In general, girls said they felt less pressure from peers to begin having sex, while boys reported feeling more pressure. Pregnant teenagers face many of the same issues of childbirth as women in their 20s and 30s. Those who did not may have felt "the subject of sexuality in itself is considered an 'adult issue' and a taboo or it may be that some respondents were wary of revealing such personal information. Early treatment is important for preventing medical complications and infertility. However, there are additional medical concerns for younger mothers, particularly those under 15 and those living in developing countries.
Girls felt they had less control over their sexuality when they saw men objectifying women and not valuing commitment. However, many girls engaged in sexual activity even if they did not desire it, in order to avoid what they think might place strains on their relationships. For example, sub-Saharan Africa has a high proportion of teenage mothers whereas industrialized Asian countries such as South Korea and Japan have very low rates. They were comfortable setting sexual limits and therefore held more control over their sexuality. The study discussed the risk of women internalizing this message and spreading the idea that it is okay to be weak and answer to men all the time. The researchers speculate that low self-esteem increases the likelihood of sexual activity: This is an example of how societal expectations about gender can impact adolescent sexual functioning. The atmosphere is open and there is little that is not discussed between parents and children. However, there are additional medical concerns for younger mothers, particularly those under 15 and those living in developing countries. They are also less likely to comply with the treatment for an STI. With cultural norms opposing extramarital sexual behavior "these implications may acquire threatening dimensions for the society and the nation". Research showed that teens who viewed high levels of sexual content were twice as likely to get pregnant within three years compared to those teens who were not exposed to as much sexual content. Prevention of STIs should be a priority for all health care providers for adolescents. In urban areas, Girls who were not attending school were Some boys said that for them, the risks that may come from having sex were not as bad as the social risks that could come from remaining abstinent. They were trying to balance maintaining a good reputation with trying to maintain a romantic relationship and wanting to behave in adult-like ways. When asked about abstinence , many girls reported they felt conflicted. More urban girls than rural girls discussed sex with their friends. Better indicators of whether or not girls were having sex were their employment and school status. Early treatment is important for preventing medical complications and infertility. Most Dutch parents practice vigilant leniency,  in which they have a strong familial bond and are open to letting their children make their own decisions. Desire, satisfaction and sexual functioning were generally high among their sample of participants aged 17— Schools may affect girls more than boys because strong emphasis is placed on girls to date boys, and many school activities place high importance on heterosexuality such as cheerleading. The goal of the pediatrician is for early diagnosis and treatment. Pregnant teenagers face many of the same issues of childbirth as women in their 20s and 30s. Girls typically think of virginity as a gift, while boys think of virginity as a stigma.
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