The nation’s largest pediatrics group says that it’s time for doctors to start counseling parents who have children who face possible infertility or sexual dysfunction.

The American Academy of Pediatrics is for the first time recommending that doctors, including mental health providers, talk to parents as early as their children’s infancy about the difficulties their children will face, or that they bring it up when they begin to notice that a child may be affected. Doctors should talk with both the parents and children together, and also with the children alone, once they become teenagers.