[shabda]

I am a kidney transplant recipient. I received my transplant 9 years ago.

My immunosuppressive treatments is a walk in the park compared to the 6 months I was on dialysis. I got married and had a kid after my transplant, none of which I even considered while I was on dialysis.

Which is to say, you are horribly misinformed. :). I hope you will read more about organ donation before making the decision to not opt in.

[hycaria]

Where did I say dialysis is better ?

Also idk your personal reasons for need of a transplant but common reasons for acute renal failure are diabetes melleitus, vascular disease, and immunological diseases. Many in each category have a genetic component. I wouldn't dare to pass such risk to offspring but to each his own I guess.

To grossly sum it up, we end up putting new kidneys in people who fucked up their own because they got diabetes (ok, a small share is congenital, which also sucks a lot). I don't feel like sustaining that and I don't feel guilty the slightest.

[shabda]

Are you seriously suggesting anyone who has renal failure shouldn't have children? What next - siblings of renal failure should be sterilized because they might be at Y% higher chance of X unknown disease?

Your choice if you don't want to sign up for organ donation, and I respect your choice. Everyone should make their choices about their bodies. However, your choices are coming from horrible misinformation.

[hycaria]

I don't think it's very wise but there's no obligation. If you want to have children risking to suffer from the same life altering conditions that's your choice. But what happens when everyone in your lineage is dependent on organ donation or more generally lifelong drug dependance? Is that alright or should we act when it's preventable (genetic counseling etc)?

Also what is misinformed? Are you living without treatment? Do you indeed carry any risk for offspring or are you in the slight share of patients who got acute renal failure thanks to some bacterial infection? Since you didn't address it and the odds are not in favor, I don't have much doubt on the answer. I don't think much is factually wrong, rather that you're displeased with my conclusions : not worth enabling.