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What reason’s can anyone have against people with these types of disabilities to enjoy a normal and happy relationship, any person with down syndrome who is high functioning and healthy enough should have the choice to bring children into the world or not too?

Some people will argue if is not right to bring more children with down syndrome into the world, but you and your partner who might be healthy could bring a child with special needs into the world just the same?

Sex education tailored to cognitive level, learning style, and living arrangements is essential to the education of children and young adults with Down syndrome. Personal safety and self-esteem become important issues for adolescents and young adults [see Table 1] (Haka-Ikse and Mian, 1993).

With so many special needs children in the world today, there is the big question many people are concerned about?

What will their grandchildren be like in the future, should these children be able to grow up and date, marry and have families of their own?

The development of a secure sexual identity is a difficult task even in the absence of a physical or mental disability (Grant, 1995).

The emergence of sexual behavior in the individual with Down syndrome alarms some parents and caretakers who may rightly fear that their child's cognitive deficit makes him or her especially vulnerable: to unwanted pregnancy, sexual exploitation and abuse, and to sexually transmitted disease.

There have been major advances in interdisciplinary and preventive medical management of individuals with Down syndrome.

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Improved medical care, laws ensuring appropriate education and related services for the disabled, and slow changes in societal attitudes have brightened the outlook for individuals with Down syndrome (Van Dyke et al, 1995).

An active life, including participation in work, social, and worship environments, is now possible.

As individuals with Down syndrome take their place in these areas, we can expect some of them to assume the sexual roles that the general population takes for granted: lover, spouse, parent (Van Dyke et al., 1995).

Approximately fifty percent are fertile, menstruation for these girls are no different from any other girl.

Thirty-five to fifty percent of the children born to mothers with down syndrome are likely to have.

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