ORDER
The Court, on its own motion, has amended the Order and Judgment filed January 27, 2006, nunc pro tunc to that date. In addition, we direct publication.
The amended opinion is attached to this order.
The petition for rehearing en banc was transmitted to all of the judges of the court who are in regular active service. As no judge in regular active service on the court requested that the court be polled on the en banc request, that petition is also denied.
EBEL, Circuit Judge.A Kansas statute requires doctors, teachers, and other individuals to notify *1106the state government whenever they have “reason to suspect” injury to a minor resulting from, inter alia, sexual abuse. Failure to report is a misdemeanor. In 2003, the Kansas Attorney General issued an opinion stating that any sexual activity by a minor younger than sixteen is inherently injurious and that the reporting statute therefore requires the persons listed in the statute to file a report whenever they have reason to suspect that a minor has been involved in sexual activity. Various professionals subject to the statute thereafter brought this suit, claiming that mandatory reporting of minors’ voluntary sexual activity with persons of similar ages violates the minors’ constitutional privacy rights. The district court below issued a preliminary injunction against enforcement of the reporting statute in the context of voluntary sexual activity between adolescents of similar age. Defendants-Appellants appeal that decision, and we vacate the preliminary injunction and remand.1
I. BACKGROUND
A. The Reporting Statute
Kansas law declares that
[i]t is the policy of this state to provide for the protection of children who have been subject to physical, mental or emotional abuse or neglect or sexual abuse by encouraging the reporting of suspected child abuse and neglect [and by] insuring the thorough and prompt investigation of these reports.
Kan. Stat. Ann. § 38-1521. Kansas therefore requires that whenever certain specified professionals have “reason to suspect that a child has been injured as a result of physical, mental or emotional abuse or neglect or sexual abuse,” they shall “report the matter promptly” to the state government. Id. § 38-1522 (the “reporting statute”). Those who are required to make such reports include
[pjersons licensed to practice the healing arts or dentistry; ... licensed psychologists; ... licensed clinical psychotherapists; licensed professional or practical nurses examining, attending or treating a child under the age of 18; teachers, school administrators or other employees of a school which the child is attending; ... licensed professional counselors; licensed clinical professional counselors; ... licensed social workers; ... juvenile intake and assessment workers; and law enforcement officers.
Id. § 38-1522(a). “Willful and knowing failure to make a report required by this section” is a misdemeanor. Id. § 38-1522(f).
“Sexual abuse,” as used in the reporting statute, is defined in relevant part as “any act committed with a child which is described in article 35, chapter 21 of the Kansas Statutes Annotated.” Id. § 38-1502(c). The referenced article 35 criminalizes a wide range of sexual activity, including voluntary sexual activity.2 Thus, *1107all sexual activity described in article 35— whether voluntary or involuntary — that involves participants younger than 16 years old constitutes “sexual abuse” under Kansas law.
B. Reporting Policies
The reports required by the reporting statute usually must be made to the Kansas Department of Social and Rehabilitation Services (“SRS”). Id. § 38-1522(c).3 The SRS’s Policy and Procedure Manual states that it is the SRS’s policy to “screen out,” or not accept for investigation and assessment, those reports that do not require further investigation. Specifically, section 1361 of the Manual states that a report of abuse or neglect should be screened out where the “[r]eport concerns ‘lifestyle’ issues that do not directly harm a child or place a child in likelihood of harm.” In a “Practice Note” to section 1361, the Manual lists several situations where the “[i]nformation indicates ... lifestyle issues which do not directly harm children or place them in imminent danger of harm,” and which therefore should be screened out. One of the listed situations is “[mjutual sexual exploration of age-mates (no force, power differential, or incest issues).”4 Thus, when a report of suspected sexual abuse required by the reporting statute provides evidence only of “mutual sexual exploration by age-mates” — and where there is no evidence of force, a power differential, or incest — as a matter of internal SRS policy the report “will not be accepted for investigation and assessment.”5
C. Attorney General Opinions
Two relevant Kansas Attorney General opinions have analyzed the reporting statute.6 In 1992, Attorney General Stephan issued an opinion noting that “when an unmarried child under 16 years of age is pregnant, sexual abuse (as statutorily defined) has occurred, absent artificial insemination.” Kan. Att’y Gen. Op. 92-48. However, he noted that the reporting statute “does not require reporting of all suspected child abuse; it requires reporting in situations where there is ‘reason to suspect the child has been injured’ as a result of abuse.” Id. Attorney General Stephan then opined that although a *1108“pregnant, unmarried minor may very likely display signs of emotional, physical or mental injuries which should be reported[,] ... we do not believe that pregnancy of an unmarried minor necessarily constitutes injury.” Id. Thus, Attorney General Stephan concluded that
[w]hether a particular minor in a particular case has been injured as a result of sexual intercourse and a resulting pregnancy must be determined on a case-by-case basis. The fact of pregnancy certainly puts one on notice that sexual abuse (as statutorily defined) has probably occurred, and requires persons listed in [the reporting statute] to investigate further whether the child has suffered injury, physical or emotional, as a result of such activity. If there is reason to suspect that the child has been injured, that person is then required to report such suspicions and the reasons therefore.
Id.
In 2003, Attorney General Kline issued a conflicting opinion. Although he acknowledged the 1992 opinion, he concluded that it was in error: “by focusing on the pregnancy of an unmarried girl under 16 years of age, the office [in 1992] failed to look at the State’s clearly articulated position that the act of rape, whether forcible or ‘statutory,’ is an act that is inherently injurious and harmful.” Kan. Att’y Gen. Op. 03-17. Thus, after reaffirming that any sexual intercourse with a minor is sexual abuse as a matter of law, Attorney General Kline opined that “injury as a result of sexual abuse should be inferred as a matter of law whenever sexual intercourse, whether voluntary or involuntary, has occurred with a child under the age of 16.” Id. (emphasis added). Attorney General Kline recognized the broad reach of his opinion:
[In addition to where] a doctor [is] called upon to perform an abortion for a girl under the age of 16 years[,] ... [o]ther situations that might trigger a mandated reporter’s obligation, because sexual activity of a minor becomes known, include a teenage girl or boy who seeks medical attention for a sexually transmitted disease, a teenage girl who seeks medical attention for a pregnancy, or a teenage girl seeking birth control who discloses she has already been sexually active.
Id.
D. Procedural Background
Less than four months after Attorney General Kline issued his opinion, Plaintiffs, a group of “licensed professionals, including physicians, nurses, social workers, a psychologist, and a sexuality educator,” brought a class action lawsuit under 42 U.S.C. § 1983 against a defendant class composed of “all county and district attorneys in Kansas”7 and against the Attorney General of Kansas. The complaint sought “declaratory and injunctive relief ... against application of the reporting statute to incidents of consensual sexual activity between ... a minor under 16 and a person of similar age [where Plaintiffs] conclude in their professional judgment that the sexual activity has not caused the minor injury.” Plaintiffs asserted several grounds why the reporting statute is unconstitutional as applied in that context. First, Plaintiffs alleged that such application “violates the rights of adolescents under 16 to maintain the confidentiality of private information about their sexual behavior and medical and psychological health care, including the fact that they have sought reproductive or mental health care or counseling, without serving any legitimate, important or compelling state interest.” Second, “it fails to give the *1109plaintiffs fair notice of when reporting is required and encourages arbitrary and discriminatory enforcement.” Finally,
it violates the rights of adolescents under 16 to privacy in their reproductive decisions by: (1) inhibiting their ability to obtain contraception and other reproductive health services without serving any significant state interest; [and] (2) preventing them from being able to confidentially obtain an abortion even if they are mature and even if an abortion without parental notice is in their best interests.
Plaintiffs also sought a preliminary injunction against enforcement of the statute in the challenged context. On July 26, 2004, the district court issued an order granting the preliminary injunction based solely on the first of Plaintiffs’ claims. Aid For Women, 327 F.Supp.2d at 1288. The district court held at the outset that Plaintiffs had standing to assert both their own constitutional rights and the rights of their patients and clients, and that those patients and clients “possess a right to informational privacy concerning personal sexual matters that might be revealed through mandatory reporting.” Id. at 1280-86. The court then concluded that mandatory reporting as required by the reporting statute violates the minor patients’ and clients’ privacy rights without serving a significant state interest. Id. at 1285-88. Defendants timely filed a notice of interlocutory appeal. See 28 U.S.C. § 1292(a)(1); Fed. R.App. P. 4(a)(1)(A).
II. DISCUSSION
This case presents two main issues: whether Plaintiffs have standing to challenge the reporting statute and whether the district court abused its discretion in entering the preliminary injunction against enforcement of the statute in the context of minors’ voluntary sexual activity with age-mates. Although we conclude that Plaintiffs do have standing, we also conclude that the district court abused its discretion in granting the preliminary injunction.
A. Standing
Defendants first appeal the district court’s conclusion that Plaintiffs have standing to challenge the reporting statute. See Aid for Women, 327 F.Supp.2d at 1281. Although Defendants mainly contest Plaintiffs’ ability to raise them patients’ and clients’ constitutional rights (“third-party standing”), we must also examine whether the district court properly concluded that Plaintiffs have satisfied constitutional standing requirements. See Rector v. City & County of Denver, 348 F.3d 935, 942 (10th Cir.2003) (“Standing ... raises jurisdictional questions and we are required to consider the issue sua sponte to ensure that there is an Article III case or controversy before us.”) (quotations omitted). We review the district court’s standing decision de novo, Utah v. Babbitt, 137 F.3d 1193, 1203 (10th Cir.1998), and conclude both that Plaintiffs have standing to challenge the reporting statute and that they can assert their minor patients’ and clients’ constitutional rights.
1. Constitutional Requirements
The constitutional requirements for standing to challenge a state statute in federal court are threefold: “(1) an injury in fact, (2) a causal connection between the injury and the challenged act, and (3) a likelihood that the injury will be redressed by a favorable decision.” Roe No. 2 v. Ogden, 253 F.3d 1225, 1228-29 (10th Cir.2001). Plaintiffs, as the parties asserting jurisdiction, bear the burden of establishing that they have satisfied these three elements. Babbitt, 137 F.3d at 1202. “Standing is determined as of the time the action is brought.” Nova Health Sys. v. *1110Gandy, 416 F.3d 1149, 1154 (10th Cir.2005).
a. Injury in fact
We conclude that Plaintiffs have met the injury prong. The amended complaint asserts that the reporting statute violates Plaintiffs’ due process rights because it “fails to give the plaintiffs fair notice of when reporting is required.” As support for this claim, Plaintiffs point to the two conflicting Attorney General opinions and allege that “some Kansas county and district attorneys ... have endorsed and adopted Kline’s interpretation” such that each plaintiff “will subject himself or herself to possible prosecution if he or she does not automatically report all sexually active adolescents under the age of 16 to SRS.” Plaintiffs also cite to newspaper quotes by other district attorneys expressing confusion about the scope of the reporting statute.
“To comply with the Due Process Clause of the Fourteenth Amendment, it is requisite that a penal statute give fair notice to ordinary people of what conduct is prohibited in a manner that does not encourage arbitrary and discriminatory enforcement.” United States v. Agnew, 931 F.2d 1397, 1403 (10th Cir.1991). We conclude that the conflicting interpretations of the reporting statute and the uncertainty as to what conduct will lead to prosecution did potentially deprive Plaintiffs of this “fair notice.”8 However, lack of fair notice is not itself a sufficient injury-in-fact for standing purposes. One who does not engage or intend to engage in any of the activity potentially covered by a statute does not suffer a “concrete and particularized” injury from an unclear statute. Nova Health Sys., 416 F.3d at 1154. Here, however, Plaintiffs have alleged that they are among those covered by the reporting statute and that “[e]aeh of the individual Plaintiffs has patients or clients under the age of sixteen who are sexually active.” In light of the risk that Plaintiffs will be prosecuted under the reporting statute should they fail to report that sexual activity, they have sufficiently alleged a concrete injury-in-fact. Although Defendants point out that none of the Plaintiffs “have been prosecuted or even threatened with prosecution” for failing to report sexual activity by minors with age-mates, Defendants concede that some Kansas prosecutors have endorsed Attorney General Kline’s interpretation of the reporting statute. And, as the district court correctly pointed out, “defendants offer no assurances plaintiffs will not be prosecuted, if they continue not automatically reporting all sexually active patients or clients.” Aid for Women, 327 F.Supp.2d at 1281.9 Therefore, because failing to follow Attorney General Kline’s interpretation could realistically lead to prosecution, Plaintiffs’ due process rights are implicated and they *?have satisfied the injury prong of standing.10
b. Causation and redressibility
Plaintiffs have also satisfied the causation and redressibility prongs of standing. The causation prong asks whether the alleged injury is “fairly traceable to the challenged action of the defendant.” Nova Health Sys., 416 F.3d at 1156 (quotation omitted). Here, Plaintiffs’ due process injury is a result of both the Attorney General’s interpretation of the reporting statute and the prosecutors’ potential enforcement of the statute against Plaintiffs. See also Wilson v. Stocker, 819 F.2d 943, 947 (10th Cir.1987) (“[A] plaintiff challenging the constitutionality of a state statute has a sufficiently adverse legal interest to a state enforcement officer sued in his representative capacity to create a substantial controversy when, as here, the plaintiff shows an appreciable threat of injury flowing directly from the statute.”). As for redressibility, an injunction against enforcing the reporting statute in the challenged context would redress Plaintiffs’ injury because it would no longer be uncertain whether Plaintiffs could be prosecuted for failing to report sexual activity by minor age-mates where, in their opinion, there is no harm to the minors. They would thus no longer lack “fair notice” as to the scope of the reporting statute. Therefore, Plaintiffs have satisfactorily demonstrated standing to challenge the reporting statute.
2. Third-party or “Jus Tertii” Standing
Even though they can satisfy the constitutional requirements for standing, Plaintiffs face a potential prudential restriction on their ability to assert the constitutional rights of their minor patients and clients. The Supreme Court has held that “even when the plaintiff has alleged injury sufficient to meet the ‘case or controversy’ requirement, ... the plaintiff generally must assert his own legal rights and interests, and cannot rest his claim to relief on the legal rights or interests of third parties.” Warth v. Seldin, 422 U.S. 490, 499, 95 S.Ct. 2197, 45 L.Ed.2d 343 (1975); see also Flast v. Cohen, 392 U.S. 83, 99 n. 20, 88 S.Ct. 1942, 20 L.Ed.2d 947 (1968) (“[A] general standing limitation imposed by federal courts is that a litigant will ordinarily not be permitted to assert the rights of absent third parties.”).
This rule, however, is not absolute. Under the doctrine of “third-party” or “jus tertii” standing, Plaintiffs may assert the rights of others not before the court if they can “make two additional showings.” Kowalski v. Tesmer, 543 U.S. 125, 130, 125 S.Ct. 564, 160 L.Ed.2d 519 (2004). First, Plaintiffs must show that “the party asserting the right has a ‘close’ *1112relationship with the person who possesses the right.” Id. Second, Plaintiffs must show that “there is a ‘hindrance’ to the possessor’s ability to protect his own interests.” Id.; see also Terrell v. INS, 157 F.3d 806, 809 (10th Cir.1998) (“Third-party standing requires not only an injury in fact and a close relation to the third party, but also a hindrance or inability of the third party to pursue his or her own claims.”).
The Supreme Court has also recently noted that “[w]e have been quite forgiving with these criteria in certain circumstances .... [For example,] ‘[i]n several cases, this Court has allowed standing to litigate the rights of third parties when enforcement of the challenged restriction against the litigant would result indirectly in the violation of third parties’ rights.’ ” Kowalski 543 U.S. at 130, 125 S.Ct. 564 (quoting Warth, 422 U.S. at 510, 95 S.Ct. 2197 (emphasis added)).11 That is the case here, since enforcement of the reporting statute against Plaintiffs (in the context of voluntary minor age-mate sex) would allegedly violate the minor patients’ and clients’ rights. We therefore apply the third-party standing test in a deferential manner and conclude that the physician Plaintiffs may assert the rights of their minor patients.12
a. Close relationship
The physician Plaintiffs satisfy the first requirement of third-party standing, a close relationship.13 Many courts have found the physician-patient relationship to be sufficiently close for third-party standing. For example, the Second Circuit has concluded that physicians may “assert the interests of the[ir] unemancipated minor [patients]” in having access to confidential contraception. Heckler, 719 F.2d at 1195. Physicians have also been allowed to assert their patients’ constitutional right to an abortion. See Planned Parenthood Of N. New Eng. v. Heed, 390 F.3d 53, 56 n. 2 (1st Cir.2004) (“Because of their close relationship to the abortion decision, and the rights involved, [abortion] providers routinely have jus tertii standing to assert the rights of women whose access to abortion is restricted.”), vacated on other grounds, Ayotte v. Planned Parenthood of N. New Eng., — U.S. -, 126 S.Ct. 961, 163 L.Ed.2d 812 (2006); Planned Parenthood of Idaho, Inc. v. Wasden, 376 F.3d 908, 916-18 (9th Cir.2004) (“[Pjhysicians and clinics performing abortions are routinely recognized as having standing to bring broad facial challenges to abortion statutes.”), cert. denied, 544 U.S. 948, 125 S.Ct. 1694, 161 L.Ed.2d 524 (2005). Final*1113ly, courts and commentators have recognized more generally that the physician-patient relationship typically meets the “close relationship” requirement. See Nasir v. Morgan, 350 F.3d 366, 376 (3d Cir.2003) (noting that “courts have recognized a reasonable number of relationships that give rise to third-party standing,” including “doctor/patient”); Penn. Psychiatric Soc. v. Green Spring Health Servs., Inc., 280 F.3d 278, 289 n. 12 (3d Cir.2002) (“Courts have generally recognized physicians’ authority to pursue the claims of their patients.”); id. at 289-90 (finding, based on the “inherent closeness of the doctor-patient relationship,” that the psychiatrist-patient relationship suffices for third-party standing); see also 13 Charles Alan Wright, Arthur R. Miller & Edward H. Cooper, Federal Practice and Procedure § 3531.9 & n. 64 (2d ed. 1984 & Supp.2003) (listing the physician-patient relationship as a constitutionally adequate close relationship).
In addition to the weight of these authorities, we conclude that the policy behind third-party standing is served by finding that the physician Plaintiffs in this case have a sufficiently close relationship to assert their patients’ rights. The concern behind the “close relationship” element is whether “the third party can reasonably be expected properly to frame the issues and present them with the necessary adversarial zeal.” Sec’y of State of Md. v. Joseph H. Munson Co., Inc., 467 U.S. 947, 956, 104 S.Ct. 2839, 81 L.Ed.2d 786 (1984); see also Nasir, 350 F.3d at 376 (“A ‘close’ relationship for third-party standing must allow the third-party plaintiff to operate ‘fully, or very nearly, as effective a proponent,’ of the potential plaintiffs rights as would the plaintiff himself. Such a situation arises, as described above, in professional contexts, where the' rights of the potential plaintiff and third-party plaintiff neatly align.”) (citation omitted). Here, we conclude that the physician Plaintiffs’ interests align with those of their minor patients, such that they can provide proper representation of those rights. They therefore satisfy the “close relationship” element.
b. Genuine obstacle
Plaintiffs also meet the second requirement for third-party standing: “a hindrance or inability of the third party to pursue his or her own claims.” Terrell, 157 F.3d at 809; see also S & S Pawn Shop Inc. v. City of Del City, 947 F.2d 432, 438 n. 5 (10th Cir.1991) (“One of the requirements for third party standing ... is a genuine obstacle that prevents the third party from asserting his or her rights.”). Although we have not addressed in detail what qualifies as a “hindrance” or “genuine obstacle,” other courts have shed some light on this subject. For example, a plurality in Singleton concluded that, as to a woman’s assertion of her own right to an abortion,
there are several obstacles. For one thing, she may be chilled from such assertion by a desire to protect the very privacy of her decision from the publicity of a court suit. A second obstacle is the imminent mootness, at least in the technical sense, of any individual woman’s claim. Only a few months, at the most, after the maturing of the decision to undergo an abortion, her right thereto will have been irrevocably lost.
428 U.S. at 117, 96 S.Ct. 2868.
The Third Circuit has also discussed this element, in the context of whether psychiatrists have third-party standing to raise the claims of their mental patients. See Penn. Psychiatric Society, 280 F.3d at 289-90. In considering whether those patients were “hindered” from bringing suit, the court noted that according to one treatise,
[t]his criterion does not require an absolute bar from suit.... In other words, a *1114party need not face insurmountable hurdles to warrant third-party standing.... One treatise insists that “cases do not demand an absolute impossibility of suit in order to fall within the [impediment] exception. At the other end of the spectrum, a practical disincentive to sue may suffice, although a mere disincentive is less persuasive than a concrete impediment.”
Id. at 290 & n. 14 (quoting 15 James Wm. Moore et al, Moore’s Federal Practice § 101.51[3][c]). The court concluded that “[t]he stigma associated with receiving mental health services presents a considerable deterrent to litigation” and that “mental health patients’ ... impaired condition may prevent them from being able to assert their claims.” Id. at 290. The court concluded that “the patients’ fear of stigmatization, coupled with their potential incapacity to pursue legal remedies” was a sufficient hindrance. Id.
In Freilich v. Upper Chesapeake Health, Inc., 313 F.3d 205 (4th Cir.2002), however, the Fourth Circuit concluded that a doctor did not have third-party standing to bring a claim on behalf of her dialysis patients. Id. at 215. The court held that “we cannot simply assume that every disabled or chronically ill person is incapable of asserting his or her own claims. In fact, such persons are typical and frequent plaintiffs under both the ADA and RA.” Id.
Taking these cases as guidance, we conclude that Plaintiffs’ patients do indeed face a “genuine obstacle” to asserting their own claims. The alleged rights that Plaintiffs assert on behalf of their patients are privacy rights — the patients’ desire to keep information about their sexual activities private. Therefore, as Plaintiffs argue, “adolescents seeking health care related to sexuality or mental health care counseling ‘may be chilled from [asserting their own rights] by a desire to protect the very privacy of [the care they seek] from the publicity of a court suit.’ ” (quoting Singleton, 428 U.S. at 117, 96 S.Ct. 2868).
Additionally, the fact that those patients are minors is an additional obstacle — minors are generally not legally sophisticated and are often unable even to maintain suits without a representative or guardian. See Kan. Stat. Ann. § 38-101 (“The period of minority extends in all persons to the age of eighteen (18) years, except that every person sixteen (16) years of age or over who is or has been married shall be considered of the age of majority in all matters relating to ... the capacity to sue and be sued.”). Furthermore, minors may be hindered by the fear of reprisal from parents should information about their sexual activity be disclosed. For these reasons, we conclude that Plaintiffs’ patients are sufficiently hindered from bringing suit for this second criterion to be met.14
*1115B. Preliminary Injunction
We next address whether the district court improperly granted Plaintiffs’ request for a preliminary injunction. “This court reviews the grant of a preliminary injunction for abuse of discretion.” Dominion Video Satellite, Inc. v. EchoStar Satellite Corp., 269 F.3d 1149, 1153 (10th Cir.2001). “A district court abuses its discretion where it commits a legal error or relies on clearly erroneous factual findings, or where there is no rational basis in the evidence for its ruling.” Davis v. Mineta, 302 F.3d 1104, 1111 (10th Cir.2002) (citations omitted). Generally, to obtain a preliminary injunction, a plaintiff must establish: (1) a substantial likelihood of success on the merits, (2) that the plaintiff will suffer irreparable injury if the preliminary injunction is denied, (3) that the threatened injury to the plaintiff outweighs the injury to the defendant(s) caused by the preliminary injunction, and (4) that an injunction is not adverse to the public interest. Dominion Video Satellite, 269 F.3d at 1154. Because “a preliminary injunction is an extraordinary remedy, the right to relief must be clear and unequivocal.” Schrier v. Univ. of Colo., 427 F.3d 1253, 1258 (10th Cir.2005) (quotation omitted); see also United States ex rel. Citizen Band Potaivatomi Indian Tribe of Okla. v. Enter. Mgmt. Consultants, Inc., 883 F.2d 886, 888-89 (10th Cir.1989) (“Because it constitutes drastic relief to be provided with caution, a preliminary injunction should be granted only in cases where the necessity for it is clearly established.”).
Here, as in the district court, Plaintiffs argue that the less rigorous standard we announced in Autoskill, Inc. v. Nat’l Educ. Support Sys., Inc., 994 F.2d 1476, 1487 (10th Cir.1993), should apply. The “liberal definition” we applied in Autoskill lessens the need for showing a substantial likelihood of success on the merits: “when the other three requirements for a preliminary injunction are satisfied, it will ordinarily be enough that the plaintiff has raised questions going to the merits so serious, substantial, difficult and doubtful, as to make them a fair ground for litigation and thus for more deliberate investigation.” Id. at 1487 (quotations, citations, alterations omitted). However, in Heideman v. S. Salt Lake City, 348 F.3d 1182 (10th Cir.2003), we held that “[w]here ... a preliminary injunction seeks to stay governmental action taken in the public interest pursuant to a statutory or regulatory scheme, the less rigorous fair-ground-for-litigation standard should not be applied.” Id. at 1189 (quoting Sweeney v. Bane, 996 F.2d 1384, 1388 (2d Cir.1993)) (further quotations omitted) (citations omitted). We therefore decline to apply the “liberal definition” of Autoskill15
*11161. Substantial Likelihood of Success
The district court determined that Plaintiffs are substantially likely to succeed on their claim that mandatory reporting of minors’ voluntary sexual activity with age-mates violates the informational privacy rights of Plaintiffs’ minor patients and clients. Aid for Women, 327 F.Supp.2d at 1288. We conclude that the district court abused its discretion in making this determination.
We discuss our reasoning in more detail below. However, to avoid confusion it is helpful here at the outset to specify exactly what we are, and what we are not, addressing. The following list will emphasize how narrow our ruling is:
First, for purposes of this interlocutory appeal, Plaintiffs are not asserting any constitutional rights of their own. They are asserting only the rights of their patients and clients.
Second, for purposes of this interlocutory appeal, the Plaintiffs are not challenging the validity of the Kansas statutes criminalizing sexual conduct with a minor under the age of 16 even where that sexual activity is voluntary and among age-mates.
Third, for purposes of this interlocutory appeal, the Plaintiffs are not asserting that their minor patients and clients have been or will be forced or coerced into disclosing information about their illegal behavior to the Plaintiffs. Plaintiffs have and will come into possession of this information by lawful means.
Finally, we are not confronted here with a claim under the Fourth Amendment or the Fifth Amendment.
Having clarified the scope of our inquiry, we now address whether Plaintiffs have met their burden of showing a substantial likelihood of success on the merits of their claim.
a. Informational privacy rights
We agree with the district court’s initial determination that minors do possess a right to informational privacy. See Aid For Women, 327 F.Supp.2d at 1285. That is, the fact that they are minors does not foreclose them from constitutional privacy protection.
‘While the Constitution does not explicitly establish a right of privacy, the Supreme Court has recognized for nearly 100 years that a right of personal privacy does exist.” Eastwood v. Dep’t of Corr. of Okla., 846 F.2d 627, 630 (10th Cir.1988). This right protects “two kinds of privacy interests: the individual’s interest in avoiding disclosure of personal matters and the interest in being independent when making certain kinds of personal decisions.” Id. at 630-31; see also Whalen v. Roe, 429 U.S. 589, 599-600, 97 S.Ct. 869, 51 L.Ed.2d 64 (1977) (“The cases sometimes characterized as protecting ‘privacy’ have in fact involved at least two different kinds of interests. One is the individual interest in avoiding disclosure of personal matters, and another is the interest in independence in making certain kinds of important decisions.”) (footnotes omitted). The first interest, which is often termed “informational privacy,” “protects the individual from governmental inquiry into matters in which it does not have a legitimate and proper interest.” Eastwood, 846 F.2d at 631. An individual is thus protected from disclosure of information where the individual “has a ‘legitimate expectation ... that it will remain confidential.’ ” Sheets v. Salt Lake County, 45 F.3d 1383, 1387 (10th Cir.1995) (quoting Mangels v. Pena, 789 F.2d 836, 839 (10th Cir.1986)).
This circuit has not yet determined whether the right of informational privacy extends to minors; we now conclude that it does. In Carey v. Population Services, International, a plurality of the *1117Supreme Court opined that “the right to privacy in connection with decisions affecting procreation extends to minors as well as adults.” 431 U.S. 678, 693, 97 S.Ct. 2010, 52 L.Ed.2d 675 (1977).16 Other circuits have also recognized that minors possess privacy rights. See Planned Parenthood of S. Az. v. Lawall, 307 F.3d 783, 789 (9th Cir.2002) (recognizing “a young woman’s privacy interest in avoiding disclosure of sensitive personal information.”); Doe v. Irwin, 615 F.2d 1162, 1166 (6th Cir.1980) (“Though the state has somewhat broader authority to regulate the conduct of children than that of adults, minors do possess a constitutionally protected right of privacy.”); Wynn v. Carey, 582 F.2d 1375, 1384 (7th Cir.1978) (“[A] minor possesses the right of privacy, defined as the right of the individual ... to be free of unwarranted governmental intrusion into ... the decision whether to bear or beget a child, [but] that right is not unqualified.”) (internal citations omitted) (alterations in original); see also Planned Parenthood of Cent. Mo. v. Danforth, 428 U.S. 52, 74, 96 S.Ct. 2831, 49 L.Ed.2d 788 (1976) (“Constitutional rights do not mature and come into being magically only when one attains the state-defined age of majority.”). We agree with our sister circuits and conclude that minors do have a right to informational privacy.17
b. The reporting statute and privacy rights
We next address whether the Plaintiffs have met their burden of showing a substantial likelihood of prevailing on their claim that the reporting statute violates their minor patients’ and clients’ informational privacy rights. In making this determination, we only address the narrow question of whether the Plaintiffs have met their burden of proof and shown that their “right to relief ... [is] clear and unequivocal.” Schrier, 427 F.3d at 1258. We conclude that they have not met their burden of showing a substantial likelihood of success, for two reasons.
First, there is Tenth Circuit precedent that indicates that minors may not have any privacy rights in their concededly criminal sexual conduct. Our cases have held that “a validly enacted law places citizens on notice that violations thereof do not fall within the realm of privacy. Criminal activity is ... not protected by the right to privacy.” Nilson v. Layton City, 45 F.3d 369, 372 (10th Cir.1995) (citation omitted); Stidham v. Peace Officer Stds. & Training, 265 F.3d 1144, 1155 (10th Cir.2001) (same); see also Mangels, 789 F.2d at 839 (“Validly enacted drug laws put citizens on notice that this realm is not a private one. Accurate information concerning such unlawful activity is not encompassed by any right of confidentiality... .”). In Nilson, the plaintiff filed a § 1983 action claiming that his privacy rights were violated when a police officer disclosed to a news reporter information about the plaintiffs prior conviction for sexual abuse. 45 F.3d at 370-71. We rejected the plaintiffs claim, in part because “[l]aws proscribing sexual abuse place Mr. Nilson on notice that violations thereof do not fall within the constitutionally protected privacy realm.” Id. at 372.18 *1118Similarly, in Stidham, a peace officer claimed that his employer violated his right to privacy by spreading (allegedly false) allegations that he had raped a young woman. 265 F.3d at 1149. We noted that the information in the allegations “is sensitive in nature and considerably stigmatizes Appellant.” Id. at 1155. However, we again concluded that no privacy rights were implicated because “a validly enacted law [in Stidham, the law against rape] places citizens on notice that violations thereof do not fall into the realm of privacy.” Id. (quoting Nilson, 45 F.3d at 372); see also Wimberly v. City of Clovis, 2004 WL 3426118, at *3 (D.N.M.2004) (“It is undisputed that the information at issue concerned illegal activity. And although that information may be sensitive in nature and may stigmatize [the plaintiff], it is not constitutionally protected.”); Trade Waste Mgmt. Assoc., Inc. v. Hughey, 780 F.2d 221, 234 (3d Cir.1986) (“While it may be that when conduct resulting in [criminal] convictions or charges was engaged in the person who engaged in it expected that such participation would remain secret, that expectation was never reinforced by law.”).19
As described above, Kansas laws criminalizes all sexual conduct with minors, see swpra part I.A, and Plaintiffs do not challenge those laws. Thus, applying the rationale from Nilson and Stidham to this case would lead to a conclusion that Plaintiffs’ minor patients and clients have no right to privacy in their illegal sexual activity — even though information about that activity is “sensitive in nature” and may stigmatize those minors if disclosed.20 The dissent argues that the above-cited cases are distinguishable and suggests several grounds for distinguishing them. It is certainly possible that the cases ultimately will be distinguished; however, no Tenth Circuit or Supreme Court case has yet done so, and we feel that the dissent’s grounds for distinguishing the cases are grounds on which those cases did not rely. In any event, because this line of cases potentially applies to exclude information about all illegal sexual activity by minors from the “realm of privacy,” we cannot agree that the Plaintiffs have met their burden of showing a substantial likelihood of success on the merits of their informational privacy claims.
Our second reason for concluding that Plaintiffs have not met their burden of showing a substantial likelihood of success on the merits is that even if the rationale from Nilson and Stidham does not apply, Plaintiffs have not “clear[ly] and unequivo*1119cal[ly]” shown that the balance between their privacy rights and the government’s interests in requiring reporting is substantially likely to weigh in their favor.
Typically, “[i]f an individual has a legitimate expectation of confidentiality, then ‘[disclosure of such information must advance a compelling state interest which, in addition, must be accomplished in the least intrusive manner.’ ” Sheets, 45 F.3d at 1387 (quoting Mangels, 789 F.2d at 839). However, we agree with the district court that this is not the test where the privacy rights at issue are those of minors. Aid for Women, 327 F.Supp.2d at 1286. Rather, the question is whether the reporting statute “serve[s] ‘any significant state interest ... that is not present in the case of an adult.’ ” Carey, 431 U.S. at 693, 97 S.Ct. 2010 (plurality opinion) (quoting Danforth, 428 U.S. at 74, 96 S.Ct. 2831); see also Schleifer ex rel. Schleifer v. City of Charlottesville, 159 F.3d 843, 847 (4th Cir.1998); Johnson v. City of Opelousas, 658 F.2d 1065, 1073 (5th Cir.1981); Wynn, 582 F.2d at 1384. Answering that question requires balancing the minors’ privacy rights at issue with the countervailing state interests.
In conducting this balancing test, the district court overlooked three important factors that accentuate and strengthen the government’s interest in this balance. First, the government has a strong interest generally in the enforcement of its criminal laws. Grand Jury Proceedings of John Doe v. United States, 842 F.2d 244, 248 (10th Cir.1988) (holding that a claimed First Amendment privilege is “outweighed by the government’s interest in investigating crimes and enforcing the criminal laws”); United States v. Jorn, 400 U.S. 470, 479, 91 S.Ct. 547, 27 L.Ed.2d 543 (1971) (noting the government’s “very vital interest in enforcement of criminal laws”). Cf. New Motor Vehicle Bd. of Cal. v. Orrin W. Fox Co., 434 U.S. 1345, 1351, 98 S.Ct. 359, 54 L.Ed.2d 439 (1977) (Rehnquist, J., as Circuit Justice) (“[A]ny time a State is enjoined by a court from effectuating statutes enacted by representatives of its people, it suffers a form of irreparable injury.”). The reporting statute implicates this interest.
Second, the state has a strong parens patriae interest in protecting the best interests of minors. Davis v. Reynolds, 890 F.2d 1105, 1110 (10th Cir.1989) (“[Safeguarding the physical and psychological well-being of a minor ... is a compelling [interest].”) (quoting Globe Newspaper Co. v. Super. Ct. for Norfolk County, 457 U.S. 596, 607, 102 S.Ct. 2613, 73 L.Ed.2d 248 (1982)); Palmore v. Sidoti, 466 U.S. 429, 433, 104 S.Ct. 1879, 80 L.Ed.2d 421 (1984) (“The State, of course, has a duty of the highest order to protect the interests of minor children, particularly those of tender years.”); Pesce v. J. Sterling Morton High Sch., Disk 201, Cook County, Ill., 830 F.2d 789, 797-98 (7th Cir.1987) (concluding that a minor’s informational privacy rights were outweighed by the state’s “compelling interest in protecting abused children” and noting that “[t]he Supreme Court has recognized the substantial interest of a state in protecting all children”); see also Hodgson v. Minnesota, 497 U.S. 417, 449 n. 35, 110 S.Ct. 2926, 111 L.Ed.2d 344 (1990) (referring to a state’s “legitimate interest in protecting minor women from their own immaturity”). The reporting statute enables the government to gain information about sexual abuse and violations of the criminal law that allow it to promote the best interests of minors.
Third, the government has an interest in promoting public health, particularly the health of minors. Clark v. City of Draper, 168 F.3d 1185, 1189 (10th Cir.1999) (noting “the government’s strong interest in public health”); Buchwald v. Univ. of N.M. Sch. *1120of Med., 159 F.3d 487, 498 (10th Cir.1998) (“[PJublic health is a compelling government interest....”); Hollingsworth v. Hill, 110 F.3d 733, 739 (10th Cir.1997) (“[T]he state’s interest in the health and welfare of its children constrains a parent’s liberty interest in the custody, care, and management of her children.”); Garramone v. Romo, 94 F.3d 1446, 1451 (10th Cir.1996) (same). Reporting instances of illegal sexual abuse enables the state of Kansas to protect the health of its citizens, especially children.
There are also two factors that diminish the privacy rights of the Plaintiffs’ minor patients and clients in this balance. First and foremost, the underlying sexual activity is concededly criminal. Even if our precedent is not read generally to exclude information about criminal activity from the realm of enforceable privacy rights, the criminality of the activity nonetheless must at least diminish the minors’ privacy interest in such activity. Second, the fact that the privacy rights asserted are the rights of minors diminishes the strength of those rights somewhat. As we noted earlier, it is undoubtedly true that “the state has somewhat broader authority to regulate the conduct of children than that of adults.” Irwin, 615 F.2d at 1166. Minors’ privacy rights in personal sexual activity are not as strong as adults’ rights would be. Thus, the privacy interests in this case are diminished.
Although we note the above factors, we need not conclude definitively how this balance would ultimately be decided. Rather, we simply conclude now that even if a balancing test applies, then given the above factors, Plaintiffs have not met their burden of showing that it is substantially likely that the balance would weigh in their favor. Therefore, the district court abused its discretion in concluding that Plaintiffs have shown a substantial likelihood of success on the merits.
2. Other Preliminary Injunction Factors
In addition, we conclude that the district court abused its discretion as to the other elements of a preliminary injunction. The court apparently did not even evaluate those elements.21 See Aid for Women, 327 F.Supp.2d at 1288 (“[T]he court finds plaintiffs are likely to succeed on their informational privacy claim. Thus, the court grants plaintiffs’ motion for a preliminary injunction on this basis.”). Most obviously, the court did not even evaluate whether there would be irreparable injury in the absence of this preliminary injunction.22 See Dominion Video Satellite, Inc. v. Echostar Satellite *1121Corp., 356 F.3d 1256, 1266 (10th Cir.2004) (reversing the grant of a preliminary injunction because the parties’ stipulation was insufficient and “[b]eeause the district court articulated no other ground to substantiate a finding of irreparable harm”). As to the remaining preliminary injunction factors, the district court’s analysis was at the very least inadequate. We note, for example, that as for the third factor— whether the threatened injury to the plaintiff outweighs the injury to the defendants) caused by the preliminary injunction — the district court did not even identify any possible harm to the Defendants from the injunction. And, as to Plaintiffs, the court merely stated that “even a limited breach of confidentiality concerning such unique and intimate information could have large implications for the well-being of minors.” Aid for Women, 32A F.Supp.2d at 1288. Of course, “large implications” is not equivalent to harm, and such vague language does not indicate the sort of analysis properly involved in evaluating this factor.
As to the final preliminary injunction factor, the district court said only that “[i]t is persuasive that the parties operated under the 1992 advisory opinion for a substantial period of time without discernible problems.” Id. This may mean that the preliminary injunction would not discernibly harm the public interest because under the old Attorney General opinion there were no “discernible problems.” However, we conclude that failure to engage in a more explicit analysis of the public interest is an abuse of discretion.
Therefore, because the district court failed to adequately analyze the last three preliminary injunction factors, we conclude that it abused its discretion on that basis as well.
III. CONCLUSION
For the foregoing reasons, we agree with the district court that Plaintiffs have standing to bring this suit and to raise the privacy rights of their minor patients. We conclude, however, that the district court abused its discretion in determining that Plaintiffs have a substantial likelihood of success on the merits. In addition, the district court abused its discretion by failing to adequately analyze the additional three preliminary injunction factors. We therefore VACATE the preliminary injunction issued by the district court and REMAND for further proceedings in connection with that decision.
. Due to the impending trial in the .district court on the merits, our decision in this appeal was originally issued as an unpublished Order and Judgment on January 27, 2006. On the court's own motion, the Order and Judgment is amended nunc pro tunc and is being re-issued as this published opinion.
. For example, article 35 criminalizes, inter alia, "sexual intercourse with a child who is under 14 years of age," Kan. Stat. Ann. § 21-3502(a)(2);
engaging in any of the following acts with a child who is 14 or more years of age but less than 16 years of age: (1) Any lewd fondling or touching of the person of either the child or the offender, done or submitted to with the intent to arouse or to satisfy the sexual desires of either the child or the offender, or both; or (2) soliciting the child to engage in any lewd fondling or touching of the person of another with the intent to arouse or satisfy the sexual desires of the child, the offender or another,
*1107id. § 21-3503(a); "[sjexual intercourse with a child who is 14 or more years of age but less than 16 years of age,” id. § 21-3504(a)(l); and
engaging in voluntary: (1) Sexual intercourse; (2) sodomy; or (3) lewd fondling or touching with a child who is 14 years of age but less than 16 years of age and the offender is less than 19 years of age and less than four years of age older than the child and the child and the offender are the only parties involved,
id. § 21-3522.
. There are several exceptions, such as when the SRS is not open for business or when the alleged abuse was perpetrated by an employee of the SRS. See Kan. Stat. Ann. § 38-1522(c), (e).
. At oral argument, Plaintiffs advanced the definition of "age-mates” as persons separated by three years of age or less.
. It is clear from the district court’s findings, however, that SRS may use this reported information for investigation or follow-up if it reveals patterns of abuse. Aid For Women v. Foulston, 327 F.Supp.2d 1273, 1287 (D.Kan.2004) ("[T]he 'screening out’ decision involves some preliminary investigation and the use of the SRS database!)] • • ■ allowing] the SRS to check for any prior abuse reports made about a minor and look for patterns necessitating more investigation and additional follow-up.”). So, the dissent is incorrect in assuming that the SRS has no governmental use for screened-out information.
. "[I]t is the well-settled position of this court that attorney general opinions are not binding law in Kansas, but are merely persuasive authority.” Willis v. Kan. Highway Patrol, 273 Kan. 123, 41 P.3d 824, 829 (2002). Thus, county and district attorneys are not bound by opinions of the Attorney General.
. The district court granted the motion for class certification on January 7, 2004.
. The district court determined that Plaintiffs are not likely to succeed on the merits of their due process claim. Aid for Women, 327 F.Supp.2d at 1283. Plaintiffs do not appeal that decision here. However, we conclude that because the district court's decision was preliminary and because Plaintiffs could still potentially prevail on their lack-of-fair-notice claim at trial, the district court’s decision is insufficient to moot Plaintiffs’ claim of a case or controversy.
. See also Doe v. Bolton, 410 U.S. 179, 188, 93 S.Ct. 739, 35 L.Ed.2d 201 (1973) ("Georgia-licensed doctors consulted by pregnant women ... have standing [to challenge Georgia’s criminal abortion statutes] despite the fact that the record does not disclose that any one of them has been prosecuted, or threatened with prosecution, for violation of the State's abortion statutes. The physician is the one against whom these criminal statutes directly operate.... The physician-appellants, therefore, assert a sufficiently direct threat of personal detriment. They should not be required to await and undergo a criminal prosecution as the sole means of seeking relief.”).
. Additionally, Plaintiffs allege several other forms of injury that could satisfy the injury prong of the constitutional standing test. They assert an "if ... then" approach to injury (i.e., if we don’t follow the Kline interpretation, then we face prosecution, but if we do follow it, then we will harm our patients' and clients’ constitutional rights). It seems that the "if ... then” approach would be sufficient for standing if Plaintiffs would be injured whether they follow the Kline interpretation or not. Plaintiffs allege that if they do not follow the Kline interpretation, they face prosecution under the reporting statute. Plaintiffs also allege that following the Kline interpretation will harm Plaintiffs' "professional relationships with [their] adolescent patients.” Additionally, standing injury might be found for the physician Plaintiffs because "physicians face real and immediate injury by complying with the notification regulation since they may thereby violate an ethical and legal duty to maintain confidentiality.” New York v. Heckler, 719 F.2d 1191, 1195 (2d Cir.1983). Thus, at least at this stage of the proceedings, Plaintiffs have alleged injury whether they follow the Kline interpretation or not.
. See also Essence, Inc. v. City of Federal Heights, 285 F.3d 1272, 1287 (10th Cir.2002) ("A well-established exception to the bar against third-party standing is when the exercise of rights by the third party is intertwined with the litigant’s activities.”).
. Because we conclude that the physician Plaintiffs qualify for third-party standing, we need not evaluate whether the non-physician Plaintiffs qualify. See Babbitt v. United Farm Workers Nat'l Union, 442 U.S. 289, 299 n. 11, 99 S.Ct. 2301, 60 L.Ed.2d 895 (1979).
. Plaintiffs mistakenly assert that this case is controlled by Singleton v. Wulff, 428 U.S. 106, 96 S.Ct. 2868, 49 L.Ed.2d 826 (1976), which they contend "held that a physician could 'assert the rights of women patients as against governmental interference with the abortion decision.' ” (quoting Singleton, 428 U.S. at 118, 96 S.Ct. 2868). However, Singleton’s discussion of third-party standing was joined only by a four-member plurality. See id. at 108, 96 S.Ct. 2868; see also Am. Immigration Lawyers Ass’n v. Reno, 199 F.3d 1352, 1360 & n. 10 (D.C.Cir.2000). A fifth Justice voted for standing solely on the grounds that "(1) the plaintiff-physicians have a financial stake in the outcome of the litigation, and (2) they claim that the statute impairs their own constitutional rights.” 428 U.S. at 121, 96 S.Ct. 2868 (Stevens, J., concurring). Many cases nonetheless speak of the court in Singleton as having "held” that the physician had third-parfy standing. E.g., Volunteer Med. Clinic, Inc. v. Operation Rescue, 948 F.2d 218, 223 (6th Cir.1991).
. We also reject Defendants' claim that Tileston v. Ullman, 318 U.S. 44, 63 S.Ct. 493, 87 L.Ed. 603 (1943), requires that we find that Plaintiffs lack third-party standing. In Tile-ston, a physician argued that a statute preventing him from giving contraceptives to patients whose lives would be threatened by pregnancy violated his patients’ right to life. Id. at 45, 63 S.Ct. 493. The Supreme Court held that “there is no basis on which we can say that [the physician] has standing to secure an adjudication of his patients’ constitutional right to life, which they do not assert in their own behalf.” Id. at 46, 63 S.Ct. 493. In contrast, a physician in the later Supreme Court case of Griswold v. Connecticut, 381 U.S. 479, 85 S.Ct. 1678, 14 L.Ed.2d 510 (1965), was allowed to assert the rights of his patients in appealing his conviction for providing contraceptive advice. Id. at 480, 85 S.Ct. 1678. The Supreme Court distinguished Tileston:
Tileston v. Ullman ... is different, for there the plaintiff seeking to represent others asked for a declaratory judgment. In that situation we thought that the requirements of standing should be strict, lest the standards of 'case or controversy’ in Article III of the Constitution become blurred. Here *1115those doubts are removed by reason of a criminal conviction for serving married couples in violation of an aiding-and-abetting statute.
Id. at 481, 85 S.Ct. 1678. Defendants argue that because Plaintiffs have not been criminally convicted and because they seek a declaratory judgment, they therefore lack standing to assert their minor patients’ claims.
However, Tileston has been described as a case where "[t]he patients were fully able to bring their own action,” Eisenstadt v. Baird, 405 U.S. 438, 443 n. 4, 92 S.Ct. 1029, 31 L.Ed.2d 349 (1972), and where the physician "did not allege any infringement of his own rights, nor even any inconvenience to himself,” Alexander M. Bickel, The Supreme Court 1960 Foreword: The Passive Virtues, 75 Harv. L.Rev. 40, 58 (1961). Given the obstacles Plaintiffs' minor patients face in asserting their own rights, and given that Plaintiffs assert infringement of their own due process rights as well as the rights of their patients, Tileston does not control in this case.
. Plaintiffs argue that the Heideman rule is inapplicable because "the action of requiring automatic reporting is not 'in the public interest.’ ” However, we presume that all governmental action pursuant to a statutory scheme is "taken in the public interest.”
. Although the district court stated that this was “held” by the Supreme Court, a footnote encompassing the quoted Supreme Court language clarifies that “this part of the opinion expresses the views of Justices BRENNAN, STEWART, MARSHALL and BLACKMUN.” Carey, 431 U.S. at 691 n. 12, 97 S.Ct. 2010.
. We do not need to determine the precise parameters of this right in the context of minors, but it is undoubtedly true that “the state has somewhat broader authority to regulate the conduct of children than that of adults.” Irwin, 615 F.2d at 1166; see also Wynn, 582 F.2d at 1384 (describing the privacy right of minors as “not unqualified”).
.As described above, any sexual activity involving a minor younger than 16 is “sexual abuse” under Kansas law. See supra part I.A.
. It is clear that this rule can only apply where the validity of the criminal law is not challenged. That is, if a law making a certain activity a crime is challenged as violative of a constitutional privacy right, the government cannot defend the law by arguing that because the activity is illegal, there is no privacy right in that activity. See, e.g., Griswold, 381 U.S. at 479, 85 S.Ct. 1678. Here, however, Plaintiffs expressly "do not challenge the constitutionality of the Kansas statute making any sexual activity with an adolescent under 16 a crime.” Cf. Fleisher v. City of Signal Hill, 829 F.2d 1491, 1498 (9th Cir.1987) ("The illegality of [the plaintiff's] behavior creates a substantial barrier to his successfully asserting a privacy claim. [The plaintiff] has not challenged the constitutionality of California's statutory rape law or of the Department's regulations, and yet he would have us hold that acts amounting to statutory rape are protected by the right of privacy.”).
. Of course, there are other constitutional protections limiting how the government can obtain information about illegal conduct, even if that conduct "do[es] not fall within the constitutionally protected privacy realm." Nilson, 45 F.3d at 372. As Plaintiffs point out, "the power to obtain evidence and information about conduct is severely circumscribed by the Bill of Rights, primarily the Fourth, Fifth and Sixth amendments.” However, no such claims are presented to us in this interlocutory appeal.
. Cf. Kiowa Indian Tribe of Okla. v. Hoover, 150 F.3d 1163, 1172 (10th Cir.1998) (”[T]he district court relied only on the issue of irreparable harm and did not address the other three conditions required for issuance of a preliminary injunction. Accordingly, we reverse the district court's denial of a preliminary injunction....'').
. Plaintiffs assert that there will be irreparable injury because automatic reporting “will deter adolescents from obtaining needed health care,” "will specifically deter adolescents from being open and candid‘with their health care providers,” and because "the harm to the constitutional rights of plaintiffs and their patients is per se irreparable injury.” Because our cases require a showing of "irreparable injury to the movant,” Valley Cmty. Pres. Comm’n v. Mineta, 373 F.3d 1078, 1083 (10th Cir.2004) (quotation omitted), injury to Plaintiffs’ minor patients may be insufficient to satisfy the requirement for a preliminary injunction. Because of our earlier ruling on likelihood of success on the merits, we do not here definitively need to decide whether, in a case of third-party standing, a movant can rely on irreparable injury to the third parties whose interests are being asserted. In any event, as to the alleged "harm to the constitutional rights of plaintiffs,” we note that the district court concluded that the statute does not violate Plaintiffs’ due process right to fair notice.