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    Today at 9am I had a testicular FNA mapping procedure done. Its an outpatient procedure took roughly 1hr. The maximum number of samples you can take per testicle is 18, we got all 18! It will take 6 weeks to get a report on quality of material found. I am currently in an immense amount of pain, even walking is painful but hopefully there will be good quality in all samples. I'll let you all know what comes next. Thank you for being a part of this with us.
    Summary After being diagnosed with Klinefelter syndrome, we believed having biological children wasn’t possible. A specialist has given us a real chance through surgery and IVF, but the cost is far beyond what we can afford. We’re asking for help to try for the family we’ve dreamed about for years. Our Story I was at home after work one afternoon when I got a call from my doctor. I had just come back from my shift at Meals on Wheels of the Monterey Peninsula, and he was following up on some abnormal lab results. He told me there were two possible causes for my elevated levels, a pituitary tumor, or something called Klinefelter syndrome. I had never heard of Klinefelter’s before. In that moment, all I could think was that anything sounded better than a brain tumor. When he explained what it was, my body tensed. I remember thanking him, hanging up the phone, and just sitting there for a minute. I didn’t understand yet what it would mean, but I could feel that something had changed. I had no idea that call was the first step onto a road that would affect every part of my life. The first thing I did was tell Natalie. I told her, “I just got off the phone with the doctor. He says I have something called Klinefelter’s syndrome. I looked it up and it’s a genetic condition from before birth… I might not be able to produce sperm.” She paused for a moment and said, “Okay… so what do we need to do?” I could hear the heartbreak in her voice even though she was trying to stay steady. I told her I had a referral to the genetics department at Stanford Medicine and that I needed to see a urologist. She said, “Then let’s do that. We don’t know anything yet. Let’s just see.” In that moment I felt like everything had drained out of the world, but she was still standing there, still moving forward, still holding us together. What I didn’t say out loud was that I felt broken. I felt like I had lost something basic that I thought every man just had. My father had six children. I never imagined having kids would be something I couldn’t do. And the hardest part wasn’t about me, it was knowing the person I love most in this world wanted a family, and I might not be able to give that to her. In the weeks after that, our future felt different. Natalie and I had a lot of conversations about children, and about how much we wanted to have my biological kids. After speaking with doctors, I started testosterone therapy, believing that the chance was already gone. It felt like we were carrying a weight we couldn’t set down. Our relationship stayed strong, but the future we had always talked about suddenly felt uncertain. During that time, there were moments that showed me just how strong Natalie really is. At one point there was a shortage of my testosterone medication, and I went weeks trying to get my prescription fixed with no success. After three weeks, Natalie called my doctor herself and left a message that was firm, worried, and protective. The next day, the prescription was written. That’s who she is. When things get hard, she steps in. She doesn’t give up on us. After about a year and a half on testosterone, I had learned to live with the side effects; fatigue, mood swings, physical changes, and the feeling that my body wasn’t working the way it should. Then in March of 2026 we met with Paul Turek, a fertility specialist, in a virtual appointment. He told us that even with Klinefelter’s, there may still be sperm present, and that through microdissection testicular sperm extraction, testicular mapping, and in vitro fertilization, we could have a real chance. He estimated about a 55–60% chance. My first thought wasn’t excitement. My first thought was that I would have to stop testosterone for six months and go back through the fatigue, muscle loss, brain fog, and mood swings I had fought through before. But the chance to have biological children made it feel worth it. Natalie is in school. I’m currently on disability. We rent our home. We lost Natalie’s mother in December 2025, and she was one of our biggest supporters. Nothing about our situation feels like the perfect time to start a family. But being told there is still a chance changed everything. When I told Natalie what the doctor said, she lit up in a way I hadn’t seen in a long time. It felt like I had proposed to her all over again. Having a child means everything to us. Life has taught me patience, love, and understanding in ways I didn’t have when I was younger. I feel like I’ve become the kind of man I needed when I was a child, and I want the chance to give that to someone else. Natalie is one of the strongest people I know. She survived a car accident that changed her life, and instead of giving up she rebuilt herself and found a career in herbal medicine that she loves. She is kind, loving, funny, and steady in a way that makes people feel safe. I know she will be an incredible mother. For us, having a child means the chance to teach, to learn, and to watch someone grow into who they are meant to be. If you are able to help, your support goes directly toward giving us that chance. And if you're not in a position to donate, sharing our story helps more than you might realize. Why We’re Asking for Help The treatments required to give us this chance are highly specialized and not covered by insurance. Estimated costs include: Hormone therapy (6 months): $5,000 Testicular mapping: $10,000 Microdissection sperm retrieval: $15,000 IVF cycle: $15,000–$20,000 Travel and medical expenses: $5,000 Total goal: $50,000 Every dollar will go directly toward these procedures and fertility treatments. How You Can Help If you’re able to donate, no amount is too small. If you can’t donate, sharing our story helps more than you know. Thank you for taking the time to read this and for standing with us. — Isaiah & Natalie