Conjoined twins Mia and Lia have shared insights into their unique experiences regarding intimacy and relationships, shedding light on the challenges they face due to their anatomy and differing sexual preferences. The siblings decided to speak publicly about their lives following media coverage of conjoined twin Abby Hensel's marriage. Mia and Lia emphasize the complexity of their situation, as one is attracted to men while the other prefers women, complicating their relationship dynamics.

In a Reddit AMA, the twins discussed the uncomfortable aspects of their sexual encounters and how they manage to create separate identities while sharing intimate anatomy. Without revealing their last names for privacy, Mia and Lia have found a platform to address misconceptions about conjoined twins and the reality of their intimate lives. They detailed how communication and understanding have played essential roles in navigating their relational and sexual experiences, thus presenting a relatable narrative about love and intimacy.