Well, given your reading comprehension, I'll have to assume your offspring is as big of a dipshit as you. So an IUD is probably best. Why'd you chop off the rest of the sentence? I said it is likely a poor choice for many individual teens. And, yes, there are many teens who take the pill reliably and use condoms. |
I'm not arguing anything. Just sharing a fact of what/how young people think. Condoms are plenty effective - I'd argue that. |
| Who are these teens who will agree to have these things out into their bodies by the way? |
What her body would ordinarily be doing at this very time, without contraception, is getting pregnant and having babies. But we generally agree that this would not be a good thing, right? Also, why doesn't it defy logic that it would be a good idea to introduce foreign hormones into a young teen's body, in the form of oral contraception (or Nexplanon, the contraceptive patch, or the contraceptive ring)? And the portions of the population who don't use condoms reliably or take the pill reliably is -- basically every portion of the population. Even affluent mothers with advanced degrees from fancy universities, who post on DCUM. |
If you use condoms perfectly every single time you have sex, they're 98% effective at preventing pregnancy. But people aren't perfect, so in real life condoms are about 82% effective — that means about 18 out of 100 people who use condoms as their only birth control method will get pregnant each year. https://www.plannedparenthood.org/learn/birth-control/condom/how-effective-are-condoms (98% effective means that 2 out of 100 people (or 1 out of 50 people) who use condoms are their only birth control method will get pregnant each year.) |
Teenage girls/women who want a safe, appropriate, and highly-effective method of contraception. http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Adolescent-Health-Care/Adolescents-and-Long-Acting-Reversible-Contraception |
Untrue. I know plenty of individual women who take the Pill reliably. Do what you want, lady. You're free to use your daughter as a teen IUD guinea pig. I don't care, and hopefully your daughter won't either. |
Getting all uptight about someone using these terms says more about you than it does about them. Chill out. |
Are we talking about individual people or portions of the population? An IUD might be a good choice for a population group as a whole, but not necessarily for every individual person in that group, right? Somebody (you?) said that in the top post. Well, exactly the same is true for oral contraceptives. And one reason why oral contraceptives might not be a good choice for an individual person is that the individual person would not reliably take them. Also, there is actually plenty of evidence supporting ACOG's recommendations on long-acting reversible contraception (including IUDs) for adolescents. You can read it here: http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Adolescent-Health-Care/Adolescents-and-Long-Acting-Reversible-Contraception Nobody is being a guinea pig. |
09:03 again. Yes, I agree with you that other options might be good for the population as a whole, and that IUDs might be a great choice for an individual teen. I feel like you keep asking me the same question, or maybe I wasn't clear enough. My issue with is with ACOG's insistence that IUDs ought to be overwhelmingly the first line of defense for all teens. I am saying each teen should be evaluated as an individual, and that many teens are responsible to enough to avoid pregnancy without implanting a device into their uterus which could cause damage. You choose to believe whatever research ACOG drags out in front of you, but I believe that doing taking it all on face value is a bit reckless. That's fine. We can agree to disagree. Ultimately, this is the first generation of nulliparous teens for which this recommendation of IUDs has been made. We have yet to see how this will shake out, both in terms of long-term consequences to the fertility of current teens and in terms of STD rates. Further, there is a pile of medical devices and drugs throughout the course of history which have been approved and then taken off the market, or approved but only to have unforeseen consequences pop up later. I'd say that the excitement that some parents display over the approval of IUDs for teenagers is a little bit strange. For parents who think their child is certainly not responsible enough to set a reminder on their phone to pop a pill each day at the same time, I'm not sure why they are SO convinced that their kid is responsible enough to be diligent about condom usage each time. In fact, I'd think that the - pretty much guaranteed - absence of pregnancy concerns would make a teen far less likely to use condoms, and boys far more likely to pressure girls into going without condoms even if they want to use one. Just look at the STD rates of retirement communities. |
Which insistence is that? Here is what ACOG actually says: ABSTRACT: Long-acting reversible contraception (LARC)—intrauterine devices and the contraceptive implant—are safe and appropriate contraceptive methods for most women and adolescents. The LARC methods are top-tier contraceptives based on effectiveness, with pregnancy rates of less than 1% per year for perfect use and typical use. These contraceptives have the highest rates of satisfaction and continuation of all reversible contraceptives. Adolescents are at high risk of unintended pregnancy and may benefit from increased access to LARC methods. http://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Adolescent-Health-Care/Adolescents-and-Long-Acting-Reversible-Contraception I also seriously doubt that ACOG would dispute that idea that each teen (or each anybody else) should be evaluated as an individual. Nor is the purpose of an IUD to be the contraceptive method for irresponsible people. It's one contraceptive method for people to consider who want a highly-effective method of reversible contraception with a high rate of satisfaction. Now I, personally, do wonder why you are fine with teenagers taking hormones orally, intramuscularly, or transdermally, but not fine with teenagers having devices in their uteruses, but that's beside the point. |
Since you're ignoring much of what I've said, I'll ignore 90% of the points you're making when providing my answer, too. I am in no way fine with teens taking hormones, and never said as much. However, I do believe that the pill is the the lesser of the evils you're listing. It is a good option for many people. It is one of the most studied medications in history, and it is probably wise to have some form of a backup to a condom. Spermicide and diaphragms are probably a much better option for back up, but I know women who have had a lot of trouble getting them in and out as a young nullip. Plus it diaphrams and spermicide are another another form of birth control that need to be done before the actual act, and you can see how a teen just scrap it altogether. A pill is remembered during another time of the day, and not during the heat of the moment. We can keep going round in circles. I absolutely don't care what you do for your teen, but I'm free to think it's stupid. I have no vested interest in your teen's uterus. Although, I'm sure your kid is as dopey as you are. In which case, like I said upthread, an IUD is probably best. |
OK, you believe that, and I'll take my medical advice from the medical doctors. |
Dear Jesus. I've never said that any of the medical advice coming from ACOG wasn't coming from medical doctors. Do what you want, and I'm not restating any of my arguments to someone so dense. I will, however, underscore that it is probably a great thing that you support such a fool proof method of pregnancy prevention for your snowflake. You should get one, too, while you're at it! |