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If someone has a serious hereditary disorder, should they consider the ethics of having a child?

If the chances are more likely their children will inherit the disorder and it is one that has caused them suffering on their own lives, would it be cruel to plan to bring children into the world?
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RoxClymer · 41-45, M
hell yes, I was born with medical issues and by the
time I was 14 I knew I didn't want kids

on the other hand my cousin who has different medical issues
had a baby at 40 y/o and the girl was born with Down Syndrome

knowing everything I have personally get so bad when I see
people with serious medical issues have kids that end up
with medical issues themselves.