Introduction: In Boyaca, presents high adolescent pregnancy rate, a recent study identified as risk factors like: early menarche, lack of contraceptive use despite knowing them, early onset of sexual activity and influence of the couple. Concluding that educational strategies should be used and involve the family to deal with adolescent sexuality. Material and Methods: Reflection article. Results: The family as a source of information and not the wrong behaviors remain friends, parents must participate in sexual education programs to promote free and responsible sexual behavior. The nursing profession should be support the education system in the training of teachers as multipliers, sexual health, with classroom monitoring to determine the impact of the educational process. UPTC in practice this is done through the course "Adolescent" and has generated great interest. The home visit is another tool, since the lack of sexual education plays an important role in adolescentspregnancy and an increased risk of having a second pregnancy. The risk prevention approach, adopting risk factors and strengthening protective, something that helpful in UPTC from the practical nursing students, through the transmission of knowledge, values and attitudes on sexual education accompanied by the playful and mainstreamed to the subjects (English, Chemistry, Mathematics). Discussion and Conclusions: Sexuality should be assumed as a right to make informed, responsible and able to autonomy and fairness, so that young people can express it with friends safely, trust, respect and affection. Adolescents can determine when to initiate sexual activity with deeper knowledge and attitude free, therefore sexual education should be based on responsible decision making and proper use of contraceptives because they know not guarantee the absence of pregnancy.