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“Premarital Sex and Adolescents”

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“Premarital Sex and Adolescents”

By: HanjabamCha Barun
Posted: Dec 23, 2010

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“Premarital Sex and Adolescents”

Premarital sex is increasing at an alarming rate specially among adolescents. Today, the difference between like & sex seems to disappear, with most young lovers end up exploring each other physique & eventually unprotected sexual intercourse.

Right from the ahead of schedule puberty with the development of secondary sexual characters, interest in opposite sex develops. With undemanding availability & access to pornography, erotic magzines & even todays movies, the question to taste this forbidden fruit increases. The condition is further complicated by present inefficient & shared sex education, ensuing in boost prevalence of unprotected sex, STDs, unwanted pregnancies & even criminal abortions, due to the bursting of this volcanic question.

The average age at which indians drop their virginity is 22.9 years, and out of all pregnancies, adolescent pregnancies constitute ~10-20%. Young lovers relatively free from parental & other restrictions are more likely to have ahead of schedule sex, hence relatively more common among students income in rents / hostels or studying gone from home.

Knowledge about contraception is consequently vital. There are many methods of contraception, each with own merits & demerits. Condoms, no doubt, is most common & widely used method, with added benefit of preventing STD transmission. But, incorrect use may lead to pregnancy rates of 2-3/women-years to >14. Also, many don’t use them regularly or carefully enough, specially as they are having sex frequently, as condoms interfer with sexual sensation locally; i,e; lovers want to ‘feel’ each other with no ‘partition’ between.

So, most use ‘coitus interruptus’, in which the male withdraws the erect penis before ejaculation into the vagina. One should dredge up that pre-coital secretion of male may contain sperms, & even a drop of semen is sufficient to produce pregnancy. Hence, failure rate is as high as 25%.

Safe period or rhythm method is seldom used. In this method, the couple avoid sex on the fertile days of the menstrual cycle. To know these fertile days, the female records the length of her menstrual cycle; then the undeviating cycle minus 18 days gives the 1st day of the fertile period, & the longest cycle minus 10 gives the last day of the fertile period, counting the day of the start of menstruation as the 1st day of the cycle. If such calculation are not possible then, the couple can avoid sex from 8th to 22nd day of the cycle. But, it has got a high failure rate of 9/100 women-years, & also it is trying to predict the safe period if the menstrual cycles are irregular.

Other methods based on the same principle are there but seldom used. Adolescents dont prefer to use oral pills, even though hormonal oral pills are perfectly suitable & adequate method for them. Methods like IUDs are not used.

Young couples out of over enthusiasm & lack of self power, often mistakenly end up in ‘full’ & unprotected sex, after which they just dont know what to do. In such a condition, the female may use post-coital or daylight after contraception. Most commonly used treatment is two tablets of Levonorgestrel 0.75mg taken with 12 hours gap & the 1st tablet taken within 72 hours of unprotected sex. Alternatively, one may take Mifepristone 600mg single dose within 72 hours of intercourse. But, these emergency contraception should be modest for unexpected or accidental exposure (even though their failure rate is <1%), & also they are associated with many feature effects. Though, even with the use of contraception, pregnancy may occurs, so the couple should know some vital signs & symptoms of pregnancy.

A missed period or absence of menstruation in otherwise healthful female with previous normal periods is most likely due to pregnancy, but even in presence of pregnancy sometimes cyclic per vaginal bleeding may occur upto 12 weeks. In 50% suitcases, daylight sickness (nausea, loss of appetite & even nausea on rising from the bed) ordinarily appears following the missed period. Copious nonirritating mucoid vaginal discharge appears at 6th week; & during 6-8th weeks breast changes may be seen with the sensation of extensiveness & pricking felt over the enlarged breasts. Later on, frequency of urination increases with hazy hue of the vestibule etc.

Following sex, if there is absence of menstruation, one should become alert & cautious. For confirmation of pregnancy, one may get on to use of pregnancy diagnosis kit available in most medical shops. Most commonly used is the membrane elisa or card test/cassette format, which takes 4-5 min to perform.

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