I know this may not be a viable solution for everyone, but my neighbor's daughter, who is now 23 and has the mind of a 5 yr. old, started her period (late, she was almost 18!) she searched for a doctor who would do a hysterectomy as it was sure she would never marry and be able to raise children. She found a very sympathetic doctor after a few tries of others who had legal and moral issues, and it was done. Now, no worries about periods, health issues, and another thing to consider. Her mom told me if anything ever happened to them and her daughter was placed in a group home, she wouldn't have the trauma of possibly being abused and getting pregnant.
My son has Down's, but if he were a girl, I would seriously consider her having a hysterectomy too.
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