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Epidemic
How Teen Sex is Killing Our Kids

by Meg Meeker, M.D.

Contents

Preface

Acknowledgments

Part I. The Epidemic Is Here

Chapter One. Lori, Alex, Holly
Lori’s Story * Alex’s Story * Holly’s Story

Chapter Two. The Epidemic Is Real
The Epidemic Defined * Lifelong, Life-Threatening * STDs Don’t Discriminate* Like a Match to Gasoline * Allyson’s Story* Breaking the Silence * Mayhem in the Media* Curriculum for the Classroom

Chapter Three. The Explosion from Two to Fifty
Sick for Life * HPV: Ground Zero * Lydia’s Story* Herpes: The Recurring Dread* Erin’s Story* Easy To Share *An Illness of Body and Mind* HIV and AIDS* Hepatitis B* More Strokes

Chapter Four. Curable but Dangerous
Chlamydia * Sandy’s Story* Gonorrhea: Back with a Vengeance* Syphilis Incognito * Trichomoniasis: HIV’s Little Helper* Bacterial Vaginosis* My Patients Are Your Children

Chapter Five. The Emotional STD
Skyrocketing Rates * Darlene’s Story* Searching For Proof* Tony’s Story* Sex and Depression * The Special Loss of Divorce* The Triumvirate of Depression* Spirituality and Depression * Uncovering Depression in Teens

Part II. How It Gained Momentum

Chapter Six. Birth Control Is Not Disease Control
My Story * Tools for Protection * Oral contraceptives * Condoms * Long-term Hormonal Therapies * The Doctors’ Dilemma

Chapter Seven. Condoms and the Myth of Safe Sex
Karen’s Story* Talking Terms* The Real Deal on Condoms* Sex, Lies, and the Freedom of Information Act *Condoms Versus the STDs* What Teens Fear Most* Condoms and Teenagers: An Unhealthy Mix * Sending the Wrong Message

Chapter Eight. Media and the World Our Kids See
Parents: Exhausted and Discouraged * Blockbuster Sex on the Big Screen* The Sounds of Sex: Music and MTV * Television: The 800-Pound Gorilla* Dot.com Sex * Selling Shampoo...or Sex? *Teens: Soaking It up Like a Sponge* The Three Lessons* Sex Is Big* Sex Symbols as Role Models* A Force Beyond Their Control* Sexuality and a Teenager’s Personality * Cool People Are Promiscuous * So What Are Parents To Do?* Keep Your Standards Higher than Hollywood’s

Chapter Nine. High-Risk Sex
Why It’s Happening* Oral Sex: A Craze with Consequences* Oral Sex Is No Protection* Mary Ellen’s Story * Homosexual Sexual Activity* More Is Not Better: Multiple Partners* Can I Watch? Voyeurism * Everything But Sex. . . * A Dangerous Mixture: Sex, Drugs, and Alcohol * Jared’s Story
* The Alcohol-Disease Connection* Cybersex* Good Sex/Bad Sex

Part III. What To Know, What To Do

Chapter Ten. Adolescent in Body and Mind
When Puberty Strikes* Andrea’s Story* STDs and the Adolescent Girl’s Body* When Boys Reach Puberty * Sex and Sexuality* Emancipation* Identity Formation* Inability to Think in the Abstract

Chapter Eleven. Connectedness
Our Teenagers Want Connectedness with Us * Developing Great Relationships with Our Teens * Connecting Through Communication * Connecting Through Intimacy* The Magic Touch * Connecting Through Emotional Intimacy* Connecting Through Love* Connecting Through Appreciation *Parental Disapproval of Sex

Chapter Twelve. Holding Off
Teaching Kids To Postpone Sex* Ambivalence Is Permission* It’s Never Too Late* In Conclusion

Available October 2002

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