Coinfection is common among adolescents. For example, obstetric fistula is a particular issue for very young mothers in poorer regions. With cultural norms opposing extramarital sexual behavior "these implications may acquire threatening dimensions for the society and the nation". Additionally, no significant gender differences were found in the prevalence of sexual dysfunction. Some boys said that for them, the risks that may come from having sex were not as bad as the social risks that could come from remaining abstinent. In general, girls said they felt less pressure from peers to begin having sex, while boys reported feeling more pressure.
It has been argued that they may rebel against this lack of access or seek out affection through physical relationships with boys. Adolescents have relatively poor access to health care and education. The girls who viewed virginity as a stigma did not experience this shaming. With cultural norms opposing extramarital sexual behavior "these implications may acquire threatening dimensions for the society and the nation". Better indicators of whether or not girls were having sex were their employment and school status. Schools may affect girls more than boys because strong emphasis is placed on girls to date boys, and many school activities place high importance on heterosexuality such as cheerleading. Sexually active adolescents are more likely to believe that they will not contract a sexually transmitted infection than adults. When asked about abstinence , many girls reported they felt conflicted. Because of this, they often expected something in return such as increased emotional intimacy with their partners or the virginity of their partner. Research showed that teens who viewed high levels of sexual content were twice as likely to get pregnant within three years compared to those teens who were not exposed to as much sexual content. Additionally, no significant gender differences were found in the prevalence of sexual dysfunction. Desire, satisfaction and sexual functioning were generally high among their sample of participants aged 17— In urban areas, Early treatment is important for preventing medical complications and infertility. Pregnant teenagers face many of the same issues of childbirth as women in their 20s and 30s. She found that some girls, when faced with the option of choosing "heterosexual", "same-sex attracted" or "bisexual", preferred not to choose a label because their feelings do not fit into any of those categories. Findings for boys were less clear; those who saw dominant and aggressive men actually had less sexual experiences. The atmosphere is open and there is little that is not discussed between parents and children. Teenagers feel more comfortable about their sexuality and engage in discussion with their parents about it. Adolescents are more likely to have an infected partner and less likely to receive health care when an STI is suspected. 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. This, they said, made it easier for them to lose their virginity once they wanted to because they felt society had a more positive view on female virgins and that this may have made them sexually attractive. They found that students, especially girls, who were verbally abused by teachers or rejected by their peers were more likely than other students to have sex by the end of the Grade 7. Girls felt they had less control over their sexuality when they saw men objectifying women and not valuing commitment. The pregnant teenager may then miscarry , have an abortion , or carry the child to full term.
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