I'm gonna echo WallShadow's reply, it's probably best kept in the background, and unless the players really want to deal with it, I'd handwave that it doesn't happen. For a military-ation-focused game like T2k, it would more or less mean that one PC isn't going to be very active for a considerable chunk of time, and that might not be fun for the player.
I've not seen it in a T2k game myself, and that's my only experience in post-apoc games. I am aware of a few D&D rules supplements that went in depth in rules for sex, pregnancy, and diseases, I'm not sure I recommend them.
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My Twilight claim to fame: I ran "Allegheny Uprising" at Allegheny College, spring of 1988.
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