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# The Teen Birth Rate Is Now At an All-Time Low

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<!-- video src="https://cdn.jwplayer.com/manifests/pA1pVngw.m3u8" -->
## Video: IUD: Breaking Down The Myths

[Watch (HLS stream): IUD: Breaking Down The Myths](https://cdn.jwplayer.com/manifests/pA1pVngw.m3u8) (4:52)

![IUD: Breaking Down The Myths](https://cdn.jwplayer.com/v2/media/pA1pVngw/poster.jpg?width=720)

_Published 2014-06-30. IUD: Breaking Down The Myths_


by 

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


## Alexandra Sifferlin


Jun 17, 2015 2:53 PM UTC

![TIME.com stock photos Condoms Sex](https://static.time.com/v3/assets/bltea6093859af6183b/bltc95ff195039e0a2a/6987788d06f2c104f33333f0/condom-sex-4.jpg?branch=production&width=1200&quality=75&auto=webp&crop=3:2)

Elizabeth Renstrom for TIME

by 

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


## Alexandra Sifferlin


Jun 17, 2015 2:53 PM UTC

The teen birth rate has hit a new record low, according to [federal data](http://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64%5F06.pdf) released on Wednesday.

Researchers from the CDC’s National Center for Health Statistics looked at birth certificates for the year 2014 from all 50 states, the District of Columbia and U.S. territories and found that the teen birth rate is the lowest ever recorded. And, for the first time in seven years, the general fertility rate in the U.S. increased.

Among teens from ages 15 to 19, the birth rate dropped 9% in 2014 to 24.2 births per 1,000 women. Since 1991, the researchers report that the birth rate for this age group has dropped 61%.

**MORE:** [The Best Form of Birth Control ](http://time.com/the-best-form-of-birth-control-is-the-one-no-one-is-using/)

Overall, the number of U.S. births in 2014 increased 1% from the year prior. The number of women in their twenties having babies dropped 2% to a record low, while the number of women in their thirties and forties giving birth rose.

The national teen pregnancy rate has also been on a record decline. [Data](http://www.hhs.gov/ash/oah/adolescent-health-topics/reproductive-health/teen-pregnancy/trends.html) from the U.S. Department of Health and Human Services (HHS) has shown pregnancy rates among teenagers have been consistently dropping for the last two decades, and there was a 10% drop in a year from 2012 to 2013.

Some data suggests that teens are [less sexually active](http://www.guttmacher.org/pubs/gpr/17/3/gpr170315.html) than the past, and those that are having sex are using birth control more often. Some experts speculate that increased access to affordable birth control and better sex education have also played a role.

**MORE:** [The Trouble With Sex Ed in the Internet Age](http://time.com/why-schools-cant-teach-sex-ed/)

Teens may also be using better, more effective contraceptives, with an [increasing (though still low) number of young people](http://www.guttmacher.org/pubs/gpr/17/3/gpr170315.html) from ages 15 to 19 using long-acting reversible contraceptive methods like the IUD or implant. There’s also been a notable increase in the use of the birth control pill among the age group, as well as usage of more than one method.


Birth control methods like the IUD and implant are significantly more effective than other methods, including the pill and condom. The failure rate for the IUD is as low as 0.2% while the pill is 9% and the condom is 18%. [New data released on Tuesday](http://time.com/3923311/birth-control-pregnancy/) revealed that when women are counseled about all of their options, they are more likely to choose the most effective methods, and that can lead to notable declines in unintended pregnancies.

Some indirect factors could also be influencing the latest birth statistics, [suggest](http://www.guttmacher.org/pubs/gpr/17/3/gpr170315.html) researchers at the Guttmacher Institute. Women, for instance, are both getting married and having children later in life.

Though teen births are decreasing, the U.S. still has one of the highest teen pregnancy rates in the developed world.


## Transcript

Well with every, not just contraceptive method but any medication, any intervention, there are all the pros, and then there are the cons. The bad things that happen, are what people talk about. There are a lot of misconceptions about the IUD, I know people worry about, lots of cramping, and having to be painful or fertility or other things like that. A lot of the misperceptions are left over, from 30 years ago and have no relevance to the, the devices that we use today. That's really what contributes to the low utilization in the US, is these myths, persist. [ MUSIC ] I, was 16, when I went on the pill, I didn't realize what sort of side effects I was in for.

And I, it started off with very minor things, like getting headaches everyday, and then it moved on to like mood changes. And then I learned about the IUD and really was interested in that. It's this kind of like hidden secret that, friends tell each other about, because it's not really talked about otherwise. There is a current bias, for amongst some clinicians. that the IUD's are only indicated for older women, or those who have had all their children or at least one child. I don't really segment my practice that oh this patient is older or had children so she's a good IUD candidate. It's really a good choice for anyone who needs birth control.

I heard from a few people before that oh it's really painful, and it makes you more susceptible to infections. Over the last 15 years, all of our research has then looked at IUD use, in these other groups of women. Young women, college age, teenagers, having children, not having children, and realized that all of the fear of pelvic infection, and infertility was not based on evidence. I think that for women my age, they don't even know what it is, or whether it's an option for them, because the first method of birth control that I think that women use is the pill, and it's something that's so common that you don't even think about the other possibilities.

If you look at IUD use in the most of Western Europe, it's about 20 %, and in some countries, 30 %. So 1 / 3 of all women who are using birth control, have an IUD, and in America, it's about 5 %. The non- hormonal IUD has a medication that's copper, so we call it the copper IUD. And so the copper ions are released from the copper wire in the T device, and they kill sperm. But instead of having to use that every time there's intercourse, it's just sitting in the uterus at all times. It also, as a secondary back up mechanism of action, it makes the lining of the uterus, not favorable for implantation.

The hormonal IUD is impregnated with one hormone, levonorgestrel, which is a type of progestin. That progestin agent is slowly released, in one of the IUD's over five years, and the other one it's three. And it creates a thick cervical mucus plug, which prevents the sperm from swimming up, and again, finding the egg. One of the more common misconceptions is that, it makes your period worse, but there are actually two hormonal types of IUD's that can eliminate your period. The hormonal IUD creates such a thin lining in the uterus, that the normal monthly cycle of buildup, doesn't happen. That's one of the reasons it lightens the menstrual period, and that's one of the thing we love about it.

We use that IUD, and it's FDA approved to help women who have terrible periods. The levonorgestrel IUD is the first line, medical method to improve those bad periods. I do have some friends who use it more and more, it's, it's becoming sort of popular, I think because it's so low maintenance. Those of us who've had a lot of clinical experience in our practice. We're hoping that the use in the US, will start to look more like some of our European countries. I think there's a lot of choices, but it can be hard, you know, I wish there was something I wasn't responsible for. Some type of birth control for men.

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