Reproductive Health and Teenage Pregnancy: Tips for Providers

Curious about updates to standards around contraception, reproductive health and teenage pregnancy care, and safer sex for adolescents? Here are my livetweeted notes + some slides from a webinar overviewing key evidence-based practices which streamline reproductive health and teenage pregnancy services for adolescents. The webinar also gave data on what teens need and what kind of behaviors they’re engaging in. Though aimed at medical providers, I think the session produced nuggets of information for all kinds of folks!

The Time is Now:
Adolescent Friendly Reproductive Health Care Webinar

Speakers:

Erica Gibson, M.D., & Judy Lipshutz, MSW, RN, NYPATH
Heilbrunn Dept. of Population & Family Health, Columbia University

Topics that were covered include:

Quick Start Contraceptive Initiation
Emergency Contraception
Pregnancy Testing
Long-Acting Reversible Contraceptives (LARCS)
Expedited Partner Therapy (EPT)
STI Treatment

Did you know?

  • In 2013, the Youth Risk Behavior Survey said that over 60% of HS students reported using a condom at their last sexual encounter.
  • The average sexually active teen waits 14 months before seeking reproductive/sexual health services, and the catalyst is usually the desire for a pregnancy test.
  • The types of emergency contraception  in the U.S. include Levonorgestrel pills (e.g. Plan B), the copper IUD (e.g. ParaGard), & ulipristal acetate pills (e.g. ella).
  • In July 2014, the The European Medicines Association issued the following statement: “emergency contraceptives can continue to be used to prevent unintended pregnancy in women of any weight or body mass index (BMI). The available data are limited and not robust enough to support with certainty the conclusion of decreased contraceptive effect with increased body weight /BMI.”

 

Gay Marriage Confuses Kids!

“Now they’re saying that we can’t have gay marriage because it would confuse the kids. But you know what else confuses kids? Everything: Time zones. Books without pictures. Cargo pants. Certain hair colors. Jello molds. The magic trick with the quarter behind the ear. Mirrors. Mentadent toothpaste dispensers. Everything confuses kids, because they’re kids. So “Will it confuse kids?” is probably not the best litmus test for, well, anything besides toys and Spongebob plotlines (and even then, there’s a lot of leeway). ”

This Is Your Kid On Gay Marriage | TV | A.V. Club

Sex-Ed

Because being a minor doesn’t mean sex isn’t on the brain. 🙂

In fact, it probably means it’s on the brain MORE…and that’s why we need positive, accurate information regarding sexual health, not to mention an eradication of abstinence-only programs that don’t provide the appropriate tools for teens to make their own choices about sex and their bodies. Omitting information and knowingly neglecting to address certain issues and questions is reprehensible!

So here are some resources for the under-18 crowd (or anyone in need of some sweet sex-ed?), courtesy of Violet Blue. 🙂

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Don’t believe the hype! Get real sex info on these bad-azz sites.

Just because you’re under 18 doesn’t mean you shouldn’t know the truth about sex, and what other people are asking about it. Plus, a lot of things you hear in school are sex myths and could get you in trouble, so you really need to know what’s up (down there). These sites will tell you all about sex and staying safe, while staying cool with your friends and yourself. Also, if you’re not sure about how you feel about sex, if you might think you’re not like everyone else, or think you know a gay or transgender person (or like WTF gay sex is!?), these sites will tell you what’s up.

They can even help parents get a clue about something you need to tell them, or want to ask about.

Teenwire

Lots of good information about teen sexuality and how to have healthy relationships. Some portions en español. Sponsored by Planned Parenthood.

San Francisco Sex Information

Free and anonymous way to have sex questions answered.

Sex, Etc.

Created by teens for teens. Great info about pregnancy and infection prevention.

Go Ask Alice

Answers tons of questions about almost any sex or relationship related question. Columbia University Health Education Program.

Coalition for Positive Sexuality

Boring name but great info, like why sex feels good, not just STDs and pregnancy prevention. Also en español.

TeenGrowth

General teen health site with medical advisory board. Lots of information.

Advocates for Youth

Do something about how lame sex ed is in school! They have great resources; also en español.

Scarleteen

Excellent sex-positive, realistic info about pleasure and sexuality. Made for all genders but particularly girl-friendly.

Not-2-Late

information about the emergency contraceptive and where/how to get it. Also en español and en français and Arabic.

OutProud

OMG: the National Coalition for Gay, Lesbian, Bisexual and Transgender Youth offers *tons* of info and resources.

The Midwest Teen Sex Show

Super funny video show about everything from older boyfriends to backdoor sex: great teen sex topics (but not how-to’s) and your parents ahould watch it too.

Violet Blue ® 2009. Accept no imitations. Tiny Nibbles copyright 2001-2009.

Polyamory: When One Spouse Isn’t Enough

^ That title irks me. It’s also the title for THIS article on ABC News Health online. The article itself isn’t that bad (though not very well-written), or maybe I’m just not indignant enough, but the sensationalist and warped title rubs me the wrong way because it gives off negative connotations of spousal inadequacy and dysfunctional relationships. Furthermore, the caption on their illustration is “Some who live in clusters with multiple sex partners say legalzing marriage for polyamorous partners is the next civil rights movement.” The article says something entirely different, yet the title and caption point to the same shit everyone thinks about non-monogamy in general–it’s all about sex. Not that I think sex is bad or that people should’t have casual/recreational sex, but that reducing things that aren’t just about sex to sex is wrong.

One of the things that annoys me about the portrayal of “alternative lifestyles” in the media is that they tokenize people who participate in them, and, furthermore, make everything in their lives SOMEHOW related to that aspect of their identity/life. If a poly person eats an apple, it’s because they’re poly, NOT because they just so happen to love apples. If a queer person commits a crime, it’s all traceable solely to their sexual/gender identity, NOT something else. The “unmarkedness” of certain identities is so infuriating. The “default” human in the U.S. is white, male, heterosexual, and monogamous (or supposed to be), and anything that deviates from that is seen as “a factor”(or THE factor) in any equation. If a white man kills 20 people, it’s because he was crazy or something; no one ever brings in race/ethnicity, culture, sexuality, or whatever else into the picture. Similarly, if a poly relationships dissolves, people blame it on the poly aspect, when there is SO much more that could have gone wrong. No one generally blames monogamy when a marriage falls apart, so why should poly be any different?

There’s so much pressure to be “perfect” and conform to the cookie-cutter image; people are put under constant scrutiny. Same with queers–radical queers “make us look bad” and we constantly have to try and please the majority and be “the model queers” so we’ll get basic civil rights and some respect. It’s so sad and unfair. It’s like women having to work harder than men to get the same wages–all these “minority” groups having to become “model minorities” and assimilate in order to do anything. Guh. It’s so upsetting that the only way to seemingly advance queer rights is to be as heteronormative as possible. “See? We’re JUST LIKE YOU! TOTALLY! LOVE US BECAUSE WE’RE LIKE YOU! (not because we’re, y’know, human or anything)”