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Physically: in boys, no. In girls, a ruptured hymen can be indicative of sexual activity, but in fact most girls have ruptured hymens before they are sexually active, so it is not a sure-fire way to tell. Psychologically or behaviorally: attuned doctors may be able to spot behaviors or comments in their patients that point to sexual activity.

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Q: Is there any way for a pediatrician to tell if one is sexually active?
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Can a doctor tell if you have been sexually active and how long for?

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