There are options, roughly the following: No kids, adoption, donor eggs, sperm sorting (gives you a 90% chance of having a girl and thus avoid having the disease manifested), IVF with pre-implantation genetic diagnosis (PGD), or just go for it and pray/keep your fingers crossed.
We are going the IVF with PGD route (I'll let wikipedia fill you in on the details regarding this technology). When faced with the idea that you might not be able to have your own kids, it's hard to explain how desperate you feel, and how quickly you feel that way. Initially, I was so scared of the IVF process that I didn't consider it an option. It still scares me. A lot. But we're doing it anyway because that is what you do when you want something this badly.
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