This article examines the ways in which sexual and reproductive health themes appear in the Birmingham Black Oral History Project. As a community Black oral history project, it did not set out to collect memories of sexual or reproductive health. Despite that, the collection offers rich insights into the underexplored place of sexual and reproductive health within Black British histories. The article argues that archived oral history interviews should be “reused” as part of that historiographical exploration. It analyses the ways in which dominant interest in questions of “illegitimacy”—interest that had colonial roots—led to memories of sex education, courtship, and access to abortion in mid-twentieth-century Jamaica. Through a case study analysis of one interviewee—Carlton Duncan, father to the first “Black test tube twins”—the article concludes by arguing that being attentive to interviewee composure makes more visible the availability of narratives and cultural discourses through which interviewees could narrate or shape their sexual and reproductive health histories. As a whole, the article offers a new lens on postcolonial British history by analyzing the racist stereotyping that endured across the postwar period, especially in relation to Black sexuality and fertility.