This document discusses different approaches to sex education in schools, including full sex education, abstinence-only education, and a middle ground approach. It notes that nearly half of women who have abortions did not use birth control, and over a quarter did not think they would get pregnant. Rates of teen pregnancy and STDs in the US are high compared to other developed countries. There is an ongoing debate around whether schools should distribute birth control and discuss relationships or take a more limited factual approach and leave broader discussions to parents.