There are conditions which are both necessary and sufficient in an argument (if and only if A, then B). However, that does not mean EVERY necessary condition is sufficient.
Back to your example:
这人是女的 不能推出 生孩子 This means, 这人是女的 不是 生孩子 的充分条件 She could have certain disease which prevents her from bearing a child. So in your example, 这人是女的 不是 生孩子 的必要条件也是充分条件
If and only if medusa posts a question, sdcar sneezes. In this example, "medusa posts a question" is the sufficient and necessary condition for "sdcar sneezes."