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About one-third of teen girls become pregnant at least once by age 20 and fully half of all pregnancies in the United States are unplanned.  Not too good

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June 2009 Archives

Jun 29 2009

starsEmergency Contraception for Everyone?

emergency_contraception_uh_oh_pills.jpg

We wanted to fill you in on some exciting news about emergency contraception.

Last week the FDA approved a generic version of Plan B.

This whole thing gets a little tricky since Plan B is available with and without a prescription depending on your age, but we'll try to clarify what exactly was approved. Duramed still has market exclusivity on over-the-counter Plan B which can be purchased by women age 17 and older without a prescription until August 24, 2009. However, the recently approved generic version (which will be marketed as Next Choice™) will be available to women age 17 and younger with a prescription in the near future (hopefully in August, Next Choice will be available over-the-counter as well).

The price of Next Choice™ will likely vary by pharmacy, but will most likely be 20-70 percent cheaper than the name brand version which ranges from $35-70 depending on the pharmacy. Clear as mud? Check out these FAQs for more info.

I don't know about you, but a lower cost version of emergency contraception might be just what I need to stock up on for a rainy day...Not that it's a substitute for birth control, mind you. But you can never be too careful...

Jun 25 2009

starsNational HIV Testing Day

Take the Test, Take Control. National HIV Testing Day - 6/27/2009

This Saturday, June 27th is the National HIV Testing Day. Coordinated by The National Association of People with AIDS (NAPWA), this testing campaign reminds us that this completely preventable virus is alive and well and still spreading in the U.S.  On average, someone in this country is infected with HIV every nine and a half minutes.  And of the one million or so people here living with HIV, one in five don't know they're positive and nearly 40% aren't diagnosed until they've developed AIDS

The CDC recommends that everyone between the ages of 16 and 64 gets tested at least once as a part of their routine medical care, while those in certain higher risk groups are urged to get tested at least once a year. Who's at higher risk? Injection drug users. Men who have sex with men. And those with multiple sex partners.  That last category doesn't mean ménage à trois. We're talking about any sexually active men or women, who are not in a long term, mutually monogamous relationship. 

It's never been easier to find a testing site.  You can type in your zip code online, text your zip to KNOWIT (566948), or call 1-800-CDC-INFO to find the testing center nearest you. So if you've never been tested or if you fall into one of those higher risk groups, you have no excuse. Take the test. Take control.

Jun 25 2009

starsReal Life Lessons from MTV's "16 and Pregnant"

 

16-and-pregnant.jpgHave you been watching the new documentary series "16 and Pregnant" on MTV? I have and I think it's great. But I'm a 31-year-old man -- hardly MTV's demographic -- so you probably don't care what I think.  Instead, I've asked one of the wonderful teens with whom we work, Avery from Chevy Chase, MD, with to share some of her thoughts on the show. Here's what she had to say:

The title of MTV's new show, "16 and Pregnant," is pretty self-explanatory. The show shares the personal stories of teenage girls who are dealing with pregnancy and parents. Despite the fact that they all have teen pregnancy in common, each of the girls we've met so far - Maci from Tennessee, Farrah from Iowa, and Amber from Indiana - have completely different lives and interests. However, each of the girls starts out saying that she will keep her life nearly the same as her pre-pregnancy existence once she has her baby. Not surprisingly, conflicts immediately arise. The main issues stem from the teens' desire to maintain some, if not all, of their pre-baby priorities and the strain it puts on their relationships.

Jun 20 2009

starsFather's Day



I had the great good fortune to attend yesterday's White House event during which President Obama spoke movingly of the critical role that a father plays in the lives of his children and the important support and companionship a father offers to his children's mother.  He spoke, as always, with a deep authenticity and commitment that were palpable, and all of us were touched by his message and by his own personal story, which made him a most compelling messenger.  Many in the room were leaders of the fatherhood field -- men who run programs, do related research, exhort their peers to see fatherhood as a privilege as well as a responsibility, and others leaders, too. 
 
I asked myself repeatedly what the connection was between my 40+  year interest in pregnancy planning and prevention, and the remarkable collection of people in the East Room.  The answer, I hope, is obvious, and it is simply that children are more likely to have present, engaged fathers when pregnancy is undertaken deliberately and  is based on a commitment between the two parties to each other and to the decades required to raise a child in this complex society.  I actually think this connection is quite obvious, although  yesterday no one mentioned the importance of exercising great care in becoming a father in the first place.  Understandably, the main emphasis was being the best dad you can be to the children you already have.
 
Interestingly, no attention was given to why so many children are growing up without a father actively involved in their lives.  Consider for example the fact that almost 40 percent of births are now to unmarried women; for babies born to women 20 to 24, the percentage is 60. Now it is true that some of these unmarried mothers will marry the fathers of these children  --  perhaps after several years of living together -- but that is often not the case and these children often spend some or all of their growing up years in father-absent homes. I wonder how many national leaders will talk about this particular challenge when the Father's Day speeches crank up to fever pitch this Sunday.
 
I mentioned this to a reporter last week -- that advocates of father involvement  rarely address non-marital child-bearing -- and he said, "I never really thought about that..."   But I think President Obama has. And I think the rest of us should too.  Are fathers just nice if they happen to be around?  Or should we tell the truth, as the President did today, which is that children can make it without fathers (he being the shining example), but that the preferred scenario is committed parents raising children together.  And one of the best ways to move in that direction is to ask both men and women to think hard about starting  a family -- when, with whom and under what circumstances.
 
So, my one friendly suggestion to the Administration as it embarks on a national conversation about responsible fatherhood and healthy families is to include explicit attention to pregnancy planning and prevention. This entails personal responsibility on the part of men and women (along with responsible policies on the part of the public and private sector), which in turn will contribute to less non-marital childbearing, a greater chance that children will grow up with  present and involved fathers, and stronger families.

Jun 19 2009

starsAll Tomorrow's Fathers

father and son in car_sm.jpgSunday is father's day. A day society sets aside to honor our own fathers, and the fathers of our children. But one other generation of fathers is not getting enough attention--the fathers our sons will become (or not become). As of 2002, roughly 70 percent of young men had sex by age 19 even though less than a third are likely to be married by the time they reach 30. That's a lot of years to be careful about not getting pregnant until he's ready to be a dad. Most single guys in their early 20s are using some form of protection (85%), but that leaves 15% using nothing at all. And of those who say they use a condom only about one third say they use it every time.

The result? Among 15 to 24 year olds, 20% have already fathered a pregnancy, with roughly half being unplanned and most being outside of marriage (and that doesn't even count the pregnancies they don't know about).

My point? While we're busy reminding our sons to send a nice card or call their dads on father's day, let's take the opportunity to talk to our sons--remind them that being a dad is hard work, life changing even, and something that should wait until two people are committed to each other and to parenthood for the long haul. And that means being responsible in their relationships. It's one of the best ways to honor how awesome dads can be.

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