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Forcier M. Adolescent sexuality. https://www.uptodate.com/contents/search. Accessed May 17, 2022.
Sexual risk behaviors can lead to HIV, STDs, & teen pregnancy. Centers for Disease Control and Prevention. https://www.cdc.gov/healthyyouth/sexualbehaviors/index.htm. Accessed May 26, 2022.
Padilla-Walker LM, et al. Is there more than one way to talk about sex? A longitudinal growth mixture model of parent-adolescent sex communication. Journal of Adolescent Health. 2020; doi:10.1016/j.jadohealth.2020.04.031.
McKay EA, et al. Parent-adolescent sex communication with sexual and gender minority youth: An integrated review. Journal of Pediatric Health Care. 2020; doi:10.1016/j.pedhc.2020.04.004.
Fortenberry JD. Sexually transmitted infections: Overview of issues specific to adolescents. https://www.uptodate.com/contents/search. Accessed May 26, 2022.
Chacko MR. Contraception: Overview of issues specific to adolescents. https://www.uptodate.com/contents/search. Accessed May 26, 2022.
Lissaurer T, et al. Adolescent medicine. In: Illustrated Textbook of Paediatrics. 6th ed. Elsevier; 2022. https://www.clinicalkey.com. Accessed May 25, 2022.
Wilkes S, et al. Use of long-acting reversible contraceptives amongst adolescents: An integrative review. Journal for Nurse Practitioners. 2020; doi:10.1016/j.nurpra.2020.06.010.
Youth connectedness is an important protective factor for health and well-being. Centers for Disease Control and Prevention. https://www.cdc.gov/healthyyouth/protective/youth-connectedness-important-protective-factor-for-health-well-being.htm. Accessed May 26, 2022.
Talking with your teens about sex: Going beyond "the Talk." Centers for Disease Control and Prevention. https://www.cdc.gov/healthyyouth/protective/factsheets/talking_teens.htm. Accessed May 26, 2022.
Turok D. Emergency contraception. https://www.uptodate.com/contents/search. Accessed May 26, 2022.
Jennings V, et al. Fertility awareness-based methods of pregnancy prevention. https://www.uptodate.com/contents/search. Accessed May 25, 2022.
Health Education & Content Services (Patient Education). Your options for birth control. Mayo Clinic; 2021.
FAQs for teens: Lesbian, gay, bisexual, transgender, and queer (LGBTQ) teens. The American College of Obstetricians and Gynecologists. https://www.acog.org/womens-health/faqs/lgbtq-teens. Accessed June 16, 2022.
FAQs for teens: Health care for transgender teens. The American College of Obstetricians and Gynecologists. https://www.acog.org/womens-health/faqs/health-care-for-transgender-teens. Accessed June 16, 2022.
FAQs for teens: Healthy relationships. The American College of Obstetricians and Gynecologists. https://www.acog.org/womens-health/faqs/healthy-relationships. Accessed June 16, 2022.
Adolescents and young adults. Centers for Disease Control and Prevention. https://www.cdc.gov/std/life-stages-populations/adolescents-youngadults.htm. Accessed June 16, 2022.
World Health Organization Department of Reproductive Health and Research. Selected practice recommendations for contraceptive use: Third edition 2016.
Contraception. Centers for Disease Control and Prevention. https://www.cdc.gov/std/life-stages-populations/adolescents-youngadults.htm. Accessed June 16, 2022.
Committee on Practice Bulletins — Gynecology and the Long-Acting Reversible Contraception Work Group. Practice Bulletin No. 186: Long-acting reversible contraception: Implants and intrauterine devices. 2017. Reaffirmed 2021.
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Teens and sex Protecting your teens sexual health
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Teens and sex can be a risky combination. Find out how to talk to your teen about abstinence and contraception.
Few parents want to think that their teens are having sex. But research shows that nearly 40% of teens are sexually active by high school. Help your teen build the skills to protect against unplanned pregnancy and sexually transmitted infections (STIs) by talking about safe sex and birth control early and often.
Talk about safe sex and healthy relationships even if your teen identifies as gender-fluid or LGBTQ. Teens of any gender identity or sexual orientation may still engage in sexual contact. So – there is still risk of unplanned pregnancy and STIs .
How you talk to your teen — and how often — makes a big difference in helping your teen make healthy choices when it comes to sex. Keep in mind, your teen's curiosity about sex is a natural and healthy part of development. You can help your teen build healthy skills as they grow into adulthood.
It's never too late to talk about abstinence with your teen. When sex happens early, the chance of pregnancy and repeated STIs is high.
Ask your teen to think about personal values and hopes for the future. And think about how sex might affect those plans. Tell your teen that:
Promote abstinence. But it should be part of a larger discussion on sexual health and protection. Research has found that abstinence-only education doesn't lower rates of teen pregnancy or STIs . When abstinence alone is the focus, teens often turn to the media or friends for sex-related values and information.
Understanding birth control methods is an important life skill for everyone. Whether your teen decides to have sex or to wait, make sure your teen knows how to prevent pregnancy and protect against STIs .
Stress the importance of always using condoms during sex, even if your teen uses a second form of contraception.
Many forms of prescription birth control can help prevent teen pregnancy. Long-acting reversible contraceptive methods (LARCs) are the most effective at preventing pregnancy as reported by the World Health Organization, CDC and American College of Obstetricians and Gynecologists. These include intrauterine devices (IUDs) and contraceptive implants. LARCs are safe for teens and need little thought after placement.
Prescription birth control choices that help prevent teen pregnancy include:
Your teen will need to see a health care provider to get a prescription for these types of contraceptives. Before scheduling the appointment, ask if your teen would be more comfortable with a provider of a certain gender.
Tell your teen that the provider may:
A pelvic exam is necessary if your teen chooses an IUD .
Help your teen understand that prescription birth control isn't a replacement for condoms. Prescription birth control helps prevent pregnancy. But it doesn't protect against STIs .
Tell your teen that it's important to decide about birth control before having sex. But emergency contraception — such as the morning-after pill levonorgestrel (Plan B One-Step, Next Choice One Dose, Take Action), ulipristal (ella) or IUDs — can help prevent pregnancy if your teen doesn't plan ahead or birth control fails.
Emergency birth control must be started as soon as possible after unprotected intercourse. The sooner pills are taken, the more likely they are to work. But — both the pills and IUD may be taken or placed up to five days (120 hours) after unprotected intercourse.
If you're concerned about the side effects of prescription birth control, or if using birth control goes against your family values, talk to your teen about natural family planning. This means not having sex during a woman's most fertile days. But — knowing signs of fertility is hard. Irregular menstrual cycles, breastfeeding and more can make these days hard to predict.
Don't be afraid that talking to your teen about birth control will encourage sex. Your teen is likely curious about sex and contraception, even if you don't bring up the topic. By being open and honest, you can help your teen make informed decisions and act more responsibly when sex happens — whether it's now or years in the future.
If you're having trouble talking to your teen about safe sex, ask a therapist, teacher or your teen's health care provider for help. You can get many resources on how to talk to your teen and accurately answer questions about sexual health and birth control.
Teens may lack the maturity to use some types of birth control effectively. If your teen is thinking about using prescription birth control, tell your teen the following to encourage the best decision:
If your teen is considering becoming sexually active, give practical tips — such as keeping condoms in a wallet or purse. Tell your teen that use of alcohol and other drugs may affect judgment and increase the risk of getting a STI .
Talking about sex and contraception with your teen isn't easy. But your guidance can encourage informed choices to protect your teen's sexual health.
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