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Cystic Fibrosis Infertility: Causes and Management Strategies

Address infertility in cystic fibrosis with specialized care. Explore fertility options, support for individuals and couples navigating reproductive challenges.

  • Gynaecology
By Ipshita Ghoshal 3rd Oct '23 23rd Mar '24
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Does cystic fibrosis (CF) cause infertility?

As per a study, 97% to 98% of men with cystic fibrosis have infertility issues. The reason is that they have a condition known as congenital bilateral absence of the vas deferens (CBAVD), which means they lack a sperm tube. Cystic fibrosis infertility prevents the sperm from mixing with the semen. Hence, the sperm is unable to reach the egg to fertilize it after sex. Cystic fibrosis infertility leads to the absence of sperm in the semen. This makes the ejaculate thin and reduces the semen volume. Hence, cystic fibrosis and fertility are related. 

Women with CF sometimes have thick mucus in their cervix. Poor nutrition can also cause issues with ovulation in women. But most women with cystic fibrosis infertility can still have babies if they don't use birth control.

Let's discover the fertility possibilities associated with cystic fibrosis.

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Can people with cystic fibrosis have children?

Cystic Fibroids

Women with cystic fibrosis often experience a longer duration of time to conceive in comparison to women who do not have the condition.

However, fertility and cystic fibrosis in men are a little bit concerning. Men with cystic fibrosis infertility have issues due to congenital bilateral absence of the vas deferens (CBAVD). But, they can certainly have children. They can opt for assisted reproductive techniques like IVF or sperm aspiration from the testicles. 

Unlocking the genetic puzzle: Can parents pass down cystic fibrosis to their children? Let's find out.

What is the risk of passing cystic fibrosis to offspring?

Risk of passing cystic fibrosis to offspring

Cystic fibrosis gene carriers and infertility passed to offspring have higher chances when both males and females are carriers. In such a case there is a 25% chance of passing cystic fibrosis to offspring. 

After various tests, if one of the parents is not a carrier then the chances of passing cystic fibrosis to offspring get reduced significantly. 

Is genetic testing the key? Let's delve into cystic fibrosis and fertility.

Can genetic testing predict the risk of cystic fibrosis-related infertility?

Genetic testing

Genetic testing can identify certain mutations in the CFTR gene associated with cystic fibrosis. However, it cannot predict the risk of cystic fibrosis infertility specifically. Infertility in individuals with cystic fibrosis is often related to the absence of the vas deferens (CBAVD). This can vary among individuals. Genetic testing can provide information about cystic fibrosis carrier status. But not the fertility status of an individual. Assessing infertility risk may require additional medical evaluations.

Is fertility preservation for those with cystic fibrosis? Let's find out.

Take charge of your health and your life. Contact us today!

Are there fertility preservation options for people with cystic fibrosis?

preservation options for people with cystic fibrosis

Fertility preservation options are available for both men and women with cystic fibrosis infertility. Here's an overview of these options for each gender:

For Men with Cystic Fibrosis infertility:

  • Sperm Banking: Preserve fertility by banking sperm before treatments. This helps in using the sperm for ARTS like IVF. 
  • Assisted Reproductive Techniques: Even with CBAVD, assisted techniques can help. This helps in having their own biological child. In these sperm is retrieved directly from testes for IVF or ICSI

For Women with Cystic Fibrosis infertility:

  • Ovulation Monitoring: Track ovulation cycles for natural conception. This information can help them identify fertile periods. As a result, increases the chances of pregnancy. 
  • Assisted Reproductive Techniques: IVF with genetic testing.
  • Egg Freezing: Preserve eggs for future use. Eggs are preserved when they are young. At that time, the quality was also higher. They can use these eggs later on. 

How can you treat cystic fibrosis-related infertility? Let's discover that.

Can cystic fibrosis-related infertility be treated or reversed?

Cystic fibrosis infertility cannot be reversed, but it can certainly be managed. With proper management of cystic fibrosis and fertility issues, couples can conceive and have children. With the help of surgeries or assisted reproductive techniques like IVF, people can overcome cystic fibrosis infertility. 

Are there any risks associated with pregnancy for individuals with cystic fibrosis?

risks associated with individuals with cystic fibrosis

Pregnancy can have complications for women with CF. However, most pregnancies result in healthy babies. 

Common issues include:

  • Premature birth
  • Breathing problems
  • CF-related diabetes
  • Constipation
  • vitamin A (retinol) toxicity - this can cause issues in the baby’s development. 
  • High blood pressure

Family planning possibilities: Can you plan for a family if you have cystic fibroids?

Take the first step to recovery. Get in touch with us for your treatment.

What are the options for family planning for couples with cystic fibrosis?

Couples with cystic fibrosis infertility (CF) have options for family planning:

  • Natural Conception: Some couples with CF can conceive naturally. It's essential to manage health and nutrition.
  • Assisted Reproductive Techniques (ART): If fertility is a challenge, ART like IVF can help. Preimplantation genetic testing can prevent CF transmission.
  • Sperm or Egg Donation: Using donor sperm or eggs can avoid passing on CF mutations.
  • Adoption: Couples can adopt children if pregnancy is not an option.
  • Surrogacy: A surrogate mother can carry a child for couples unable to do so.
  • Genetic Counselling: Consulting a genetic counsellor can help couples understand CF risks and make informed decisions.

Is it possible to prevent cystic fibrosis-related infertility? Keep reading to find out.

Can cystic fibrosis-related infertility be prevented?

Cystic fibrosis infertility cannot be entirely prevented. This is due to the genetic nature of the condition. CF is caused by mutations in specific genes. It affects the production of mucus and other bodily secretions. These mutations are inherited, and individuals with CF carry them from birth.

However, advancements in assisted reproductive techniques (ART) offer options for individuals with CF to have children. Sperm or egg donation, in vitro fertilization (IVF), and pre-implantation genetic testing can help prevent the transmission of CF to offspring.

Early genetic testing and counseling can inform individuals about their CF carrier status. This enables them to make informed family planning decisions. While infertility may still be a concern, these strategies offer ways to have children without passing on CF mutations.

Your well-being is our priority - call us to book your appointment today.


References:

https://www.ncbi.nlm.nih.gov/pmc/

https://www.cff.org/

https://www.medicalnewstoday.com/

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Question and Answers

Good evening, dear doctors, I am writing to you because I am anxious and worried. I am 49 years old and have had very large fibroids for years that have never given me any problems, apart from swelling and the occasional early or very late period. This summer I had a gynecological visit with ultrasound because it had been about three years since I had a check-up due to anxiety problems that prevent me from going for visits and other fears. The visit went well in the sense that it was the same as three years ago but every doctor almost always suggested that I evaluate the option of removing it to eliminate the problem. This summer my period was a bit irregular, it came a little early, then spotting, then it ended as usual. In October I only had spotting for two weeks and that was it, in November spotting and then a very heavy period that ended a few days ago, still with very light spotting. In the grip of anxiety, I went to the gynecological clinic in my city, and he did a manual examination without an ultrasound, telling me that they are fibroids and to go to another gynecologist to evaluate what to do, I went to a gynecologist the other day and he did an ultrasound and an examination, apart from the fibroids that I already knew about, he told me that the endometrium is vascularized and a little irregular and measures 8mm. He told me that I need to look into it further. A few months ago it always measured 8 mm, but he didn't tell me anything. (He didn't talk to me about hormone levels or premenopause or anything else. I want to do hormone levels to see everything in general) I took a lot of antibiotics months ago for dental problems and I don't know if it could interfere with my cycle. I'm really desperate also because I have a lot of anxiety problems and this doesn't help... I hope it's nothing to worry about.. I'll try to look into it further. Thank you so much. Jenny Italy

Female | 49

Answered on 17th Dec '24

Dr. Swapna Chekuri

Dr. Swapna Chekuri

Answered on 17th Dec '24

Dr. Mohit Saraogi

Dr. Mohit Saraogi

Haii I need to message directly to gynaecologist can you share the number

Female | 29

I sense you want to talk to a gynecologist directly. Unfortunately, I am unable to reveal personal contact information, however, it is a must to listen to all your issues. The most frequent warning signs that may require you to have a checkup include irregular periods, unusual pain, or changes in the appearance of the secretions. 

Answered on 17th Dec '24

Dr. Mohit Saraogi

Dr. Mohit Saraogi

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