Final answer:
Direct, open-ended questions by healthcare providers are the best method to determine if an adolescent girl is sexually active, allowing for a respectful and comprehensive discussion about sexual health while balancing confidentiality and parental concerns.
Step-by-step explanation:
The best way to determine whether an adolescent girl is sexually active is to ask direct, open-ended questions about sexual activity. This method facilitates a comfortable environment where the adolescent can freely express herself without feeling judged or pressured. It allows for a more comprehensive understanding of her sexual history and any associated risks or needs for education on contraception and sexual health. Respecting patient privacy is critical, especially for minors, and involves balancing the adolescent's right to confidentiality with parental concerns. Physicians need to navigate these conversations with care, ensuring they are providing appropriate care while respecting the young patient's privacy and autonomy.