de bonne pratique en assistance médicale à la procréation. Les candidats au don de gamètes sont à ce jour encore trop peu nombreux, ne permettant pas de répondre aux besoins des couples receveurs de don de gamètes sur le territoire français. Cette pénurie entraîne des délais d’attente importants pour ces couples. L’information des candidats au don de gamètes (ovocytes et spermatozoïdes) passe par les médecins traitants comme le prévoit la loi. Une bonne connaissance des règles de sélection des candidats ainsi que des conditions d’attribution des dons de gamètes permet aux praticiens de diffuser l’information et d’aider au recrutement de nouveaux candidats.