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Rehabilitation Institute nurse practitioner Diane Rowles, who teaches a class called Sexuality and Fertility to patients, said sex is “a very private topic, a very personal topic.” But if medical staff members don’t educate spine injury patients about sex and fertility, they may assume the worst: that they’re not able to have a sex life or father children. Tammy said someday, if they ask, she’ll tell them about many different ways children come into the world, from adoption to reproduction with medical help. “I still haven’t had that talk with my mom and dad, so I’m not sure,” he said.

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