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It can also cause financial difficulties, as teenage parents may need to take time off work or school to care for their child. Were you sexually active before you were married? Present accurate, age-appropriate, and culturally sensitive information about the risks associated with unprotected sexual activity, use of contraceptives, and strategies for prevention of pregnancy and sexually transmitted infections. 13 Positive And Negative Influences Of Media On Teenagers, 21 Essential Life Skills For Teens To Learn. 6. At first appearance, the finding by Rebecca Maynard that each teen mother costs the government an average of $3,200 per year suggests that government could spend as much as $3,200 per teen girl. ptnelson@udel.edu. 10 Tips for Parents: Teen Pregnancy Prevention The pelvic examination may be deferred until a later visit.43 The American Cancer Society44 now recommends that cervical cancer screening be delayed until three years after the onset of vaginal intercourse or no later than 21 years of age. 3. ) or Would you like to talk about these subjects with me and your parents?, Recommended to be used in addition to another contraceptive; only method that decreases STD, HIV risk, Breakthrough bleeding, nausea, headaches, breast tenderness, Decrease in: PID risk, ectopic pregnancy risk, menstrual blood loss, dysmenorrhea, acne, Irregular bleeding, breast tenderness, depression, Combination contraceptive patch (Ortho Evra), Breakthrough bleeding, nausea, headaches, breast tenderness, skin site reaction, less effective if patient is >90 kg (198 lb), Combined hormonal vaginal ring (NuvaRing), Monthly (insert for 3 weeks of each month), Vaginal irritation, vaginal discharge, headache, Irregular bleeding or amenorrhea, weight gain, breast tenderness, acne, depression, possible decrease in bone density, Copper-containing intrauterine device (ParaGard), Levonorgestrel intrauterine system (Mirena), Breakthrough bleeding in first 3 to 6 months, then hypo- or amenorrhea, Combined hormonal monthly injection (Lunelle) ||, Better cycle control and quicker return to fertility than progestin-only injection, Single-rod contraceptive implant (Implanon)||, Irregular bleeding or amenorrhea, weight gain, breast tenderness, acne, depression, Two doses of 100 mcg of ethinyl estradiol plus 0.5 mg of levonorgestrel (Plan B), taken 12 hours apart.