During the nursing assessment of a 23-year-old female patient, the nurse considers the patient's risk for sexually transmitted diseases (STDs). Which statement by the patient indicates the most need for patient teaching?

"I have an IUD and have had the same boyfriend for 3 years."

“I have never been tested for syphilis or chlamydia."

"I make an appointment every year for a pelvic exam."

"I use the birth control pill because I am not ready to settle down yet."