Hymen sexual abuse

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Conversations about the female body, reproductive organs, sexuality, and virginity have dominated cultural discourse for centuries. They have been the subject of works of fiction, Renaissance art, romantic tales, religious missives, feminist theories and counter-theories, historical narratives, political movements, global health initiatives, and of course, scientific articles. This dialogue often begins with broad philosophical, cultural, and religious concepts, but, when discussing virginity, invariably turns towards biology, specifically a tiny, membranous tissue at the external vaginal opening with no known biological function: the hymen. But can it really do all that?
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Evaluating the Child for Sexual Abuse

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Sexual abuse: When to suspect it, how to assess for it | Contemporary Pediatrics

Clinicians, however, continue to refer to changes in the hymen to assess for a history of consensual or nonconsensual sexual intercourse. We reviewed published evidence to dispel commonly held myths about the hymen and its morphology, function, and use as evidence in cases of sexual violence. An examination of the hymen is not an accurate or reliable test of a previous history of sexual activity, including sexual assault. We call on clinicians to consider the low predictive value of a hymen examination and to: 1 avoid relying solely on the status of the hymen in sexual assault examinations and reporting; 2 help raise awareness of this issue among their peers and counterparts in law enforcement and the judicial system; and 3 promote fact-based discussions about the limitations of hymenal examinations as part of clinical education for all specialties that address the sexual or reproductive health of women and girls.
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The Little Tissue that Couldn’t – the Hymen’s Role in Determining Sexual History or Assault

Related Editorial. Child victims of sexual abuse may present with physical findings that can include anogenital problems, enuresis or encopresis. Behavioral changes may involve sexual acting out, aggression, depression, eating disturbances and regression.
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Knowing the signs and symptoms of sexual abuse, techniques of interviewing, the significance of anogenital findings, and which lab tests to order will help you identify victims and intervene effectively. Caring for patients who are victims of sexual abuse is particularly challenging. These patients are challenging to care for in the office because they require significant time, emotional energy, and resources.
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