Birth Control
Teen Sexuality

Sexual activity
About 25% of 15 year olds have had sex
About 55% of 17 year olds have had sex
About 80% of 19 year olds have had sex
About 20% of young people do not have sex while teens

Reasons teens give for having sex
1. Peer/social pressure
2. It feels good
3. Pressure from partner
4. No longer a virgin, so what's it matter?
5. Lack of understanding about real love
6. Rebellion
7. Curiosity
8. An expression of love & a response to the need to be loved

Having sex is risky. It's not like it's shown on the movies or TV, where characters rarely get pregnant or contract a sexually transmitted disease.

Sexually Transmitted Disease
Teens make up about one quarter of the 12 million cases of STD cases reported annually. One in four sexually active teens contract an STD.

Some Common STD's
Chlamydia
Gonorrhea
Hepatitis B
Herpes
HIV/AIDS
Human Papalloma Virus
Syphllis
Candidiasis

Other STD's
Bacterial Vaginosis
Chancroid
Granuloma Inguinale
Lymphogranloma Venereum
Mucopurulent Cervicitis
Molluscum Contagiosum
Nongonococcal Urethritis
Trichmoniasis

Results of STD's
Pelvic Inflammatory Disease
Ectopic Pregnancy
Cervical Cancer
Infertility
Pain
Death

Gonorrhea is one of the most frequently reported STDs. In 1992, women ages 15 to 19 had the highest rates.

An estimated one in four sexually active teens have chlamydia. 75% of infected women and 25% of infected men have no symptoms.

Chlamydia often causes PID (40%), which can cause chronic pain, infertility, ectopic pregnancy, and death. The highest rate of acute infection requiring hospitalization is among women ages 15 to 19.

The number one risk factor for cervical cancer is early sexual activity, the second is multiple sex partners.

One in six sexually active teens contract HPV, which can cause pain, genital warts, cancer, and death.

Half of all sexually active young women end up contracting HPV. 20% eventually recover, but 80% are afflicetd the rest of their lives.

Last year there were 1,768 cases of AIDS reported among teens. Many more go unreported.

AIDS is the sixth leading cause of death among young men and women.

STD's are sexist. They damage women far worse than men.

Birth Control & Disease Prevention

Contraceptives are far less effective for teens and young women than for older users. Note the high pregnancy rates for users over just one year.

Birth Control Method

Method
Users
Failure Rate
Total Annual Failures
The Pill
4,735,000
11.0%
521,000
Diaphragm
746.000
31.6%
236,000
Condom
1,108,000
18.4%
204,000
Withdrawal
463,000
21.1%
98,000
Spermicides
161,000
34.0%
55,000
IUD
282,000
10.5%
30,000
NFP
242,000
7.5%
18,000

Currently, 44% of sexually active teens use the Pill, 38% use condoms, 10% use Depo-Provera (injectable), 4% use withdrawal, and 3% use Norplant (implant).

Among sexually active teenage girls aged 12 to 18, 20% of oral contraceptive users became pregnant over a mere six months.

The Pill: Health risks include abnormal blood clotting and heart attacks, cancer, and gallbladder disease. Side effects include headaches, acne, weight gain, vaginal infections, and depression.

Mini-pill: Health risks and side effects include ectopic pregnancy, ovarian cysts, weight gain, and menstrual cycle disturbances.

Norplant: Expensive, costing $500-700 for insertion. Common side effects include headaches, acne, weight gain, nausea, nervousness, hair loss, mood swings, ovarian cysts, scarring upon removal.

Depo-Provera: Increasing amenorrhea, headaches, dizziness, weight gain, loss in bone density, allergy, depression, and ovarian cysts. (And possibly cervical cancer, breast cancer, hemorrhaging, fetal defect.)

IUD: Health risks include pelvic-inflammatory disease, permanent infertility, ectopic pregnancy, septic abortion, and even death.

Condoms & Spermicides: Irritation, allergy, urinary tract infection.

Condoms & Safe Sex

In preventing pregnancy, condoms have a standardized failure rate of 15.7 percent over the course of a year.

For persons under the age of 18, condoms were found to fail 18.4 percent of the time after one year of use.

Among sexually active teenage girls aged 12 to 18, 30% contracted an STD over a six month period, including condom users.

For unmarried minorities, the condom failure rate is 36.3 percent, and for unmarried Hispanics, the failure rate is as high as 44.5 percent.

Among married couples where one partner was HIV-positive, 17 percent of the uninfected spouses contracted the disease, despite the use of condoms. That is a rate greater than one in six. Statistically speaking, the uninfected partners would have been better off playing Russian Roulette.

Only 7 percent of HIV positive persons voluntarily notify their sexual partners.

Probablities in Perspective: Example using a method with a 15% annual failure rate
Failure rate after 1 year's time: 15% - one in 7 have gotten pregnant
Failure rate after 2 year's time: 28% - one in 4 have gotten pregnant
Failure rate after 3 year's time: 39% - one in 3 have gotten pregnant
Failure rate after 4 year's time: 48% - half have gotten pregnant

Teen Pregnancy

43% of all unintended pregnancies occurred while using contraception

20% of young women who become sexually active become pregnant within the first month of sexual activity. 50% become pregnant within the first six months.

85% of teen pregnancies are unintended

Although some teens marry, the vast majority of men take off when the girlfriend has a baby.

75% of teens 15-19 are unmarried by the time their pregnancies are resolved.

In 1989, 67% of births occured to unmarried teens.

Health Considerations

Although many teen pregnancies result in poor health for both mother and baby, good nutrition and prenatal care results in better pregnancy outcomes than those of older women.

Problems occur when teens try to hide their pregnancies.
In several much-publicized cases, hidden pregnancies by teens have resulted in infanticide.

Abortion


One in four women (26%) obtaining abortions are teens.

41% of teens who become pregnant have abortions.

61% of teens have abortions without their parents' knowledge or consent.

Reasons: 3/4 say they cannot afford to have a baby, 2/3 say they are not mature enough; 1/4 have never used birth control.

SMART SEXUALITY
RISKY SEXUALITY
Chaste Lifestyle
Dangerous Lifestyle
Postponing sexual activity until marriage;
husband and wife remain mutually faithful
Having more than one sexual partner; no
long-term commitment to monogamy
No risk of STD's 1 in 4 get STD's
Health Risk of AIDS, PID, cervical cancer
Supportive partner while pregnant Alone while pregnant
Children have two parent family Single parenthood
Retain self-respect; respected by others Disrespected by opposite sex
Fond memories of past relationships Painful memories of past relationships
Clean conscience Guilt, shame, and secrecy
Enjoy adolescence Forced to grow up too soon