Cape Town is facing an alarming surge in teenage pregnancies, with a 78% increase in the number of adolescent girls seeking their first antenatal visit during FY 20222023. This rise is accompanied by a significant drop in the use of contraceptives, highlighting the need for comprehensive sex education and awareness initiatives. The situation poses a significant risk to the young mothers’ education and future, emphasizing the need for coordinated public health interventions to address the issue. Despite the concerning trend, there are some encouraging developments, such as the rise in the number of individuals seeking PreExposure Prophylaxis (PrEP) to prevent HIV.