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Using Screen Time to Talk with Your Children about Sex

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Research tells us that kids and teens who have regular conversations with their parents and caregivers about sex and relationships are less likely to take risks with their sexual health, and more likely to be healthy and safe. So it’s never too early and it’s never too late to start talking with your kid about sex and relationships.
As soon as kids start learning to talk, you can teach them the names of the parts of their body. As soon as they start being around other kids, you can teach them about respecting other people and talking about their feelings. These things lay the groundwork for healthy sexuality and relationships later on.
So how do you keep the conversation age-appropriate? It’s all about what details you include. For example, if a 5 year old asks, “What’s birth?” you can respond, “When a baby comes out of a mother’s body.” If a 10 year old asks the same question, your answer could have more detail and might start with, “After 9 months of growing inside the mother’s uterus, a baby comes out through her vagina.”
Don’t worry if your kid is in middle or high school and you haven’t started talking with them about this stuff yet. It’s never too late, and there are lots of ways to get the conversation going. Just don’t try to “catch up” all at once — that can be overwhelming. It’s better to have lots of little talks over time. The most important thing is to make it really clear to your kid that they can ask you questions or come to you for support without fear of shame or judgment.
Talking with your kid about sex, relationships, and their health is a lifelong conversation. Doing a little bit at a time instead of having “the talk” takes pressure off you, and helps your kid process your values and information over time. Having regular conversations also sends the message that these topics are important enough to keep bringing up, and are a normal part of life.
Everyday life provides lots of opportunities for talking about sexuality and relationships. Here are some common teachable moments to looks out for:
When any of these things come up, jump in and start a conversation. Start with an open ended question like:
“What do you know about how pregnancy happens?”
“What do you think about the fact that that celebrity is photoshopped on the cover to look different than they do in real life?”
“How do you feel about this ad for dolls only having pink and girls in it?”
“What would you do if someone you were dating started acting like that character on this TV show?”
Here are some other ways to kick off a conversation:
In elementary and middle school, give them books about anatomy or puberty and let them explore them on their own. Check in with them to ask what they learned, what was confusing, and answer any questions they may have.
Check in with them regularly about what’s going on with them and their peers at school. Ask them how they feel about their friendships, and help guide them through any troubles they’re having.
Once they’re older, ask them about crushes or dating or relationships. Ask them how they think they’ll know when they’re ready to have sex, including the responsibilities that come with it (like preventing unintended pregnancy and STDs).
Be open and listen to their answers. Fill in gaps of knowledge and correct misinformation when you hear them. If they get embarrassed when you bring any of these topics up, reassure them that it’s OK to be embarrassed about this stuff — but they have nothing to be ashamed of. Give them your take on things based on your values. And let them know they can always come to you to talk things through, get advice, find good information, or get access to health care.
When your kid comes to you with a question about sex and relationships, take a second and appreciate the good job you’ve done to get you to this point. If they feel comfortable asking you these questions, it means your kid trusts you and respects you.

Here are some tips for answering those questions:
Don’t jump to conclusions about why they’re asking what they’re asking. You can say: “Can you tell me what you already know about that?” or “What have you heard about that?”
Keep your answers short and simple, and explain new words that your kid might not have heard before.
After giving an answer, keep the conversation open. You can say: “What other questions about stuff like this do you have?” or “What’s going on in your life/at school that made you think more about this stuff?”
Check their understanding. After answering a question, you can ask, “Does that answer your question?” or “What do you think about that?”
If you don’t know the answer to something, you can look it up on your own or together. You can say, “I’m glad you asked that question. I’m not sure how to explain it/what the answer is. Let’s look it up!”
Remember, it’s OK if you feel a little awkward, or if you or your kid get embarrassed. Try to work through your embarrassment. It’ll be worth it for both of you. Plus, the more practice you get answering tough questions, the easier it becomes.
The best way to keep your kids safe and healthy is to stay involved in their lives and to set some boundaries.
Here are some good ways to stay involved:
Ask open-ended questions about their day at school, like “What was the most memorable part of your day?” or “How are you feeling about your new teacher/class/school?”
Ask about their friends, and get to know them and their parents. Encourage them to spend more time with kids who you think are a good influence.
Always be aware of which adults are around when your kid is out or at other houses.
Ask them questions about what they’re up to online.
Encourage them in their hobbies and interests. Be present at games, recitals, etc., when possible.
As kids grow into preteens and teens, and start to become more independent of you, setting some reasonable boundaries will make them less likely to engage in risky behavior such as drinking, smoking, having unprotected sex, or having sex before they’re ready:
Establish clear expectations (like curfews, dating, rules about drugs/alcohol, etc.) and check in regularly to be sure those expectations are met. You can make this a conversation with your teen, too. By listening to them and allowing them to negotiate, it shows that you respect them and understand that they are becoming more responsible for themselves.
Encourage them to get involved in activities where an adult will be around — like after school clubs or sports.
Know where they’re going and who they’ll be with, and don’t allow preteens or teens to spend a lot of time alone without adults present.
When preteens and teens are invited to each other’s houses or to parties, make sure there are going to be adults there. That means being there when your teen hosts to make sure there aren’t drugs or alcohol around. If your teen is going somewhere else, you can call the parents of the hosting teen to make sure an adult will be around to supervise.
Discourage preteens and teens from going out on school nights and dating or hanging out with older teens or young adults.
Get to know your kid’s friends, their parents, and especially the parents of anyone your kid may be dating.

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On my first day of training to become a specialist physician, I could hardly contain my excitement and arrived at the hospital two hours early. I knew no one, as I had arrived from another part of the country on the preceding day, but I introduced myself to the nurses on the maternity ward and looked around at what would be my training ground for the next few months.
All
of a sudden the phone rang alerting the nurses to an imminent arrival and, minutes
later, a couple of paramedics wheeled in a young girl in active labour. Five minutes
afterwards, with the help of two nurses, I delivered the first baby of my career.
The young mother, who had no family or friends with her, turned out to be twelve
years old.
Over the next few days, I spent a lot of time talking to this young teen. I found out that she had become pregnant when she was eleven; the baby's father was a fourteen-year-old boy who had since found another girlfriend. The young mother steadfastly insisted that she wanted the baby and was not interested in giving the infant up for adoption. I wondered how this young girl with minimal life experience and no apparent family support could possibly raise a child. Although at that point in my career I did not know the facts and the figures related to teen pregnancy, I was struck by the phenomenon of 'children having children' and I wondered what the future held for this twelve-year-old and her tiny infant.

Although not the topic of this book, unintended teen pregnancy is a monumental problem for our society. According to an article in the prestigious journal, Adolescent Medicine , "adolescent girls who become mothers are more likely to drop out of school and have low educational attainment; to face unemployment, poverty, and welfare dependency; to experience more rapid repeat pregnancy; to become single mothers; and to experience divorce, if they marry."(2) The cycle of difficulties continues as the children of teen mothers have a much higher incidence of a variety of problems including prematurity, infant death, developmental problems and behavioral difficulties. (2,3)

In addressing the American Academy of Paediatrics, a former U.S. Surgeon General, Dr. M. Jocelyn Elders stated that preventing teen pregnancy was her top priority: "eighty percent of our poverty is related to unplanned, unwanted pregnancies" and "ninety per cent of the young men in prison between [ages] 19-35 were born to teenaged mothers."(4) While on an individual basis, I have seen teen moms who find their motherhood to be an unexpected motivation to seek further education and strive to do their very best, the challenges faced by these young mothers are frequently overwhelming.
What we know: Most people know that unplanned teen pregnancy is a big problem . . . however, most people are completely unaware of the devastating results of STDs and of the huge number of young people who suffer from them.
Most people are aware that teen pregnancy often leads to problems and challenges. I have heard many parents express concern about their teenagers becoming pregnant. I recall hearing a mother comment "I just want to make sure that neither of my daughters get pregnant and that my son doesn't get some girl in trouble!" Most people, however, are completely unaware of the devastating results of STDs and of the overwhelming number of sexually active teenagers and adults who suffer from these very common infections. While an unplanned pregnancy becomes rapidly evident, many of the consequences of having an STD do not show up immediately and some may not be apparent for years.
The unrealistic view that one can have risk-free sexual liaisons is rampant in North America and many other parts of the world.
I was only a few weeks into my specialist training when I began to encounter young patients who were suffering from the results of STDs. I remember being called to the emergency department in the middle of the night to see a fourteen-year-old who had experienced ten days of severe pain in her lower abdomen. After completing the medical history and physical examination, it was evident that this girl was suffering from Pelvic Inflammatory Disease (P.I.D.), an inflammation of her reproductive organs resulting from a sexually transmitted infection. (P.I.D. is commonly caused by gonorrhoea or chlamydia). When I discussed the situation with the teen and her mother, I was told that, in an attempt to be responsible, they had together visited a birth control centre and, in order to prevent an unintended pregnancy, the daughter had started taking the birth control pill. Neither the mother, n
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