Table 1.

The 7 Ps approach to sexual and reproductive health

THE 7 Ps TO DISCUSS WITH ADOLESCENTSPOINTERS
PartnersDetermine the number of partners, whether partners are new, and the partners’ risk factors for sexually transmitted infections
PracticesAssess knowledge regarding relationship safety, consent, sexting, and teen dating violence
Protection from sexually transmitted infections
Past history of sexually transmitted infections

  • Recommend condom use

  • Ensure human papillomavirus vaccination is up to date

  • Screen all sexually active patients younger than 25 y

  • Consider preexposure prophylaxis or postexposure prophylaxis if there are HIV risks

Prevention of pregnancyDiscuss contraceptive options and provide pregnancy testing if most recent menstrual period occurred more than 4 wk ago
Permission (consent)Be aware of consent laws
Personal identityDiscuss gender identity