{"id":22278,"date":"2025-02-18T08:00:00","date_gmt":"2025-02-18T14:00:00","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=22278"},"modified":"2025-04-29T11:22:36","modified_gmt":"2025-04-29T16:22:36","slug":"doctor-hablando-de-sexo-a-un-adolescente","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/es\/doctor-telling-teen-about-sex\/","title":{"rendered":"\u00bfQu\u00e9 le dice su m\u00e9dico a su hijo adolescente sobre el sexo y el embarazo?\u00a0"},"content":{"rendered":"\n

Engaged parents seek and deserve support in talking to their teens about sex, but many feel frustrated by the fixation on pregnancy prevention (via hormonal contraception) as the central focus of adolescent healthcare. According to the prevailing ethos of modern adolescent medicine, teens must be educated on every kind of hormonal birth control\u2013plus abortion, in case they get pregnant. This way of thinking is an expected outgrowth of the belief that teens are neither capable of controlling their sexual impulses, nor of thinking through (and making decisions based on) the natural consequences of sex. <\/p>\n\n\n\n

A 2023 op-ed in the peer-reviewed medical journal Frontiers<\/em><\/a> read:\u00a0<\/p>\n\n\n\n

\u201cAdolescents, especially under the age of 16 or 17 years, lack a long-term vision of the consequences of their behavior and are driven by experimentation and emotions. Therefore, although they cognitively know about contraception and the risk of pregnancy, they may choose to ignore these aspects of their behavior as a kind of denial (\u2018it cannot happen to me\u2019). This explains why, even in high-income countries with a good coverage of health care needs, some adolescents find themselves pregnant\u201d [1].\u00a0<\/p>\n\n\n\n

Still, the Frontiers<\/em> article authors believe that \u201cin most <\/em>circumstances, adolescent pregnancy results from lack of information and poor access to contraception (1<\/a>, 13<\/a>\u201315<\/a>)\u201d (emphasis added). The article goes on to encourage pediatricians and other healthcare providers to empower their minor patients \u201cto become more aware and capable of making informed decisions about their sexual life, health, and future.\u201d <\/p>\n\n\n\n

Incongruencies in how medicine talks about teens, maturity, decision-making, and sex<\/span><\/h2>\n\n\n\n

One wonders how the under-16 crowd can both be incapable of long-term thinking, but also capable of \u201cmaking informed decisions about their sexual life, health, and future.\u201d <\/p>\n\n\n\n

Is there a point in educating teens about sexual behaviors or not? And what kind of education should they receive? Nowhere in the Frontiers<\/em> article\u2013which encouraged \u201cnon-judgmental\u201d and \u201cneutral\u201d conversations about pregnant teens\u2019 options of abortion, adoption, or carrying to term\u2013was there encouragement to discuss the mental health or other side effects that teen girls may suffer from hormonal contraception (and abortion<\/a>). Nor was there advocacy for teaching teens about how their bodies and fertility naturally and normally function.\u00a0<\/p>\n\n\n\n

An alternative approach to conversations with teens about sex and pregnancy<\/span><\/h2>\n\n\n\n

While the Frontiers<\/em> article may reflect the medical field\u2019s prevailing approach to talking with teens about sex, it\u2019s not the only way to do things. Caroline Hartley is a Family Nurse Practitioner and founder of Nashville, TN-based primary care clinic, Fiat Integrative Health. Hartley spoke with Natural Womanhood about why she doesn’t<\/em> urge her teenage patients to go on birth control, and the positive, body literacy-centered approach she and her practice partners take instead.<\/p>\n\n\n\n

 As she summed up: \u201cPeople may wonder why we don’t prescribe birth control and see it as something we are lacking, but in reality it is because we do so much more than what birth control has to offer.\u201d<\/p>\n\n\n\n

Asked about her main critique of a medical approach to teen sex that centers on \u201csexual and reproductive health\u201d (meaning contraception and abortion if birth control isn\u2019t used or fails), Hartley responded: \u201cThe typical approach has the assumption that adolescents are incapable of controlling themselves. So there\u2019s this underlying belief that \u2018well, they can\u2019t control themselves.\u2019\u201d But, Hartley distinguished, \u201cThose foundational beliefs, I don\u2019t agree with. We approach adolescents as perfectly capable of having self-control. It\u2019s our duty to educate them and empower both adolescents and their parents.\u201d <\/p>\n\n\n\n

Involving parents is key<\/span><\/h2>\n\n\n\n

Hartley further differentiated between a body literacy-centered approach vs \u201cthe Frontiers <\/em>approach,\u201d which may unintentionally (or intentionally) force parents out of these conversations with their teens. She said: <\/p>\n\n\n\n

\u201cWe partner with parents, we don\u2019t try and supersede them. We certainly leave room to talk to adolescents if they want to talk to us alone but we don\u2019t force parents out of the room. [And] we say \u2018Is there anything you want to talk about without your parents in the room?\u2019 So we like to foster that partnership in helping parents communicate to the adolescents.\u201d<\/p>\n\n\n\n

Hartley reported that parents respond overwhelmingly positively to this thoughtful, supportive approach. She said: <\/p>\n\n\n\n

\u201cA lot of times what parents really appreciate is having a third party come in and say things that they\u2019ve probably already been saying at home, or things they wanted to say but didn\u2019t have the words to say. And so for us to be able to speak to diet and lifestyle, sleep habits, bodily changes\u2026the mainstream approach just doesn\u2019t give adolescents enough credit for their capability. They are perfectly capable of learning about their cycle, and it\u2019s important that they do.\u201d <\/p>\n\n\n\n

When should parents, and doctors, start talking to kids about cycles and puberty?<\/span><\/h2>\n\n\n\n

Hartley encourages parents to get out in front of cultural and peer influences about periods, body changes, and more. \u201cI just approach it usually, around age 9, by asking parents if they\u2019re talking to their kids about bodily changes. And if they aren\u2019t yet, I give them some resources and just encourage them. You want it to come from you and not from their friends. Even if this child doesn\u2019t look like they\u2019re even close to having changes in their body, they will have friends that are starting to have changes in their body.\u201d <\/p>\n\n\n\n

Hartley believes that \u201cHaving the conversation with them ahead of time is much better than having it come from someone else. So usually I encourage those conversations around 8 to 9 years old\u2026 And then as they\u2019re coming I ask \u2018have you gotten your cycle yet?\u2019 And \u2018do you feel prepared to have your first cycle?\u2019 I make sure they\u2019ve talked about what period products to have on hand, whether any of their friends have gotten their periods yet, or if they have older sisters.\u201d<\/p>\n\n\n\n

What’s normal and what’s not when it comes to teen cycles?<\/span><\/h3>\n\n\n\n

Hartley emphasized, \u201cI always, always try to frame it in a very positive light. \u2018This is really exciting. It\u2019s a rite of passage. Your body is going to be able to bear children, that\u2019s really what the cycle shows us.\u2019 I try to give them little bits of what\u2019s normal and what\u2019s not normal. I ask them \u2018do you ever have to stay home from school because of your cycle?\u2019 Because that would be an indicator to me. You should never have to stay home, it should never be that painful. \u2018How many days is it? Do you track it or not?\u2019 And once they\u2019ve had a cycle for a year or two, I recommend formal cycle education\u2014either online or in our office. I think this is especially important before they leave for college.\u201d  <\/p>\n\n\n\n

Why it\u2019s important for girls to learn about their cycles and fertility before<\/em> they turn 18<\/span><\/h2>\n\n\n\n

Hartey explained, \u201cIt\u2019s really important for adolescent girls to learn about their cycles before they leave the home because once they leave, I think they\u2019re much more easily influenced [towards birth control] by those around them. And if you don\u2019t have that guidance of a parent, then it\u2019s going to be hard for you to discern when you do have an issue that comes up with your cycle.\u201d <\/p>\n\n\n\n

She clarified, \u201cYou\u2019re not going to know what\u2019s normal, what\u2019s not normal, what should I seek help for, and what\u2019s an appropriate response, even from a medical provider.\u201d <\/p>\n\n\n\n

Teaching girls together with their moms<\/em> is key<\/span><\/h2>\n\n\n\n

Besides catching health problems early, another benefit of teaching young girls about their cycles is having their mothers receive education right alongside them.  \u201cWith us being able to educate girls and their moms on why you wouldn\u2019t be put on birth control for these things, then she and<\/em> her mom would also know when a doctor said \u2018Well, let\u2019s just put you on birth control,\u2019 to respond, \u2018I don\u2019t think this is right. And I\u2019m going to go find a different provider, who is going to do more for us.\u2019\u201d Hartley summed up, \u201c I think it\u2019s so important that [both moms and daughters] know what\u2019s normal and what\u2019s not normal and, secondarily, when they do seek help, why birth control isn\u2019t the answer for everything.\u201d<\/p>\n\n\n\n

Here\u2019s what happens when young girls learn about their cycles and fertility<\/span><\/h2>\n\n\n\n

Asked what she sees as the main benefit of teaching girls about their cycles from an early age, Hartley answered: <\/p>\n\n\n\n

\u201cI think for girls, it leads to confidence and really empowerment. They learn \u2018this isn\u2019t just something that happens to me and I am not a victim of my cycle.\u2019 We can teach them that it is a sign of their health, just like everything else that\u2019s happening in their bodies, right? There\u2019s other things we can measure: your blood pressure, your weight. All of that can indicate the health of your body. Knowledge is power. Giving them ownership over that\u2013so they can predict when their cycle is going to be, they can know what it\u2019s supposed to look like, what it\u2019s not supposed to look like\u2013to me, that breeds confidence.\u201d  <\/p>\n\n\n\n

Pediatric or OB\/GYN care that addresses the menstrual cycle is lacking<\/span><\/h2>\n\n\n\n

Referencing the predominant hormonal birth control-driven treatment approach to cycle issues and other problems, Hartley finds \u201c[it\u2019s] a very narrow approach that doesn\u2019t fully respect the human person. When a patient comes in with a problem, like acne or painful periods, we owe it to them to look into the cause and not just use birth control to treat symptoms.\u201d <\/p>\n\n\n\n

She emphasized, \u201cYou cannot treat the woman as a whole without knowing the female cycle. <\/em>How am I supposed to treat you, an adolescent female, if I don\u2019t even know what a normal cycle looks like? It\u2019s a fifth vital sign. It tells me a lot if it\u2019s not normal. And I\u2019m going to ask more questions. I\u2019m going to ask what you\u2019re eating, about your physical activity and so much more. So it\u2019s very narrow. If you don\u2019t have that knowledge yourself as a provider, you can\u2019t fully treat the patient.\u201d <\/p>\n\n\n\n

“The human body is communicating something with the cycle”<\/span><\/h3>\n\n\n\n

Asked what invitation she would extend to other healthcare professionals who rely heavily on hormonal birth control to treat cycle irregularities, acne, and more, Hartley noted: \u201cThe human body is communicating something with the cycle. So to do a full, thorough assessment, we have to start with knowing the human body, knowing the cycle. I just think you\u2019re missing a big piece of the puzzle without that knowledge base. So I would start with that invitation \u2018learn the cycle and dig deeper when encountering abnormalities in the cycle.\u2019\u201d <\/p>\n\n\n\n

What to do if you don\u2019t have access to healthcare providers like this?<\/span><\/h2>\n\n\n\n

If you\u2019re a parent reading all the above, you might have two thoughts. The first might be, \u201cWow, wouldn\u2019t it be great if my daughter\u2019s doctor understood her fertility as a vital sign of her health?\u201d The second reaction might be a sinking feeling and the thought, \u201cThere\u2019s not a doctor like that within 100 (or 500) miles of us!\u201d <\/p>\n\n\n\n

Good news! With or without a supportive doctor or healthcare professional, you<\/em> are your daughter\u2019s first, best, and most trusted source for education on puberty, her cycle, and more. And you don\u2019t have to reinvent the wheel. Our Period Genius program<\/a> for mothers and daughters takes the guesswork out of puberty and cycle education in an engaging, accessible format. In addition to ten short videos explaining the \u201cwhy\u201d and \u201chow\u201d of puberty and the cycle, Period Genius also includes helpful guides on managing periods and seeing a doctor. Check it out today!<\/p>\n\n\n\n

References:<\/span><\/h3>\n\n\n\n[1] Vieira Martins M, Karara N, Dembi\u0144ski L, Jacot-Guillarmod M, Mazur A, Hadjipanayis A, Michaud PA. Adolescent pregnancy: An important issue for paediatricians and primary care providers-A position paper from the European academy of paediatrics. Front Pediatr. 2023 Feb 7;11:1119500. doi: 10.3389\/fped.2023.1119500. PMID: 36824647; PMCID: PMC9941531.<\/p>\n","protected":false},"excerpt":{"rendered":"Y un enfoque alternativo de la atenci\u00f3n sanitaria a los adolescentes","protected":false},"author":85,"featured_media":22279,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":true,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5177,5332],"tags":[5579,6330,6329],"class_list":{"0":"post-22278","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-know-your-body","8":"category-teaching-teens-about-their-bodies","9":"tag-cycle-tracking-for-teens","10":"tag-fertility-awareness-for-teens","11":"tag-teen-sex-and-mental-health","12":"cs-entry","13":"cs-video-wrap"},"acf":[],"yoast_head":"\nTalking to teens about sex: 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