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Believe it or not, surgeons have done this: Separated toddler twin boys and made one a girl, because there was only one penis to go around.

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Upon figuring out what she was looking at, one woman said only, "I mean ...

Sex is often mentioned by commentators on conjoinment as one of the beautiful things supposedly made instantaneously horrible by conjoinment.

Sex(ed): The Movie captures the humor, shock and vulnerability people face when learning about sex, through the lens of the often hilarious, only ...

See full summary » Greta, a Swedish student comes to Paris with a view to making it there.

At the autopsy of the Bunker twins, one of the anatomists opined that their active sex lives "shocked the moral sense of the community" -- even though the truth is that the Bunkers' neighbors appeared to have just accepted the situation.

A little known fact is that the Bunker wives' father originally objected to his daughters marrying the twins because they were conjoined, but because they were Asian.

I'm afraid I just laughed when, in writing a book on conjoined twins, I came across this 1984 line by a nurse writing in a medical journal: "Two people never being able to obtain privacy to bathe, excrete, copulate, or eat defies imagination." Surgeons sometimes openly allude to sexuality as a motivator for separation surgery.

In 2002, as soon as he had made the cut separating two little girls joined at the head, the neurosurgeon involved paused to announce to the assembled medical team, "We now have two weddings to go to." Indeed, when I talked to contemporary surgeons about how they decide whether to undertake the substantial risks some separations involve, I found that surgeons had two fears, sort of conjoined: one, that twins would grow up conjoined and thus never have sex; two, that twins would grow up conjoined and actually have sex.

The same discomfort generally carries through to our own time.

When filmmaker Ellen Weissbrod set out to do an A&E Channel program about Lori and Reba Schappell, who are conjoined at the face, Weissbrod showed raw footage of the twins to New Yorkers on the street, without explanation, to gauge their reactions.

Typically, people who are close to conjoined twins come to adjust and see them as different but normal; they seem fairly untroubled by the idea of conjoined twins pursuing sex and romance. The best example of this would probably be the story of Chang and Eng Bunker, "the Siamese Twins," so called because they were from Siam (now Thailand).

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