Introduction: Adolescents living in tourist areas are exposed to permissive, high-risk environments that increase their vulnerability to reproductive health problems. This study explored the experiences of adolescent girls, their families, and community leaders in maintaining reproductive health in tourism-dependent settings. Methods: A descriptive qualitative design was used with ten adolescent girls, eight family members, and two community leaders in an Indonesian tourist area. Participants were recruited through snowball sampling. Data were collected through in-depth interviews and field notes, audio-recorded, transcribed verbatim, and analyzed using Braun and Clarke’s six-phase thematic analysis. Results: The five themes of this research were (1) adolescents’ experiences of navigating sexual invitations, harassment, and pressure within tourism-driven environments; (2) disrupted daily routines and shifting academic priorities influenced by nightlife-oriented social interactions; (3) multi-layered strategies adolescents used to preserve their physical, social, emotional, and spiritual well-being; (4) intersecting barriers arising from personal hesitation, sociocultural norms, and structural limitations in accessing reproductive health services; and (5) adolescents’ aspirations for respectful, confidential, and youth-friendly reproductive health care that is accessible within tourism areas. Conclusions: Adolescent girls in tourist areas face interconnected reproductive health challenges that are influenced by individual behaviors, peer interactions, community exposure, and limited access to supportive health services. Strengthening family communication, improving adolescent-friendly services, and designing culturally sensitive, multilevel interventions are essential to enhance reproductive health outcomes among adolescents in tourism settings.