'If We Would Have Known': A Couple’s Regret Over a Missed Opportunity to Have a Biological Child After Lung Transplantation

Autor: Sigrid Ladores PhD, RN, PNP, CNE, Leigh Ann Bray MSN, RN, CNL, PhD(c), Janet Brown MSN, RN, CPN
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Journal of Patient Experience, Vol 5 (2018)
Druh dokumentu: article
ISSN: 2374-3743
2374-3735
23743735
DOI: 10.1177/2374373518778861
Popis: Cystic fibrosis (CF) is a genetic, chronic disease that results in thickened secretions in the respiratory, gastrointestinal, and reproductive tracts. Over 95% of males with CF have congenital bilateral absence of the vas deferens causing infertility. This is a case study of a 29-year-old male who underwent a lung transplant after 8 months of oxygen dependency secondary to poor lung function. Approximately 1 year posttransplant, he and his wife decided that they wanted to start a family and consulted a fertility specialist who advised them to utilize donor sperm due to the teratogenic effects of posttransplant medications. Taken by surprise with this news, they expressed regret about the missed opportunity for pretransplant sperm aspiration and cryopreservation to conceive a biological child. He reported, “If we would have known, we would have made sure I [banked] my own [sperm].” This case study highlights a critical gap in CF comprehensive clinical care.
Databáze: Directory of Open Access Journals