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Sexual activity in general is associated with various risks.The risks of sexual intercourse include unwanted pregnancy and contracting a sexually transmitted infection such as HIV/AIDS, which can be reduced with availability and use of a condom or adopting other safe sex practices.Increasing levels of androgen and estrogen have an effect on the thought processes of adolescents and have been described as being in the minds "of almost all adolescents a good deal of the time".One study from 1996 documented the interviews of a sample of junior high school students in the United States.Several brain regions in the frontal lobe of the cerebral cortex and in the hypothalamus that are deemed important for self-control, delayed gratification, risk analysis, and appreciation are not fully mature. Subsequent sexual behavior starts with the secretion of hormones from the hypothalamus and anterior pituitary gland.These hormones target the sexual organs and begin their maturation.

However, they often felt disempowered because of this; they often did not feel like they actually received what they expected in return and this made them feel like they had less power in their relationship.Girls had a more negative association in how being sexually active could affect their future goals.In general, girls said they felt less pressure from peers to begin having sex, while boys reported feeling more pressure.Lucia O’Sullivan and her colleagues studied adolescent sexual functioning; they compared an adolescent sample with an adult sample and found no significant differences between them.Desire, satisfaction and sexual functioning were generally high among their sample of participants (aged 17–21).

Among those who were sexually active, the majority (82%) used contraception.