Hi there i can understand your concern
Term 'sexually active ' women as per literature .. means whether a lady have Vaginal intercourse ( with or without contraception) in past 3 months ..
This specification has been given to rule out the possibility of undetected pregnancy ( and also ectopic pregnancy ) when she presents in clinic
Now * sexually active in past* means .. a lady lad vaginal intercourse in last year or so in past
'Sexually active ' term is not generally used when alternate methods of foreplay like oral sex, mutual masturbation being practiced
Doing masturbation by fingering / humping bed or alternate methods does NOT mean a women is sexually active
Just having puberty and secondary sexual characters ( SSC) does NOT mean a women is sexually active
......
So sexually active or not is mainly discussed for
Pregnancy
Possibilities of STDs , pelvic inflammatory disease etc
Next Steps
kindly book online appointment for further guidance