Observational study finds 29% increase in marriage rates after GAHTGender-affirming hormone therapy (GAHT) is associated with an increase in stable personal relationships and a higher likelihood of marriage or cohabitation. An observational study found that 18 months after starting the therapy, there was a 29% increase in these indicators among patients. However, the evidence is observational; therefore, a direct cause-and-effect relationship between the medication and family formation cannot be established. Observation Parameter Value/Result Observation Period 18 months Increase in marriages and cohabitation 29%Medical Safety and MonitoringWhile therapy may improve confidence and interpersonal dynamics, it requires strict medical supervision. Experts conclude that successful social adaptation requires a comprehensive approach combining medication with psychological support.