\"They get groups together with kids of different genders -- sometimes same-sex and sometimes mixed. The parents are not home and so they go there and have sex and trade partners.\"

He also reported that city teens use different colored lip stick to signal \"how far they will go with oral sex with a guy,\" according to Bell. \"We are hearing about them acting out in school in the bathrooms and the stairways. This is not entirely new, but we don't think of it in middle school.\"

And, he said, most teens have no idea that they are exposing themselves to the dangers of risky sex. The organization's 24/7 hotline gets questions like, \"Can I get pregnant standing up?\" or \"Can I get pregnant with anal sex?\"

\"We had another kid kicked out for a ménage a trois -- three boys who were 10 and 11,\" he said \"It's really apparent that many do not realize they can get sexually transmitted infection with oral or anal sex.\"

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