Three in 10 teens will become pregnant before they are 20 years old. Amy Boone, MD, a specialist in pediatric and adolescent gynecology, discusses the multifaceted topics of teen sexual health, including pregnancies and STI infections, digital influences on teens, access to contraceptives, and public policy on sex education. She discusses statistical trends and how those trends relate to what we now know about effective sex education. Boone shares expertise in navigating the provider-patient relationship with teens and gives advice for balancing assurances of confidentiality while encouraging open communication between teens and their parents when practical.