![]() One of the most common types of ART is in-vitro fertilization (IVF), or the process of manually combining an egg and sperm in a laboratory dish and then transferring the embryo into the uterus. Once you have discussed the implications of having a family and pregnancy with your CF care team and partner, the next step is to look into common methods and procedures. ![]() This procedure, coupled with our newfound knowledge, paved the way for my wife to undergo IVF.” - David Cobb, adult with CF In-Vitro Fertilization Even though a surgery that involved cutting a testicle didn't sound so simple to me, the surgery went well and my recovery was short. According to the urologist, I needed a simple surgery to retrieve the necessary sperm. “My wife and I went to see a urologist where we learned that even though I was officially unable to have children through natural means, my CBAVD did not mean that I was sterile. Once this procedure has been completed, the mother of your child will need to go through in-vitro fertilization (IVF) to create an embryo to implant into her uterus. If you are a man with CF who is interested in having biological children, the first step is to go to a urologist who will be able to perform surgical sperm retrieval or testicular sperm aspiration (also known as MESA or TESA), a surgery in which a needle attached to a syringe is placed into the testicle or epididymis to extract sperm. In fact, sperm production in the testicles is normal in 90 percent of men with CF and CBAVD, meaning that most men with CF can still have biological children through ART. Even though the vas deferens is blocked or missing, the sperm are not. Most men with CF (97-98 percent) are infertile because of a blockage or absence of the sperm canal, known as congenital bilateral absence of the vas deferens ( CBAVD). By understanding the basics of common ART procedures and learning more about the pros and cons, you can ultimately evaluate whether it is the right family planning decision for you. However, they can still have biological children through the use of assisted reproductive technology (ART).ĪRT includes in-vitro fertilization (IVF), intrauterine insemination (IUI), surrogacy, and many other fertility therapy techniques. For some women and most men with cystic fibrosis, getting pregnant the “natural” way can be difficult or even impossible.
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