This study aimed to examine the association between different characteristics of sexual abuse and adverse family outcomes in later life. Through archived court files, a large sample of Dutch men and women who have been sexually abused as a child could be identified. Outcome variables were assessed 33 years after the abuse, when the victims were 44 years of age on average. Being abused by a nuclear family member was associated with teen pregnancies, young marriage, and divorce. Younger ages at time of abuse were related to decreased marriage rates. Penetration, violence, and repeated victimization were not related to adverse outcomes. We found that these effects were not the same for males and females. Furthermore, compared to the average Dutch population, CSA victims experienced more divorce, and female CSA victims were more often childless, had more children, and more often were teenage parents.