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Christine says one of the big questions she had before the surgery was whether she would be able to have children. After doing some presurgery research, she discovered that this would be possible—as long as she froze her sperm before the transition.

Lisa says she was "elated" when she found out Christine had frozen sperm. "Around the age of 32, my biological clock started thumping," Lisa says. "I never knew [if] I would be able to have kids. I always thought I would end up adopting."

After an unsuccessful attempt at artificial insemination, the couple turned to in vitro fertilization for help. Lisa got pregnant twice but miscarried. When she got pregnant the third time, she and Christine were overjoyed to find out it was with twins. Nine months later, Eden and Lucas were born.

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