It's no secret that mentioning the word "sex" in many African homes is almost forbidden. There is no discussion of the birds and the bees for most adolescents so it's no surprise that many adolescents get their information about sex health from the internet and other unreliable sources.
A big component of being an OB/GYN is counseling patients on safe sex practices and birth control options, so you can imagine my shock when some of the church moms tell me they discourage their children from birth control because "it's bad for their bodies". It took all of my self control to not blurt out "well, which is worse? Some birth control side effects or unplanned grandchildren?" but I held back as I would have been labeled as a rude child with no home training.
There are different methods of birth control and the decision to accept or decline birth control should be individualized. However, the idea that abstinence is the best method is simply unrealistic. In fact, studies have shown that abstinence only sex education is harmful and ineffective.
So, why are so many parents reluctant to talk about sex? Most of our parents did not get the sex talk from their parents. Furthermore, open discussions about sex is uncomfortable. Most parents don't want to entertain the possibility of their children being sexually active. As someone who takes care of adolescents with unplanned pregnancies and sexually transmitted diseases, sexual education can go a long way. Having conversations about birth control methods including the pills, intrauterine devices (IUDs), injections, etc can go a long way in preventing unwanted pregnancies. Initiating these conversations creates an environment that fosters open and honest communication. If all else fails, your friendly OB/GYN is always ready to help break the ice.