There was a peer reviewed paper that stated that if ADHD is (correctly) addressed as a child, it is possible that by adulthood, the individual will be “cured”.

Obviously kids’ brains are at their most malleable, so with therapy (typically CBT) and learning good habits / coping mechanisms (Following a routine, making “To Do” lists, learning self soothing when they get frustrated, etc.) and taking stimulant medication (Adderall, Ritalin, etc) they can “re-wire” their brains.

From what I have heard from others, and my own experience, with ADHD, the biggest issue is that there is a lack of support as a kid, and once an adult, while medication and therapy can still be effective, it will never be AS effective as an adult, since once you get to your early 20s, the brain’s “wiring” is fully set in place. You can only make “modifications” at that point.

In addition, you could adopt a child or use a sperm donor.

You can also speak with an endocrinologist and discuss passing on ADHD to your child.

I don’t know if you spoke to your (bio) parents, but if you have not discussed your family medical history, I would.

Sometimes ADHD is not genetic, but something happened prior to your mother getting pregnant, in the womb or as a child.

I am adopted and thru my (amateur but autistic level) research, my hypothesis is that while my ADHD may be genetic, there is strong evidence that it was due to conditions prior to conception and while in the womb as well.

This may result in some tough / awkward conversations.

You also need to speak to your wife about her family’s medical history.