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. Because the examination findings of most child victims of sexual abuse are within normal limits or are nonspecific, the child's statements are extremely important. The child's history as obtained by the physician may be admitted as evidence in court trials; therefore, complete documentation of questions and answers is critical.
Evaluating the Child for Sexual Abuse
Anal signs of child sexual abuse: a case–control study
These were all children who had had their genitalia examined at the time of their referral. In 81 children Group A who had no history or evidence of sexual abuse, two fissures were found, both with medical explanations for their presence. The significance of the findings was discussed with a view to clarifying the relative importance of anal fissures in children with a strong history of anal abuse. This is a preview of subscription content, access via your institution. Rent this article via DeepDyve. Arch Dis Child — Pediatrics —
Anal fissures and anal scars in anal abuse—are they significant?
There is uncertainty about the nature and specificity of physical signs following anal child sexual abuse. The study investigates the extent to which physical findings discriminate between children with and without a history of anal abuse. Controls: all children examined anally from to with possible physical abuse or neglect with no identified concern regarding sexual abuse. To explore the potential role of confounding, logistic regression was used to produce odds ratios adjusted for age and gender. A total of cases boys, 79 girls , average age
Anal sex or anal intercourse is generally the insertion and thrusting of the erect penis into a person's anus , or anus and rectum , for sexual pleasure. While anal sex is commonly associated with male homosexuality , research shows that not all gay men engage in anal sex and that it is not uncommon in heterosexual relationships. As with most forms of sexual activity, anal sex participants risk contracting sexually transmitted infections STIs.