Does my partner’s condition make it impossible for us to have children? Do we dare? What if one of us says yes and one of us says no?

In the last few days, I have received several comments from a woman with epilepsy. Over the years, I have heard from people who suffer from diabetes, venereal disease, mental illness and other problems. Should they/could they have children? What if things go awry? Will their babies inherit their conditions? Three responses come to mind.

First, couples need to share important physical information that might affect their ability to bear healthy children, and they need to talk it through. To hide such things would be more of a deal-breaker for me than telling me about them. Are you not talking about it for fear the other person will leave? If they really love you, they won’t. If they can’t handle it, better to find out now.

Second, are you marrying a baby machine or a life partner? Ordinarily, babies follow marriage, but not always. For better or worse, right? Since my husband died, I can tell you I miss him far more than I miss having children.

Third, you need to get as much information about the condition as possible. Talk to doctors, do research, find out the risks and possibilities. Make an informed decision.

Epilepsy is a scary condition. I have friends and relatives who suffer from it. The writer spoke of her fear that she might have a seizure in labor or while taking care of a baby. That’s a very valid fear. I know women with epilepsy who have successfully given birth and raised children to adulthood. I have known others who didn’t dare take the risk. If you have this condition, talk to your doctor. If you can get the seizures under control, motherhood may be possible. But both parties have to be willing to try, knowing the dangers.

My first husband had a form of epilepsy. Early on, he taught me how to take over if we were riding in the car when a seizure happened. His seizures were terrifying, but I didn’t love him any less for it, and it had nothing to do with our not having children together.

When I was dating my second husband, I questioned him about why he was so quick to get a vasectomy after his son was born. Was there some physical problem he was worried about? No, he said. He just didn’t want any more children. But everyone has something. Almost everyone on my mother’s side of the family has diabetes and kidney disease. Fred’s son inherited his farsightedness and will probably have to deal with thyroid disease at some point because it runs very strongly in Fred’s family. But meanwhile he’s a healthy young man who enjoys hiking and mountain-climbing.

There’s so much we don’t know. But people who claim to love each other need to talk about the things they do know and find out as much as they can before they have children together–or decide not to. If you can’t talk about these things with your girlfriend/fiancé/spouse, see that as a big red flag. Maybe this isn’t the right person.

What do you think about all this?