Re: A Medscape article that might interest you.

From: Anna Meenan, MD (annam@uic.edu)
Sat Sep 30 12:09:42 2000


At Sat, 30 Sep 2000, D. Ashley Hill, MD wrote: >
>Robert-
>
>Thanks. It was an interesting article. As a synopsis, the article
>compared teen pregnancy rates in the US with the Netherlands, and
>concluded that a primary reason for the lower rates in the Netherlands
>is because health care providers in that country do not mandate a pelvic
>exam when a young woman visits the doctor for the first time. Instead,
>counseling is provided, and a pelvic, if indicated, is done at a later
>visit. That's a valid point, but I sincerely doubt that's the main
>reason their country has lower teen pregnancy rates. It's probably an
>access issue for most teens in the US, although many are apparently
>unaware of free contraceptive counseling in their communities. Further,
>even when free contraception is provided, many US teens will not use it.
>Thanks again, Robert.
>
>Ashley
>
>--
>David Ashley Hill, MD
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
>Orlando, Florida
>

They looked at this issue on one of the newsmag shows (20/20, Dateline, 60 minutes, etc.) a couple years back and concluded that one of the reasons pregnancy and STD's are so uncommon among teens in the Netherlands is that is actually considered "hip" (or whatever the latest slang term for "in vogue" would be) for the girl to take OCP's AND the guy to wear a condom. They call it "Double Dutch". (swear to God) Now if we could just get all those European kids to quit smoking....

--
                 Anna Meenan, MD, FAAFP




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