Fertility and the rates of pregnancy, live births, and abortion in teenagers in the United States are considerably higher than in most other developed countries of northern and western Europe. Fertility rates in teenagers in Sweden have declined significantly. The teaching of family life education is universal in Sweden and almost universal in Finland. Sex is openly discussed within society in both countries. Family planning and abortion services are geographically very available in both countries and both services and supplies are free. The educational level of both males and females is high in both countries. The United States has the opportunity to reduce teenage pregnancy by applying the experience of Sweden and Finland in the fields of family life education and family planning services.