There would be about 7 or 8 other guys most of them also played foot ball. This approach encompasses education about all aspects of sexuality, dating and relationships, decision-making, communication, birth control methods, STIs, and pregnancy prevention. The teaching of responsible sexual decision-making requires skilled history taking, careful listening, and repeated simple messages that contain essential information. The five Ps include: These visits should address biomedical and psychosocial aspects of health. Eighteen states and the District of Columbia require that sex education programs include information on contraception; however, no state requires that contraception be emphasized. Office staff must be sensitive to the importance of delivering confidential health services. Ending the encounter with questions leaves room for the adolescent to open up regarding a possible concern that may not have been addressed. Latex condoms to prevent STIs, including HIV infection, and appropriate methods of birth control should be made available, as should instructions on how to use them effectively. Standards of practice should be reviewed, and the development of clear and concise office protocols for confidentiality should be developed for staff, patients, and parents. The effects of new media may differ from those of traditional media, although empirical evidence on this topic is lacking. Using concrete examples, pictures, or models can be very helpful in these early conversations and when discussing more complex topics, such as figuring out who to trust, how to flirt, and how to develop a relationship. Are you currently spending time with someone special? Have you ever had an STI? Adolescents tend to respond honestly to open-ended questions; this approach allows the clinician to obtain a thorough sexual history and to establish a rapport with the patient. Several studies have shown that, while in the process of coming out, young people are as likely to have heterosexual intercourse as those who identify as heterosexual. Pediatricians can help adolescents identify their own goals for safe and responsible sexual behavior.