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I don't have kids, but very much want them. But for a number of reasons, it's just not going to happen in my life and I've masr my peace with that.
Firstly, I am a trans woman married to another trans woman. Quite happily! So obviously our only option would be adoption, however due to a chronic medical complications I'm currently using a wheelchair full time without any clear indication if that will ever change. Simotanously being in constant pain that makes any sort of mobility difficult. So while it is possible for us to start the expensive and lengthy foster parent system, there is no guarantees I would physically be able to help my wife with child raising. And since she is also our sole income, I can't also expect her to work full-time AND do transportation, logistics and day to day child care while I am bedridden. Especially when my wife has said that her life is complete without children.
I take solace in the fact that our hormone replacement has likely made us sterile. That's often not the case completely, but for my own emotional well being, I assume it's a certainty so I don't think about surrogates.
Part of having a disability is grieving the loss of your old life and old expectations, while coming to terms with a new life along with new goals. This is a touchy subject with a lot of complex feelings, but I want to thank you OP for promoting the question and allowing me to talk.
I hope you can overcome the parts of your sickness that keep you more immobile, but otherwise it sounds like you're in a healthy relationship and state of mind, which, with or without kids, is still key for a happy life.
Thank you for sharing.