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Sexual Health Sexual Health Basics

Opening the Channels for 'The Sex Talk' With Your Teenager


Author:

Jennifer Johnson, MD, MS

University of California, Irvine

Medically Reviewed On: February 26, 2002

By Erica Heilman

Teenagers really want guidance from their parents about sex and sexuality," says pediatrician Dr. Jennifer Johnson. "Sex education gives kids fantastic knowledge, but it doesn't necessarily help them when it comes to their own personal decision-making about whether or not to have sex. That's where parents come in..."

As the Chair of the Section on Adolescent Health of the American Academy of Pediatrics, and a mother of two young teenagers, Dr. Johnson knows more than most about American teenagers. Below, she discusses the role that parents can play in supporting and guiding children during the years of their budding sexuality.

Why don't parents talk with their kids about sex more often?
Most parents are just not comfortable with it, even now. The parents are made aware that there's going to be a sex education class in their kid's school, and some schools require the parents to sign a permission slip for their kids to participate in the class...but there's no concerted effort to help the parents teach their kids about sex and sexuality.

Do parents generally know what kind of sexual behavior their kids are involved in?
Most of the time it turns out that parents already suspect if their kids are sexually active. Parents notice things. They notice stains on underwear, for example. But a lot of parents don't know how to raise the subject. The best time to talk about when it's right to have sex, I think, is when a child is in the early teen years. Pre-teens think sex is yucky. Some kids start having sex in their mid-teen years. If parents haven't given their children guidance by then, it may be too late to impact behavior.

Personally, I think parents need to send two clear messages to their kids. First, they need to tell them when, in their opinion, it's appropriate for a young person to have sex. Second, if their teenager does decide to have sex, I think it's vital that parents express how important it is to protect themselves, and their partners, from pregnancy, sexually transmitted infections, and emotional hurt.

But some parents are just very uncomfortable talking with their kids about sexuality. I had a mother bring her daughter in for a physical exam. As I was going into the room to see her daughter she handed me a note that said, "Please get Mary on the pill."

Can you predict which parents will have a tough time talking about sex with their kids?
I think that parents' communication with their kids about sexuality to a considerable extent reflects their larger relationship with their kids.

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