Sexual Abuse

Most sexually-abused children are brought to medical attention after disclosing the abuse to another person, although some present after caregivers notice physical symptoms or concerning sexual behaviors. In addition to obtaining a careful history and physical exam (including anogenital exam appropriate to the age of a child), forensic evidence collection and testing for sexually-transmitted infections may be necessary. Management includes reporting and/or cooperating with child protection and law enforcement investigators, and prompt referral to a mental health professional.