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. However, they often felt disempowered because of this; they often did not feel like they actually received what they expected in return and this made them feel like they had less power in their relationship. By far, the best predictor of whether or not a girl would be having sex is if her friends were engaging in the same activities. The goal of the pediatrician is for early diagnosis and treatment. In a sample of fifteen year olds from 24 countries, most participants self-reported that they had not experienced sexual intercourse. Better indicators of whether or not girls were having sex were their employment and school status. More urban girls than rural girls discussed sex with their friends. Other common problems included issues becoming erect and difficulties with ejaculation.
Additionally, no significant gender differences were found in the prevalence of sexual dysfunction. After menarche, sexual intercourse especially without contraception can lead to pregnancy. Prevention of STIs should be a priority for all health care providers for adolescents. 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. Girls had a more negative association in how being sexually active could affect their future goals. However, they often felt disempowered because of this; they often did not feel like they actually received what they expected in return and this made them feel like they had less power in their relationship. Better indicators of whether or not girls were having sex were their employment and school status. Among boys and girls who had experienced sexual intercourse, the proportion of girls and boys who had recently had sex and were regularly sexually active was the same. Shows featured a variety of sexual messages, including characters talking about when they wanted to have sex and how to use sex to keep a relationship alive. They felt that they had given something up and did not feel like this action was recognized. They are also less likely to comply with the treatment for an STI. The researchers suggest that maybe this is because not only are some religions against same-sex attraction, but they also encourage traditional roles for women and do not believe that women can carry out these roles as lesbians. However, there are additional medical concerns for younger mothers, particularly those under 15 and those living in developing countries. Some researchers believe that adolescents can use these messages as well as the sexual actions they see on TV in their own sexual lives. However, inability to experience orgasm seemed to be an issue that was persistent for some participants. 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. The girls were less likely to state that they ever had sex than adolescent boys. When asked about abstinence , many girls reported they felt conflicted. Teenagers feel more comfortable about their sexuality and engage in discussion with their parents about it. Pregnant teenagers face many of the same issues of childbirth as women in their 20s and 30s. Adolescents are more likely to have an infected partner and less likely to receive health care when an STI is suspected. They were comfortable setting sexual limits and therefore held more control over their sexuality. These factors affect girls and boys differently. Boys viewed having sex as social capital. The pregnant teenager may then miscarry , have an abortion , or carry the child to full term. Common problems for girls included difficulties with sexual climax orgasm The goal of the pediatrician is for early diagnosis and treatment.
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