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title: Birth Control: American Teens Are Not Using the Most Effective Forms
description: A new CDC report reveals very few teens are using the most effective forms of birth control when they have safe sex, like IUDs and implants.
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og:title: Teens Aren&#x27;t Using the Most Effective Birth Control
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![](https://static.time.com/v3/assets/bltea6093859af6183b/bltfffc9dffd9430b02/69877df65f570f94ccb1521e/iud.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9)


# Teens Aren't Using the Most Effective Birth Control

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<!-- video src="https://cdn.jwplayer.com/manifests/5AudUKuq.m3u8" -->
## Video: How I Learned About Sex

[Watch (HLS stream): How I Learned About Sex](https://cdn.jwplayer.com/manifests/5AudUKuq.m3u8) (3:38)

![How I Learned About Sex](https://cdn.jwplayer.com/v2/media/5AudUKuq/poster.jpg?width=720)

_Published 2014-11-10. Dr. Ruth and others share their stories_


by 

[Alexandra Sifferlin](https://time.com/author/alexandra-sifferlin/)


## Alexandra Sifferlin


Apr 7, 2015 5:00 PM UTC

![IUD birthcontrol](https://static.time.com/v3/assets/bltea6093859af6183b/bltfffc9dffd9430b02/69877df65f570f94ccb1521e/iud.jpg?branch=production&width=1200&quality=75&auto=webp&crop=3:2)

Intrauterine device --- Image by © Timothy Hogan/Corbis

Intrauterine device --- Image by © Timothy Hogan/Corbis Photo Illustration by Mia Tramz for TIME; Corbis

by 

[Alexandra Sifferlin](https://time.com/author/alexandra-sifferlin/)


## Alexandra Sifferlin


Apr 7, 2015 5:00 PM UTC

American teenagers are getting better at practicing safe sex, but a new federal [report](http://www.cdc.gov/vitalSigns/) reveals very few teens are using the most effective forms of birth control.

In the new report, the Centers for Disease Control and Prevention (CDC) looked at 2005–2013 data from the Title X National Family Planning Program on teen contraceptive use and found that teen use of long-acting reversible contraception (LARC)—such as the intrauterine device (IUD) and the implant—are up but still very low. The numbers show that U.S. teen LARC use increased from under 1% in 2005 to 7% in 2013\. Implants were used more than IUDs by women of all ages. The state with the highest use of LARC among its teens in 2013 was Colorado at 26%. All other states ranged from use of less than 1% to 20%.

Currently, teens are opting for methods like condoms and birth control pills, which while still good options, are less effective and more prone to incorrect or inconsistent use.

**MORE:** [Why The Most Effective Form of Birth Control is the One No One Uses](http://time.com/the-best-form-of-birth-control-is-the-one-no-one-is-using/)

The benefit of contraceptives like the IUD and implant are that they are low maintenance and highly effective. For example, the typical use failure rate of the IUD is 0.2% and for the implant it’s 0.05%. By comparison, the birth control pill and vaginal ring have a failure rate of 9% and condoms have a fail rate of 18%.

In 2012, the American Congress of Obstetricians and Gynecologists (ACOG), considered an authority on reproductive health, [concluded ](https://www.acog.org/Resources%5FAnd%5FPublications/Committee%5FOpinions/Committee%5Fon%5FAdolescent%5FHealth%5FCare/Adolescents%5Fand%5FLong%5FActing%5FReversible%5FContraception)that IUDs and implants are safe and appropriate for adolescents and teens. In 2014, the American Academy of Pediatrics (AAP) agreed and said it[ recommends LARC for adolescents](https://www.aap.org/en-us/about-the-aap/aap-press-room/Pages/AAP-Updates-Recommendations-on-Teen-Pregnancy-Prevention.aspx).

“Long-acting reversible contraception is safe for teens, easy to use, and very effective,” said CDC principal deputy director Ileana Arias in a statement. “We need to remove barriers and increase awareness, access, and availability of long-acting reversible contraception such as IUDs and implants.”


![](https://static.time.com/v3/assets/bltea6093859af6183b/blt77c8f9c7c3118558/698786f3524fc0a963ded475/pr-graphic-april-vs-2015-copy.jpg?branch=production&width=1200&quality=75&auto=webp)

CDC

According to the new CDC report, there are a variety of reasons why a young person may not opt for the IUD or implant. Many teens don’t know very much about them and they often think they are too young to use them. As [TIME reported in June](http://time.com/the-best-form-of-birth-control-is-the-one-no-one-is-using/), some physicians may remember the IUDs of past, which caused severe problems for women and were discontinued. Modern-day IUDs are safe and appropriate but there are still misperceptions about the device that persist within the medical community. Many providers are also not properly trained on insertion or removal of the IUD and implant. However, a [recent report](http://www.contraceptionjournal.org/article/S0010-7824%2815%2900072-4/abstract) showed that among female health care providers 42% use LARC, which is much higher than both the general population of teens and adult women.


Overall, the CDC report shows that American teens are waiting to have sex, and when they are sexually active, nearly 90% report using birth control. The teen pregnancy rate in the United States appears to be steadily dropping, though in 2013 over 273,000 babies were born to girls between ages 15 and 19\. The CDC says encouraging young women to consider LARC is an important strategy for further reducing teen pregnancy.


## Transcript

Where I grew up in Germany, I believed that it's the stork who brings babies to this world. Mother, is it wrong to feel [ MUSIC ] Warm and affectionate when you, when you're with a boy you really like? No dear, it is not wrong. My mom had no problem talking about it. She just said, wait 'til you get married. Maybe, like, when I was in first grade. Around fifth grade. I was about seventh grade. I do remember my mother and grandmother wanted to tell me about the facts of life. I was playing hide and go seek with my friends. Someone got rid of all their, their whole stash of pornos. Like, [ LAUGH ] [ UNKNOWN ].

I pick it up and I'm just like, this is the greatest thing I ever seen. I didn't know that I would talk about sex for my entire professional life. And now I'm 86, and I'm still talking about relationships and sex .

>> I remember accidentally coming across what sex was really like on the Playboy channel when we finally got cable TV [ LAUGH ] [ MUSIC ] Sexuality education has to start at a very early age. Your belly button, it's too small. Mary, the baby doesn't come out of your navel. Let me tell you how it is. The first time I had a talk talk was in seventh grade health class. My father was so old- fashioned that. It was just I got sort of Andy back before. He would be like go talk to your brother, and he'd go, go talk to Mom. Asians don't really get that talk. It's just the, the conversations aren't there.

You know, like the story of the birds and the bees I don't know that story. I don't know, I still don't know what that is. [ LAUGH ] They told me you could get pregnant by eating watermelon seeds and drinking water and eating dirt. Which I did [ LAUGH ] throwing up, I was throwing up mud when my mom got home. When the sperm and the egg get together they make a tiny person. So tiny that not even the mother knows it's there for the first few weeks. When I was a child I just thought, oh it's bad. It's bad unless you get married. And now that I'm adult I understand there's nothing wrong with that.

Good sexuality education. That starts when a child is growing up is going to be beneficial for that child for the rest of his or her life. Coming from a Pentecostal Christian family, I was definitely. Not only challenging to be trying to find myself, around my sexuality and my gender identity. But I just remember always feeling this conflict of being very curious about it but then feeling very very dirty and just wrong at the same time. mom, you know, taught us a lot about self esteem and self love and it comes here first inside. Not to run off and find it in someone else. I think that when you, when you make something so taboo to somebody, you make them even more curious about it.

I've realized that this really, ultimately, is about companionship and love and togetherness. I think if they say, okay, it's okay for us to talk about sex, I think they'll think, oh, more people are gonna have it. It's okay to be a sexual being. I don't think we talk enough about trust and sex. We talk a lot about love and sex and of course we want to say oh I love you, I love you and that's all that matters. But no, we also have to trust one another. And if you don't trust somebody then don't make yourself that vulnerable, which we do. In sex we're very vulnerable to one another. And so it's gotta be with someone you trust.

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