Still, with their bodies joined, it would be hard to have marital relations. The difference between them was that they were joined at the midsection but had two distinct bodies. There is a set of conjoined Siamese twins in the 19th century (the first ever) that were married to separate women and had children (though I wouldn't want to imagine how especially since it was before current reproductive technology). Speaking vaguely, if one were to initiate relations, the partner would be having relations with both. My answer would be that they'd probably have to remain celibate if they only have one set of reproductive organs. This is a very rare problem which is rather difficult to answer.
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