Basil, with respect, are you aware of the risks of a full term pregnancy for a 13 year old? There are higher medical risks for a young woman of that age (e.g. bleeding, tearing, adhesions, future infertility, etc.) and for the child (e.g. low birthweight, failure to thrive, higher risk of early childhood accidents, etc.), quite apart form the social and emotional issues involved in becoming a mother at that age, often without positive support to deal with stuff.
I realise that there are risks with hormonal contraception (and it would be rare for a coil to be fitted for a very young woman, particularly who hasn't had children because of the higher risk to fertility,) for some women, but when you weigh those up against the likelihood of a highly fertile young person having regular sex getting pregnant, it's not so clear cut.
Most young women aren't in situations where they can use condoms (as most aren't fully in control of how and when they have sex.) If they aren't offered any alternatives, what's the answer then, let them get pregnant and have their and their children's lives potentially blighted? I know it's shit that young women (and many adult women) don't have full control over their sexuality. It's absolutely wrong that our society allows this to happen and we should all be standing up and doing anything in our power to change that.
But, in the mean time, does that mean a whole generation of young women should suffer the abuse and exploitation of men AND be denied the opportunity at least to reduce their risk of pregnancy as a result, just to make what, a political point about how crap it is to live in a sexist society? Do they really have to end up as martyrs to the cause?
Just to be clear, I'm not a HCP. I was a nurse over 20 years ago and would be the first to point out the shortcomings of that profession and of the medical establishment that I chose to no longer be a part of. So, not everyone comes at this as a handmaiden to the medical establishment patriarchy.
I work for a feminist organisation with girls and young women in JUST this age group. We try and help them deal with those obstacles society puts in front of them - poverty, crap family lives, history of abuse, sexual harassment, peer pressure, sexualisation and those societal messages that tell them their only value is in being sexy and appealing to men, the "helping" institutions that have let them down, the adults who tell them they are worthless, all that. We try and help them understand how and why the wider "system" is sexist and unfair and help them deal with stuff so they stand the best chance of getting on in life, being the best they can be and not getting ground down. It's bloody hard work. Two of our 12 year olds announced last week they have "dates" tonight with 15 year old boys. I don't think either girl has started periods yet, but somehow, they think this is what they should be doing. We've got a helluva lot of work to do. And we have two teen parent projects as well.