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Everything I've read or seen about them shows that they unsurprisingly have a lot of ways of coping with each other when they disagree, even when it is a major disagreement. What's interesting is that they use "I" as a single entity when they agree and consider each other separate entities when they don't.
I don't know what both think about pregnancy, but they're school teachers, so they definitely like kids. I wonder if pregnancy is even a possibility? Or maybe unwise if their condition is genetic.
Oh, you sweet summer child.
I remember my school teachers telling us they don't have kids because they have enough of kids in their job, which makes perfect sense for me.
The closest anyone says is that they share a single set of reproductive organs and are a single entity "below the waist".
Any obstetrician worth their degree would probably consider it a high risk pregnancy due to all the unknown factors. How would an epidural work, for example? No clue. Pregnancy is a stressful event under normal circumstances, no clue what would happen here.
In the Chang and Eng case, the twins were brothers who impregnated separate sisters, so the pregancies themselves were normal (despite being 21 or 22 of them).
It may not even be possible for them to get pregnant. Who knows how functional those reproductive organs are?
Great use case for adoption
(As should be always considered and promoted anyway since overpopulation is rapidly killing the planet)