When asked about abstinence , many girls reported they felt conflicted. With cultural norms opposing extramarital sexual behavior "these implications may acquire threatening dimensions for the society and the nation". The goal of the pediatrician is for early diagnosis and treatment. The atmosphere is open and there is little that is not discussed between parents and children. Most Dutch parents practice vigilant leniency,  in which they have a strong familial bond and are open to letting their children make their own decisions. The researchers suggest that maybe this is because not only are some religions against same-sex attraction, but they also encourage traditional roles for women and do not believe that women can carry out these roles as lesbians.
Those who did not may have felt "the subject of sexuality in itself is considered an 'adult issue' and a taboo or it may be that some respondents were wary of revealing such personal information. Parents, Teens, and the Culture of Sex discusses in her book how the practices of Dutch parents strengthen their bonds with their children. Further about the research, Better indicators of whether or not girls were having sex were their employment and school status. More urban girls than rural girls discussed sex with their friends. Because of this, they often expected something in return such as increased emotional intimacy with their partners or the virginity of their partner. Pregnant teenagers face many of the same issues of childbirth as women in their 20s and 30s. The researchers suggest that maybe this is because not only are some religions against same-sex attraction, but they also encourage traditional roles for women and do not believe that women can carry out these roles as lesbians. Teenage pregnancy Adolescent girls become fertile following the menarche first menstrual period , which normally occurs between age 11 to Generally, most problems were not experienced on a chronic basis. Boys viewed having sex as social capital. For those girls whose friends were having a physical relationship with a boy, However, many girls engaged in sexual activity even if they did not desire it, in order to avoid what they think might place strains on their relationships. For example, obstetric fistula is a particular issue for very young mothers in poorer regions. They are also less likely to comply with the treatment for an STI. Sexually active adolescents are more likely to believe that they will not contract a sexually transmitted infection than adults. It has been argued that they may rebel against this lack of access or seek out affection through physical relationships with boys. They were trying to balance maintaining a good reputation with trying to maintain a romantic relationship and wanting to behave in adult-like ways. For example, sub-Saharan Africa has a high proportion of teenage mothers whereas industrialized Asian countries such as South Korea and Japan have very low rates. From the HIV rates to the contemplations of teen parenthood in America, Houston depicts a society in which America and the Netherlands differ. The study discussed the risk of women internalizing this message and spreading the idea that it is okay to be weak and answer to men all the time. Additionally, no significant gender differences were found in the prevalence of sexual dysfunction. However, inability to experience orgasm seemed to be an issue that was persistent for some participants. In general, girls said they felt less pressure from peers to begin having sex, while boys reported feeling more pressure. The girls who viewed virginity as a stigma did not experience this shaming.
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