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Likhaan's clinic is a mile and a half down the road from where Joy lives. The organization advocates for reproductive health and fills the gap in services the government does not provide, like formal sex education, ready access to free contraception like IUDs and birth control implants.

Diane Vere, a community coordinator, leads workshops for teenagers from the surrounding slums. The topic is sex.

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Inevitably, when Vere turns to the page in the photo workbook that shows an array of penis sizes and shapes, the teenagers break into peals of laughter. They cover their eyes and hide behind one another.

Vere fields their questions: Why are some bigger than others? Why is that one crooked? She shows them an uncircumcised penis and tries to dispel the myth that a boy in this condition is dirty or incapable of impregnating women.

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Before the reproductive health law, there was no formal sex education in the Philippines, and to this day, the rollout remains patchy, fraught and very limited. Teenagers cobble together information based on what their parents ventured to tell them, sermons from priests and whispers from one another, often gleaned from the Internet or old wives' tales. Was it true, the girls at the clinic class asked, that if you wash your face with a girl's first menstruation, it prevents pimples?

If a girl jumps from the third step of a ladder, would her period only last three days? Does masturbating make boys taller?

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Can you get pregnant if you have sex only once? While the teenagers were fascinated with the practicalities and hygiene of sex and puberty, they struggled to discuss the process of conception.

Bring up the difficulties and cost of raising a child, Vere said, and the teenagers would shut down or quickly change the subject. Teachers often did not fare better. Some teachers had to be excused from a recent training because they couldn't control their laughter when frank discussions about sexual organs came up. Every acceptable word in Tagalog to describe sex or private parts is a euphemism: peanut, flower, junior, eggplant.

Teachers complain that every proper noun in this category is too vulgar to say out loud. With this combination of discomfort and lack of formal training on teaching sex, it is not surprising that 59 percent of Philippine educators said they had difficulty naming body parts, according to a survey by the United Nations Population Fund.

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In previous years, sex educators in schools preached abstinence, and anything beyond abstinence was limited to what the teachers knew. Often it didn't extend beyond basic science and was heavily inflected with religious and personal beliefs. Basiao-Abella said one teacher told her students that condoms were murderers because they killed sperm. She said a pastor told congregants that condoms spread AIDS, a mistaken belief reiterated by a sitting senator as recently as Scientifically proven," Sen.

Vicente Sotto III erroneously stated during a public argument with another politician. To address gaps in knowledge and uneven information, the Philippine education department is developing a comprehensive sexual education curriculum, which it had begun to roll out in the public school system before schools were closed by the pandemic lockdown.

Much like 's reproductive health law, the process of developing the curriculum has been embattled. Risa Hontiveros believes progress is coming, even if it's in fits and starts. Hontiveros, who sponsored one of the bills to prevent adolescent pregnancy and was at the forefront of the decadelong battle for the law, said the Catholic hierarchy continues to oppose legislation counter to its teaching but with "less of the stridency and less of the hostility than previously demonstrated.

In one of Manila's poor neighborhoods, a midwife prays to her saint, Ina ng Awathe mother of pity or compassion. The carved wood statue hanging on the wall of her home is oily and chipped from age. A string of dried-out jasmine flowers hang from one outstretched hand, and on the other, the saint cradles a baby. The midwife believes Ina ng Awa is the patron saint for the women who come to her asking for abortions.

In the Philippines, abortions are illegal in all cases. Perhaps more powerfully, abortion is considered a sin.

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The midwife understands all this yet will offer abortions. She asked that her name not be used for fear of arrest or reprisal. The women who come to her are too poor to raise another child or unwed and ashamed or so young, she said. She demonstrates her technique for massaging a woman's womb: a scooping motion to lift the uterus, then she grinds down with her fingers to crush the fetus, pressing into a woman's belly until her hands start to cramp.

She gathers bitter melon leaves from her garden, which she steeps into an acrid tea and tells the woman to drink. She says these methods usually will end a pregnancy.

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A Filipino abortionist holds up the flowers of the bitter gourd. Abortions are against the law in the Philippines, but some midwives and others will use bitter gourd - believed to cause a miscarriage when ingested - and other methods to terminate a pregnancy.

If the woman was a few months pregnant, they bury the blood from the aborted fetus in the dirt. If she was five or six months along, they put the fetus in a box and bury it like a child. One year-old girl, who asked not to be named because of the stigma of abortion, took a handful of pills her mother bought from one of the illicit nighttime markets under the bridges and in the backlots of Manila.

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Her mother was told it was Cytotec, the abortion pill. When the girl started bleeding in clots, her mother rushed her to the hospital. She spent a week in the recovery ward, where she mostly slept and imagined herself "flying in the sky," unable to think about what she had done. But three months later, she was grateful. Her boyfriend was her first love, until he started beating her.

He locked her in his house to keep her from running away and yanked her back in when she tried to escape. Her mother had to rescue her. If she had the baby, she would never be rid of him. Walking through her crowded slum, she passes small children playing on mounds of torn plastic stained with leachate, the black sludge that seeps from the neighborhood's cottage industry of sorting through the city's trash.

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She points out to one girl and says she's one of many people who have had an abortion. But it's the pregnant girls, thin and tilting back against the weight of their growing bellies, that brings her voice to a whisper. Their lives will be painful, she said.

Ralyn Ramirez, 19, had her daughter when she was 16 years old. She and her boyfriend, John Michael Torre, 19, looked at other girls holding babies and longed for their own. In leftRalyn Ramirez, then 17, had just given birth to her first child, a baby girl. She'd tell other teenagers that becoming a teen mom was not wonderful.

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But in rightRamirez became pregnant a second time. She says she blames herself for not finishing high school and for having a baby so young. When other girls ask her if it's wonderful to have a baby, she tells them "no.

In at age 17, Ralyn Ramirez, her partner and their first child rest in a mausoleum at the Manila North Cemetery, where several thousand people live. Communities Queer Voices Women Black Voices Latino Voices Asian Voices. Special Projects Highline. saintmarkaugusta.net Personal Video Horoscopes. From Our Partners Time To Shine HerStory Work It Don't Sweat It Room for Everyone. International Australia Brazil Canada Espana France ?????? Greece India Italia ?? Japan ?? Korea Quebec U.

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Today is National Voter Registration Day! It may soon be time to shop for a training bratoo. It will not be long before she gets her first period and she may begin to experience menstrual cramps. The hormone changes will also bring on mood swings.

Your little girl is growing up! She will have many questions as she notices these changes in herself. It is possible that she will not always feel comfortable talking to you about them, either. Parents should try to remain aware of how their daughter is feeling and look for the right time to start a conversation about it.

Teen girls go through many changes as they become young adults.

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As they go through puberty, their bodies change in a somewhat predictable way. These changes are sometimes called Tanner stages ? ? and can help your pediatrician know if your teen is developing appropriately. For females, there are Tanner stages for both pubic hair and breast development.

These two areas do not always develop at the same time. Here is an overview of the stages of breast development. Here is an overview of the stages of pubic hair development.

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There also is some natural weight gain that comes with puberty. This may begin to cause self-esteem issues about her body and it is best to start early to help make her feel good about herself. Explain that this is natural and encourage her to develop healthy habits with food and exercise that will help her maintain a healthy weight.

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Don't worry. If you have questions or concerns about how your teen is experiencing puberty, talk to your teen's health care provider. Your provider can determine if your teen is growing and developing correctly.

Get diet and wellness tips to help your kids stay healthy and happy.



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