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In elementary/middle school at a small Catholic school in a progressive major North American city, it was a week or two where we got some workbooks and were separated by sex (this was as gender discussions were beginning to hit the mainstream). They were fine, they were certainly informative and educational and didn't lie. I do recall them focusing on abstinence but it was mostly about the biology and family planning iirc.
I then went to the largest public high school in my city. Freshman year we had a health class and an entire unit was focused on sexual health. We learned about different contraceptive methods and their efficacy, STIs (had to do group presentations on them), the biology and in/outs of reproduction, sexual and gender orientation (iirc), the legality of things and actions and some stuff about consent (as a kink practitioner and queer person, I would've liked more but it's probably a lot more than most have ever learned about consent), and things along those lines. We were also given resources and our teacher was super nice and helpful about this stuff.
We also learned about drugs, the different types of drugs, their effects, withdrawals, and risks. It was municipally mandated, if not state mandated, educational content so it was standardized at least across the city, but I kinda doubt it's taught as equitably as it was in my high school. But it was incredibly comprehensive and extremely educational. While I still made a lot of mistakes as a dumb horny teenager, did things i shouldn't have, and got hurt/hurt people by being a dumb horny teenager (no SA/SH), it prepared me very well for my experiences and set me up to be the safe and respectful person I am today (who knows how to safely disrespect you when you ask nicely <3)