Parents and Teens Talking Together About Contraception

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    Even thinking about talking with teens about contraception sends many parents frantically running for the exit. In the United States today, about 60 percent of high school seniors and 85 percent of 20-year-old youth have had sex; 50 percent of all new HIV infections occur in 15- to 24-year-old youth; and about 850,000 teen girls experience a pregnancy each year. Parents cannot afford to remain silent about contraception
    when talking with teens.

    Young Americans grow up in a society that uses sex to sell every product imaginable—from cars to cola. And the newest sex educator, the Internet, has perils as well as positives in what it offers related to sex.

    So what’s a parent to do? What are the important messages parents need to convey to their children so that teens will protect themselves and their partners against unintended
    pregnancy and sexually transmitted infections (STIs) and will grow up to become sexually healthy adults? Here are some tips for talking with teens—female and male—about contraception and condoms.

    1. Assume that teens have had no instruction about contraceptive
    methods. Most schools don’t teach this subject. Teens may say they know
    all about contraception, but much of their “knowledge” is myth and
    misinformation. If you feel that you just can’t talk about contraception, then ask a health care provider, relative, or friend for help.

    2. It’s possible to talk with a teen about not having sexual
    intercourse while still fully educating him/her about contraception and
    condoms. Your teen will need this information, at some point in
    life. Just remember that talking about both abstinence and
    contraception does not send a mixed message. Parents need to empower
    teens to act responsibly, by saying, “When you decide to be sexually
    intimate with someone you care about, always, always use protection against pregnancy and STIs.”

    3. Share your hopes and expectations with your teen, the hope that
    the teen will wait until he/she is older and more mature. At the same
    time, realize that most teens do not wait, especially not until
    marriage. Today, most young men are nearly 29 when they marry, and young
    women are nearly 27. Over 90 percent of American adults say they
    experienced sexual intercourse prior to marriage.

    4. Accept that not all children are heterosexual. Regardless of
    sexual orientation, all teens need information about preventing
    pregnancy and STIs. During their teenage years, many teens
    experiment—regardless of their sexual orientation. Lesbian and bisexual
    teenage women may experience pregnancy. Gay and bisexual teenage men may
    father a pregnancy. Like all other teens, gay, lesbian, and bisexual
    teens are vulnerable to STIs, including HIV.

    5. Emphasize that sexual health is not only about using condoms
    and birth control but also about staying healthy, lifelong. Teens need
    to know where they can go for health care and treatment before
    they are sexually active. Teenage women frequently say that fear of a
    pelvic exam (second only to fear of parental discovery) is their reason
    for waiting six to 18 months after initiating sex before they
    see a health care provider about contraception. Young men also delay
    talking with a physician about their sexual health. Teenage men may feel
    uncomfortable in family planning clinics because these are often geared
    mostly toward serving women, and they may be reluctant to go to a
    public health clinic, fearing that they will run into someone they know.
    Male teens need to know that many family planning clinics are eager to
    serve young men; female teens need to know that most family planning
    clinics do not require a pelvic exam before prescribing birth control.

    6. Share information about emergency contraception (EC) and encourage teenage women to have EC at hand in case of an emergency. (Call 1-888-NOT-2-LATE to find an EC provider.)

    7. Talk about using condoms and hormonal methods of birth control. Using two methods at the same time allows young men and women to share the responsibility to be safe and healthy. Condoms are highly effective at preventing HIV and gonorrhea and also lower the risk for other STIs.
    They are also very effective at preventing pregnancy—compared to an 85
    percent chance of experiencing pregnancy when a couple uses no method of

    8. Talk with your teen about “being swept away.” When interviewed
    about why they did not use condoms or contraception, many young people
    say, “I wasn’t planning it. It just happened. We got swept away and
    didn’t use anything.” Make clear to your teen that this is not
    okay. Say, “You must be prepared, or else you simply don’t have sex.
    This is the mature way to act.” In the words of one wise teen, “using
    condoms is just not that difficult. You either use condoms and birth
    control, or you just don’t do it.”

    9. What do you do if you find condoms or birth control in your
    teen’s room or pants pocket? Take a deep breath and remember that this
    is evidence of your teen’s being responsible. Use this as an opportunity
    to open up a conversation with your teen. This is one of those times
    when you can share your feelings and values, support your teen in being
    responsible, and talk together about intimacy, love, responsibility, and
    committed relationships.

    10. Don’t talk as though there is only one kind of sexual
    intercourse. Teens aren’t sure what “having sex” means. Many today see
    oral and/or anal sex as ways to avoid “having sex.” These teens often do
    not realize that oral sex and anal sex actually are sexual intercourse and that each involves high risk for STIs.

    11. Make sure that your teen has at least one other adult to whom
    she/he can go for help in an emergency. Give your teen permission to
    confide in someone else, a person the teen can trust for guidance and
    support. That other adult could be a relative, clergy person, teacher,
    counselor, health provider, or friend. Just make sure that you and your
    teen both know who the other adult is, rather than just assuming that
    your teen has “someone” to whom he/she can go. No young person should go
    through a difficult situation without help.

    12. Finally, remember that when parents have close and loving
    relationships with each other, their relationship is a model for what
    their teens will want someday. And, when parents express love and caring
    to their children, they also teach them to love themselves. Then,
    parents are raising young people who will be likely to use condoms and
    effective contraception to protect themselves when, eventually, they
    choose to have sex.

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