The second and third most common reasons were not having found the right person and wanting to avoid pregnancy. Boonstra HD, Meeting the sexual and reproductive health needs of adolescents in school-based health centers, Guttmacher Policy Review, , 18 1: Contraceptive Use Among U. However, European adolescents are more likely than U. Sedgh G et al. Guttmacher Institute, Restricting insurance coverage of abortion, State Laws and Policies as of August , , https: This is the lowest rate observed since abortion was legalized nationwide in , and just one-fourth of the peak rate in Adolescent Pregnancy Rates in In —, one in five sexually active females aged 15—19 and one-third of sexually active males in this age-group said that they used both a condom and a hormonal method the last time they had sex. As they develop, adolescents and young adults need access to comprehensive and non-stigmatizing information about sexual and reproductive health, support networks to have the pregnancies they want, and high-quality, affordable and confidential contraceptive services and abortion services to avoid the pregnancies they do not want. Finer LB et al. Thirty-two states explicitly allow minors to consent to HIV testing and treatment. These services helped adolescents to avert , unintended pregnancies, , unplanned births and 76, abortions. Department of Health and Human Services, , https: In —, about half of adolescents aged 15—19 reported ever having oral sex with an opposite-sex partner and about one in 10 reported ever having anal sex with an opposite-sex partner.