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Julian Baker
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But that wasn't because teens were shunning sex. The amount of sex being had by teenagers during that time period was largely unchanged, says the study, which was published online in the Journal of Adolescent Health. And it wasn't because they were having more abortions. Abortion has been declining among all age groups, and particularly among teenagers.


No single contraceptive method stood out as singularly effective, said the researchers. Instead, they found that teens were using contraceptives more often, combining methods more often, and using more effective methods, such as the birth control pill, IUDs and implants.


Also, the use of any contraceptive at all makes a big difference, said Lindberg. "If a teen uses no method they have an 85 percent chance of getting pregnant [within a year]. Using anything is way more effective than that 85 percent risk."


The downturn in teen births actually dates back to the early 1990s, the authors say, with the rate dropping by 57 percent between 1991 and 2013. The increase in contraceptive use dates to the mid-1990s, with the use of any contraceptive at the most recent sexual encounter rising from 66 to 86 percent from 1995 to 2012.


"As public health experts and policymakers, we must normalize sexual delay more than we normalize teen sex, even with contraception," said a statement from Huber, president and CEO of Ascend, a group that promotes abstinence education. "We believe youth deserve the best opportunity for a healthy future."


More recent policy changes could help drop the teen pregnancy rate even more. One is the Affordable Care Act requirement that boosted insurance coverage for contraception, starting in 2012. The other is the 2014 recommendation from the American Academy of Pediatrics that sexually active teenagers be offered "long-acting reversible contraception" methods such as implants and intrauterine devices, which are highly effective and do not require any additional action, such as remembering to take a daily pill.


In people assigned female at birth, the primary sex hormone is estrogen. For those assigned male at birth, testosterone is the primary sex hormone. In addition, both boys and girls produce hormones called androgens, although boys produce a higher level of androgens. Other teenage hormones that initiate change and growth are dihydrotestosterone (DH), estradiol, and growth hormone.


The natural next question, of course, is when do teenage hormones settle down? It takes a while! Some of the physical development associated with puberty, such as breast development, are complete by around age 18. But the process itself continues into young adulthood. By the time a young person reaches their early 20s, the release of sex hormones has slowed down and the mental and physical changes associated with puberty are complete.


In girls, FSH and LH instruct the ovaries to begin producing estrogen, one of the primary female sex hormones, and eggs. Girls will grow taller and put on weight and muscle mass. They will begin to have a menstrual cycle and will develop fuller breasts and wider hips. Body hair grows on the legs, under the arms and over the sex organs as a result of teenage girl hormones and emotions may begin to be more volatile and intense. Acne may become more prevalent, along with stronger body odor.


When the body produces too much or too little of the hormones required for puberty, a hormonal imbalance is the result. Hormonal imbalances can lead to a variety of health issues. The symptoms of hormonal imbalance in teenage girls can include heavy or irregular periods, hair loss, night sweats, and headaches. The symptoms of hormonal imbalance in teenage males may include loss of muscle mass, decrease in body hair and beard growth, hot flashes, and difficulty concentrating.


If you think your teen may have a hormonal imbalance, a doctor visit is essential. A healthcare provider can determine whether underlying health issues are causing the imbalance and prescribe hormone therapy to ensure normal development during the teenage years.


If your teen is nervous about dating, encourage them to start by simply making friends with boys and girls they like. Furthermore, group dates are a great way for shy teens to get to know others without the pressures of one-on-one dating.


Teens who are just entering the world of dating and sex need to know that no one should ever force them to do something that makes them feel uncomfortable. That can range from peer pressure to dating violence. According to the CDC, teen dating violence is defined as physical, sexual, psychological, or emotional violence within a dating relationship, including stalking.


While teen dating violence is not the norm, it does represent a significant risk for teens. In a study of national youth risk behaviors, 10 percent of high school students reported physical victimization and 10 percent reported sexual victimization from a dating partner in the 12 months before they were surveyed.


In your teens, your life as an adult may seem impossibly far away. With so much time ahead of them, teens might feel that the choices they make today are inconsequential. But in fact, starting to use drugs or alcohol could have severe consequences, not only in the immediate future, but for years to come. Teenagers who engage in substance abuse are more likely to develop full-blown addictions as adults. They are also more likely to engage in behaviors that could cause serious consequences or legal problems, such as:


Higher levels of estrogen, the primary hormone involved in puberty in teen girls, are linked to a higher risk of depression. However, teens are also at risk of depression due to the many intense experiences, emotions, and change they go through during adolescence.


Because hormones impact mood and brain function, they can make a teen more liable to engage in risky behavior such as drug abuse. Teens usually do not become addicted to substances, however, unless other factors are present, such as underlying mental health challenges and lack of parental support.


Notes: The nucleus accumbens and amygdala are the two most prominent parts of the central nervous system involved in riskier behavior and increased sex drive among teenage adolescents. The nucleus accumbens is highly sensitized to accomplish desirable goals. A decrease in dopamine in the nucleus accumbens is involved in increased vulnerability to drug addiction and risky decisions. Sex hormones (estrogen and testosterone) bind with their receptors to induce increased sex drive and emotional volatility and impulsivity. Due to an immature prefrontal cortex, adolescents also have an increased sex drive and problems in self-regulation as illustrated in this flow diagram.19,23,26,27,54


The development and maturation of the prefrontal cortex occurs primarily during adolescence and is fully accomplished at the age of 25 years. The development of the prefrontal cortex is very important for complex behavioral performance, as this region of the brain helps accomplish executive brain functions.


Peer pressure and other things sometimes can make it hard for someone to decide to practice abstinence. But the truth is, many teens don't have sex. Abstinence also can give someone time to think about and grow an emotional connection. Having sex can change a relationship, and it's completely normal to not feel ready for that or the complicated feelings it can bring.


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