http://m.aol.com/article/2015/05/07...-high-school-has-chlamydia-outbreak/21180978/ An 'abstinence-only' Texas high school has chlamydia outbreak
Unfortunately even this wont open the eyes of the people who preach abstinance only. Chlamydia is the most common std and the danger is in the fact that most people have zero sxs. Teens don't know that you can get it from ANY sexual contact...some kids think oral isn't risky. Plus teens don't realize how easily they can get reinfected! Partner tx is essential, using protection is essential. I get girls declining std testing all the time because they're in 'committed relationships'. That's when miss Raider has to bring them into the real world and explain that commitment doesn't mean the same thing to everyone. Getting tested, regardless of your relationship status, is a must. Hmm maybe this is a wonderful example of why clinics like PP are so necessary. Confidential, cost free many times, no questions asked, no judgement given. Most teens are going to be sexually active. In a perfect world, parents would have open and honest communication with their kids about sex. If kids aren't comfortable going to their parents though, let's give them the resources to be educated and protected. Or put their lives at risk because you run an "abstinence only" home. Your choice.
U are soooooo rite on point. Ive been a big advocate for full education from abstinence to condoms and the pill. All options should be told for that age with parents being involved.
I agree with you on all points except the bold. Never, ever offer a teenage girl the pill. Adults can barely take them as indicated, I'd never trust a teen to take it correctly. I'd look at larc options. Depo (Im personally not a fan of this), implant (my second choic) or iud (best option). All completely reversible, all incredibly effective, all work without the patient needing to do anything on a daily basis.
Depo is a shot that you get every 3 months. It's an incredibly strong hormonal option. Biggest downfalls, weight gain and mood swings. Two things most women want to avoid at all cost Because of its potency, it can take upwards of 18 months to regulate your cycles once you come off of it. The implant (implanon/nexplanon) is a rod shaped device that is implanted in your upper, inner arm. It's good for up to three years. It's not a strong hormone. The biggest downfall is that most patients won't have a regular period on this bc. They'll have irregular bleeding instead. I love the idea of the implant but I'd never get it because of the irregular bleeding. That's actually the # 1 reason females get it removed early. If I'm going to bleed, I want to atleast be able to plan for it lol IUDs are hands down my favorite option. They're T shaped devices inserted into a women's utuerus. Insertion is not the most comfortable thing to endure (although it's quite quick, it can be pretty crampy/painful), which is why some patients (mostly the younger girls) opt for the implant. IUDs are what I've used for the past 9 years and they're what I encourage my patients to get. You've got three IUDs. Paragard is good for up to 10 years. It's also known as the copper iud. Biggest selling point here...it's hormone free. The copper works as a spermicide. The downfall...you're likely to have increased bleeding and cramping during your cycles. Women that have heavy periods, this iud would not be an option for. Second choice is the low dose Mirena iud. It is good for up to 5 years and in many patients, it'll completely stop their periods within the first year. That's a big selling point for many women! It's progestin only (no estrogen) and since its in your uterus, the hormones are localized. Two reasons why typical hormonal birth control side effects are less likely. This iud also has health benefits outside of pregnancy prevention (lowers your chance of endometrial cancer, etc). Third choice is Skyla. It's 1/3 less hormones than even Mirena it won't likely stop a woman's period but it'll make it shorter and lighter each month. It's also the smallest iud. These devices are as effective as female sterilization but completely reversible. As a father of a daughter, I suggest you start acclimating yourself to all the options out there. The more informed you are, the more confident she'll be in your opinion/suggestion when the time comes for her to start on bc.
As a father thats why i asked. People perish due to the lack of knowledge. Whats the biggest downside to iuds
The thought is worth more than the rep :freehug: The downsides depend on the iud. Paragard will cause bleeding and cramping to be a bit worse. This has been my bc for the past few years and my bleeding did increase. I had super light cycles before and now I probably have "regular" cycles. Nothing crazy, and I get pregnant very easily so this "downside" is worth it for me. I've had two Mirenas before and they did stop my periods (awesome!). It's hormonal though, so patients can react adversely to that. Headaches, moodiness, etc. Same potential side effects as skyla. General reactions to IUDs include irregular spotting and cramping after insertion. With any new bc, you want to really give your body 6 months to get used to it. Most side effects will subside by that time. These are also incredibly expensive bc choices (we're taking $1000) so it's important to really give it a chance if you go this route. The scariest possibility most patients fear is perforation. The physician has to first sound the pts uterus (measure it) with a device that's like a long, metal rod. Pt lays back, speculum goes in, tenaculum stabilizes the cervix and the uterus is then measured. If it's appropriate in size, the sound comes out and the IUD is inserted. Dealing with a woman's cervix can make some people lightheaded, nauseous, etc. too many nerve endings down there to get off Scott free lol. There's opportunity for perforation with an iud also. It's rare, but it's a possibility. Also, expulsion is possible. The uterus is very strong snd sometimes it will try to push out the device. This is why pts are encouraged to check their strings after each period. If they're missing or shorter/longer than usual, they should go in and have it checked. Pts watch too much YouTube imo lol. They come in thinking the iud is going to travel outside of their uterus and throughout their body lol. There's no convincing some people...but my goal is to get pts on a bc they'll be comfortable with, that will work well for them. It's not my way or the highway. I'm there to educate the pt so THEY make the right decision for themselves. PP is controversial because of the abortion aspect. So while I agree that schools need better education, I don't think it needs to be PP that does it. I do think a medical professional should do it though.
Too many parents and "educators" have the simple if we don't talk about and keep them in the dark as much as possible they won't want to do it attitude. That is just not how human beings especially teenagers work. Abstinence should be taught I have no problem with that, but it sure as hell should not be the only thing that is taught. Abstinence is something that requires a great amount of discipline and last time I checked teens and disciplined behavior were not synonymous. We live in a hypersexualized world where sex is at the your fingertips and simply telling teens that not doing it is their only option is the dumbest thing anyone can do. Until the adults in these districts realize that you can teach abstinence until you are blue in the face but the kids are still going to go out and do it these kids of things will keep happening. Now I don't have kids but I know the last place I will want my kids learning about sex when the time comes is the internet or other teens which are the primary source for information for teens when they are getting stonewalled in other places. That is what teaching abstinence only is stonewalling kids.