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Video: Waiting too long on sex talk leaves teens at risk

  1. Transcript of: Waiting too long on sex talk leaves teens at risk

    KATHIE LEE GIFFORD, co-host: OK. We're back on this Thursday with our PARENTING TODAY series and how to talk to your kids about sex. It's the conversation no one really wants to have, but...

    HODA KOTB, co-host: Yeah. Yeah. A new survey shows parents are waiting too long to have that conversation . In fact, more than 40 percent of teens had intercourse before having a conversation with their parents about safe sex , birth control or STDs .

    GIFFORD: And the longer you put it off -- the talk I mean -- the more damage that can be done.

    KOTB: Yeah. So Dr. Ivor Horn is a pediatrician at Children's National Medical Center in Washington , DC , Denene Millner is a contributing editor at Parenting magazine .

    GIFFORD: Welcome, ladies.

    KOTB: Hello, Ladies.

    Dr. IVOR HORN (Pediatrician, Children's National Medical Center): Nice to see you.

    Ms. DENENE MILLNER (Contributing Editor, Parenting Magazine): Hey.

    KOTB: All right. So when is the right time to have that discussion with your kids?

    GIFFORD: Or does it depend on the kid?

    Dr. HORN: It really depends on the kid. And there is no right time...

    KOTB: Mm-hmm.

    Dr. HORN: ...the right time is when you're ready to have the conversation and when you know that you need to have the conversation . Probably before you think you should.

    GIFFORD: But shouldn't it be before puberty?

    KOTB: Yeah.

    GIFFORD: If these kids are having intercourse...

    KOTB: Yeah.

    GIFFORD: ...when they're 14 and they haven't talked to their parents about it...

    KOTB: Mm-hmm.

    GIFFORD: ...that's ludicrous.

    KOTB: Right.

    Dr. HORN: That's...

    Ms. MILLNER: Absolutely. In my house , I think that it's appropriate to talk to them when they start asking questions. If they're asking questions -- my daughter at age four wanted to know where babies came from -- the stork brings it is not an option .

    KOTB: Right.

    GIFFORD: You can't say `from mommy's tummy'?

    Ms. MILLNER: Well, that's exactly...

    GIFFORD: Uh-huh.

    Ms. MILLNER: You have to tailor the words for the child.

    KOTB: Little by little .

    GIFFORD: Yeah. Yeah.

    Ms. MILLNER: And so for her it was, you know, from mommy's tummy. When mommy and daddy fell in love, we decided to have a baby.

    KOTB: Who should have -- OK, let's say you have a son and you have a daughter, should the father have the discussion with the son or should both parents talk with both kids, or how should it work in terms of that?

    Dr. HORN: Both parents should talk with both kids, actually.

    KOTB: OK.

    Dr. HORN: Because dads have a different perspective than moms have.

    GIFFORD: That's why they shouldn't do it.

    Dr. HORN: And...

    GIFFORD: Right there is the reason why they shouldn't do it.

    Dr. HORN: But girls need to know that it -- this is an important conversation that they can be able to have with their father, and same thing for boys.

    GIFFORD: Don't you think kids are very embarrassed by it at that age?

    KOTB: Yeah.

    GIFFORD: If you're -- if you're an eight-year-old kid and they're -- you're talking -- they -- I...

    Dr. HORN: Not...

    GIFFORD: ...I have found with my children they don't want one of the other parents around.

    Ms. MILLNER: But I think that if you start that conversation with them...

    GIFFORD: Yeah.

    Ms. MILLNER: ...that it becomes more comfortable for them to talk to you about it.

    Dr. HORN: Right.

    GIFFORD: Oh, definitely.

    Ms. MILLNER: And to come to you.

    GIFFORD: Yes, yes.

    Ms. MILLNER: So you really have to start early.

    KOTB: Well -- and there are two discussions really to have, there's the sort of sciency discussion about the logistics, and then there's the love discussion. Do you have...

    GIFFORD: And the spiritual aspect of things, too.

    KOTB: And the spiritual discussion, right?

    Ms. MILLNER: And that's when you start putting in your own family values.

    GIFFORD: Right.

    Ms. MILLNER: You know, it doesn't have to be just about the actual doing of the do...

    KOTB: Yeah.

    Ms. MILLNER: ...what does your family believe? How do you approach sex when you become an adult? What would you like your children to think of...

    KOTB: Mm-hmm.

    Ms. MILLNER: ...before they decide to take that big step.

    GIFFORD: You know what concerns me, ladies, and it's a huge concern, I -- you look at all the problems we have in society, so much of it, I believe, is because, first of all, children are not getting the parenting that they deserve...

    KOTB: Mm-hmm.

    GIFFORD: ...and they -- but -- and they're also so bombarded with sexual images and sexual talk that they don't even get the childhood they deserve. And...

    Ms. MILLNER: But that's why you have to do the talking.

    GIFFORD: Oh, I know that. But I mean it's...

    KOTB: Right.

    Ms. MILLNER: Right.

    GIFFORD: But it's very -- who's going to do it if the parents don't? Then the -- you get -- the schools do it.

    KOTB: The schools.

    GIFFORD: And they just do it so clinically that...

    KOTB: Mm-hmm.

    Ms. MILLNER: Very clinical.

    Dr. HORN: And it's really important that parents have that conversation . Parents have more influence than they realize over their kids, more than me as their pediatrician, more than their friends, and parents help them make those decisions. They understand what your values are, what your expectations are in your household, and I think that's important for them to know.

    KOTB: What if your child doesn't come to you and doesn't ask you? Is there an age -- I mean, Kathie was talking about it, at eight. Eight used to be the age.

    GIFFORD: Eight. When I -- my kids were little , they used to say, `By eight, you need to have the talk.'

    KOTB: Right.

    Dr. HORN: Right.

    KOTB: So when -- if they're not coming to you, when do you think it's a good time to go to your child?

    Ms. MILLNER: My pediatrician, when my daughter turned eight, you know, she -- the pediatrician turned to me and says, `So have you had the talk?' And I was like, `Well, what do you mean?'

    KOTB: Yeah.

    Ms. MILLNER: Which talk?

    KOTB: Yeah.

    GIFFORD: Yeah.

    Ms. MILLNER: And she says, `You know, she's getting to the point where she's going to start going through puberty. You need to talk to her about what's going to change with her body and how she'...

    KOTB: Right.

    GIFFORD: And children are going through puberty earlier, aren't they, than they...

    Dr. HORN: Absolutely. Absolutely. And they need to know what's going on.

    KOTB: Parents don't know -- but some parents maybe just don't know what to say. I mean, should you -- some people use funny names for private parts of your body.

    GIFFORD: Mm-mm.

    Offscreen Voice: I know.

    KOTB: Some people think you should do it just by the book. What's the -- what's the right way?

    GIFFORD: Every time I tried to use the right one, they go, `No, mommy, say "gina."'

    KOTB: Yeah.

    GIFFORD: Or Cody......mom. You know, they would not want me to.

    KOTB: Yeah.

    Dr. HORN: But it's...

    GIFFORD: And then it became funny.

    Ms. MILLNER: Right, right.

    Dr. HORN: But it's important for kids to know the proper terminology. And then the more parents use it, the more comfortable kids will become with using it. So it's important that they know.

    KOTB: But what's the harm -- what's the harm in using something else?

    Ms. MILLNER: Well, you wouldn't tell your child -- give a different name for an arm or a foot or a leg.

    KOTB: Yeah.

    GIFFORD: Yeah, we do.

    Ms. MILLNER: So why...

    KOTB: You don't know her house .

    Ms. MILLNER: So when you -- when you give those private parts a special name, then you're telling them that you're uncomfortable talking about this and they should be uncomfortable talking about those parts, too. And they just can't -- not with you, they can't be that way.

    GIFFORD: I know.

    KOTB: Well, I think it's hard, too, because a lot of people were raised -- I mean, our generation, where our parents didn't really have that big discussion. So now it's kind of -- it's new territory for a lot of people.

    Ms. MILLNER: Right.

    Dr. HORN: Right.

    GIFFORD: I think any time you can make something fun for children, they tend to remember it better, they tend to not be burdened with neuroses about things and all...

    Ms. MILLNER: Right.

    KOTB: Yeah.

    GIFFORD: My sister was like three one time when there was a pregnant girl in the neighborhood or something and she said to her, ` Susie , are you pregnant?'

    KOTB: Yeah.

    GIFFORD: And Susie looked at my sister and goes, `No, Mishy , are you?' Of course she was like four. And she goes, `No, we're Presbyterian .'

    KOTB: Yeah.

    GIFFORD: So not -- that was time to have the talk, you know?

    KOTB: Yeah. Right.

    Dr. HORN: Right. But...

    GIFFORD: There's a difference between pregnant and Presbyterian .

    KOTB: Yeah. Yeah.

    Ms. MILLNER: Right.

    Dr. HORN: But it's -- I mean, it's great that there was an opportunity there.

    GIFFORD: Right.

    Dr. HORN: And that parents take the opportunity and they have a funny conversation with their kid...

    GIFFORD: Right.

    KOTB: Right.

    Dr. HORN: ...and they ask them, `So what do you think about that?'

    GIFFORD: Right. Yeah.

    KOTB: That's good.

    GIFFORD: Thank you very, very much.

By
updated 1/14/2010 2:04:01 PM ET 2010-01-14T19:04:01

When I was in my early 20s, I used to babysit for my neighbor's two daughters. One evening as my boyfriend and I stood talking to their parents, 4-year-old Emily joined in with a conversation stopper.

"Do you have a penis?" she demanded of my boyfriend, who looked suddenly like a deer caught in the headlights. "Because," Emily continued, "my daddy has one. He says all boys have penises and all girls have vaginas."

"Uh, that's right," said my boyfriend weakly. And then all the grown-ups laughed with what could only be called relief. Later that evening, my boyfriend wondered whether it was right to teach little children such words. I shrugged. I had no idea.

Fifteen years later, with two little kids of my own, I'm still not sure I have the right answers. If you feel the way I do, take this quiz and find out what the experts suggest we say when our kids ask those embarrassing, conversation-stopping questions.

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1. Your 3-year-old wants to know where that baby in your stomach came from. You tell her:

A. The stork brought it.

B. Daddy and Mommy made it.

C. Here, have a nice, big cookie!

Answer: B. Although there's never one answer to this question, your response should be a simple version of the truth.

"Little kids are concrete thinkers," says Linda Ladd, Ph.D., chair of family sciences at Texas Woman's University, in Denton. So telling them about the stork, even in jest, will just confuse them.

Providing basic — and factual — answers to a young child's first questions about sex sets the stage for the ongoing dialogue to come. "It should be a conversation, instead of a lecture, so there's plenty of give-and-take," says Anne Bernstein, Ph.D., a Berkeley, California-based family psychologist and author of Flight of the Stork: What Children Think (and When) About Sex and Family Building. When you answer your child forthrightly, she learns that she can go to you with any question she has in the future. Squirm or dodge the issue and even a preschooler gets the message: Don't ask, don't tell.

2. Your 5-year-old now wants to know how you make a baby. You tell him:

A. To ask Daddy.

B. Daddy puts his seed, called sperm, in Mommy.

C. Daddy puts his penis in Mommy's vagina. That's called having sex.

Discuss. Share. Connect.

Answer: B. Your child just wants some general information to start with — not a technical description. (You can add details later, if he wants to know more.)

"Parents tend to take an all-or-nothing approach," says Patricia Moylan, Ph.D., a pediatric neuropsychologist at Children's Hospital of Michigan, in Detroit. "When your child asks why your stomach's getting bigger, you don't need to go into the cells dividing. Just say that the baby is growing inside your uterus, so your stomach looks bigger. Don't overexplain."

What if your child demands the answer when you're at the grocery store? "Say you'll explain it when you get home," says Moylan. "Part of learning about sex is learning when and where it's an appropriate topic."

Don't let yourself off the hook at home, though, says Moylan. Bring it up yourself: "Remember you had a good question about how a baby gets into a mommy's belly?" and go from there.

3. Your 2-year-old likes to watch you change your newborn's diapers. "What's that?" she asks, pointing at his penis. You say:

A: That's what's going to pee all over you if we don't get a diaper on it!

B: It's his penis. Boys have penises and girls have vaginas.

C: That's his pee-pee.

Answer: B. Even though most of us are still struggling with our inner Puritan, the wisest policy is to use the proper names for sexual organs right from the very beginning.

Toddlers want to be sure they have the same parts as everyone else, so it helps if everyone is using the same word. "From the time they're babies, we tell them, "This is your hand and these are your toes,'" says Karen Martin, a certified sex therapist and program coordinator of the Sexuality Center, Long Island Jewish Hospital, in Lake Success, New York. "Then we get to the genitals and start using these cop-out names like "pee-pee.' It's subtle, but the first message they get is that there's something peculiar about these parts of the body. We should be using correct terms."

4. You have an open-door bathroom policy while you potty train your almost 3-year-old. One day she asks if she can touch Daddy's penis. Dad should:

A. Scream, "Absolutely not!!"

B. Revoke the open-door policy immediately.

C. Say no, and calmly explain why she can't.

Answer: C. For a toddler, there's no difference between a foot, a neck, and a penis — they're all just body parts. Nor do they understand why such a request might embarrass anyone —especially their parents.

"When a child asks about bodies, it can be quite awkward for parents. That can make it difficult for you to deal with the question matter-of-factly," says Martin. This is a good opportunity to start teaching your child about what's private. The standard definition is that everything a bathing suit covers is private — and you can add that people don't usually show those private parts of their body outside the bathroom or let others touch them. (You can also add, except moms and dads when they need to clean you and doctors when they need to examine you.)

© 2012 The Parenting Group. All rights reserved.

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