The obstetrician-gynecologist should consider referral to a therapist. Physical Effects Chronic and diffuse pain, especially abdominal or pelvic pain 1 , lower pain threshold 7 , anxiety and depression, self-neglect, and eating disorders have been attributed to childhood sexual abuse. Am J Prev Med ; It can strip people of their dignity and agency, and devalue their self-worth. National Center for Health Statistics. J Gen Intern Med ;8: Recognition of sexual abuse.
J Fam Pract ; Survivors are more likely to have had 50 or more intercourse partners, have had a sexually transmitted infection, and engage in risk-taking behaviors that place them at risk of contracting human immunodeficiency virus HIV 8, 9. It is important to secure the patient's express authorization before referring her to a mental health specialist, as well as helping the patient to not feel abandoned or rejected when a counseling referral is made. If the patient reports childhood sexual abuse, ask whether she has disclosed this in the past or sought professional help. Rhodes N, Hutchinson S. It is important to ask permission to touch the patient. Brooke is building a healing community of survivors with this message at its core, and giving voice to all survivors of sex trafficking. Patients may bring up the subject at a later visit if they have developed trust in the obstetrician-gynecologist. Sexuality, sexual dysfunction, and sexual assault. Sexual Effects Disturbances of desire, arousal, and orgasm may result from the association between sexual activity, violation, and pain. Physical Effects Chronic and diffuse pain, especially abdominal or pelvic pain 1 , lower pain threshold 7 , anxiety and depression, self-neglect, and eating disorders have been attributed to childhood sexual abuse. There is only child rape. The fact is, there are real people in the United States that know about this issue all too well—from personal experience. Survivors may be less likely to have regular Pap tests and may seek little or no prenatal care. Caring for victims of childhood sexual abuse. The obstetrician-gynecologist can be a powerful ally in the patient's healing by offering support and referral. All procedures should be explained in advance, and whenever possible, the patient should be allowed to suggest ways to lessen her fear. Low self-esteem can affect many different areas of your life such as your relationships, your career, and even your health. A practical approach to clients who are survivors of childhood sexual abuse. American College of Obstetricians and Gynecologists. To be free, we have to bring everything into the light, so our shame and our secrets no longer have power over us. Even if a child is actively trading sex for money, food or shelter to survive, this still qualifies as statutory rape. Common life events, like death, birth, marriage, or divorce may trigger the return of symptoms for a childhood sexual abuse survivor. They are also twice as likely to smoke, be physically inactive, and be severely obese 8. Women who are survivors of childhood sexual abuse often present with a wide array of symptoms.
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