Talking to Your Kids About Sexually Transmitted Diseases

As a parent, it may be difficult to accept that your children are sexual—and even harder to think of them engaging in behaviors that would put them at risk for diseases like chlamydia or gonorrhea. Below are strategies you can use when talking to your children about sexually transmitted diseases (STDs).

Talking to Your Child

While you may feel uncomfortable discussing sex with your child, it is too important a topic to ignore. You can actually set the groundwork for this discussion when your child is young, for example, by being open to questions your child may have about their body. Building a trusting relationship over the years will make all the difference when it comes to bringing up this sensitive issue.

Also, keep in mind that you do not have to have one big discussion about sex and STDs. Having short, meaningful talks can be very helpful and give your child something to think about. For conversation starters, look to what is going on in your child's world. For example, if a teenage character on your child's favorite show is pregnant, this can lead to sharing thoughts about unprotected sex.

What if you do not know a lot about STDs? Now is a good time to get the facts from reliable sources, like the Centers for Disease Control and Prevention (CDC). Learn about the most common STDs, risk factors, symptoms, treatments, and ways to prevent these infections. Talk to your child about what you have learned, using language they clearly understand. Also, if your child would like to read more on their own, provide them additional reliable information, such as printed materials or useful websites.

Remember that scare tactics are not helpful. Trying to frighten your child about the dangers of STDs may make them feel uncomfortable talking to you about their concerns. But it is important that you work to correct any misconceptions they may have about how STDs are spread. You may want to share ideas that you used to have about sex and choices that you made when you were younger.

Feel free to ask how your child feels about sexual activity. Questions like "Do you think it is okay for a person to have unprotected sex?" may be good starting points to learn about your child's views on sex. This can also lead to a discussion about ways to prevent STDs.

In addition, get advice from family and friends who have raised teens. Their doctor can also be a source of support and encouragement when going through this normal, but challenging time in your child's life.

Supporting Your Child's Well-Being

In addition to having honest conversations about sex and STDs, you can support your child's overall well-being by:

  • Providing good role models—Children can learn from your example and the example of other good role models like older siblings, relatives, and friends.
  • Promoting self-confidence—Praise honesty, independence, talent, effort, responsibility, and good decision-making. This will promote self-confidence, which can help your children overcome peer pressure and make good decisions about sex.
  • Encouraging positive feelings about sex—People who have positive feelings about sex, their bodies, and masturbation may be more likely to protect themselves from STDs, unintended pregnancy, and sexual abuse. Try to instill these positive feelings in your children.
  • Fostering good decision-making skills—Offer options instead of giving orders. By making choices from an early age, children gain practice in making good decisions.
  • Developing trust—If your children know that you will be there for them no matter what, they may be more willing to trust you with information about their sexual activity and ask questions. Try to be patient and reasonable to foster this trusting relationship. Respecting your children's privacy, personal space, and individuality can also help gain trust.
  • Reassuring your child—Children can feel isolated and depressed going through the teen years. Stress that "being different is normal" and that other teens have similar feelings.

Caring for Your Child's Health

Your child should have regular physical exams where your child's doctor can help decide if there are any tests that need to be done. It is very important that your child has access to confidential healthcare and has a doctor they feel comfortable with. Allow your child to have time alone with their doctor so they can address any concerns privately.

During the physical exams, your child should get the recommended vaccines for their age group. For example, there is a vaccine to protect against the human papillomavirus (HPV). HPV, one of the most common STDs, causes genital warts, and some strains can lead to cervical and other cancers in both males and females. Hepatitis B is another infection that can be spread through sexual activity. This vaccine is normally given to newborns, but older children and teens who have not been vaccinated can receive the series of shots.

What to Do If Your Child Has an STD

If your child is diagnosed with an STD:

  • Make sure your child goes to all their follow-up appointments and takes the recommended medications.
  • Encourage your child to tell the doctor if their symptoms worsen or if new symptoms develop, even if they won't tell you.
    • Note: Sometimes the symptoms of STDs can be mistaken for other conditions, or the infection may not have any signs at all. Other times, symptoms may not appear for weeks, making it hard to determine a timeline of events. Symptoms can also appear and disappear quickly, then return much later. When symptoms disappear, it does not mean the STD is gone.
  • Offer your child emotional support. Reassure your child that having an STD does not make them a bad person. Also, your child may want to talk to a therapist about what they are going through.

Your child needs to know that you support them and want them to be healthy. You can help your child make good choices about sex by being available for talks and by being ready to listen.

RESOURCES:

Centers for Disease Control and Prevention
https://www.cdc.gov

Planned Parenthood
https://www.plannedparenthood.org

CANADIAN RESOURCES:

Sex and U—The Society of Obstetricians and Gynaecologists of Canada
http://www.sexandu.ca

Society for Adolescent Health and Medicine
https://www.adolescenthealth.org

REFERENCES:

How to talk about sex with your teen. Healthy Children—American Academy of Pediatrics website. Available at: https://www.healthychildren.org/English/ages-stages/teen/dating-sex/Pages/How-to-Talk-About-Sex-With-Your-Teen.aspx. Updated November 21, 2015. Accessed November 17, 2017.

Immunization schedules. Centers for Disease Control and Prevention website. Available at: https://www.cdc.gov/vaccines/schedules/hcp/child-adolescent.html. Updated October 5, 2017. Accessed November 17, 2017.

STDs. Kids Health—Nemours Foundation website. Available at: http://kidshealth.org/en/parents/talk-child-stds.html. Updated October 2014. Accessed November 17, 2017.

Talk with your teen about preventing STDs. Health Finder website. Available at: https://healthfinder.gov/HealthTopics/Category/health-conditions-and-diseases/hiv-and-other-stds/talk-with-your-teen-about-preventing-stds. Updated January 4, 2017. Accessed November 17, 2017.

Last reviewed November 2017 by EBSCO Medical Review Board Michael Woods, MD, FAAP