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Childhood sexual abuse and subsequent gynaecological conditions
Author(s) -
Kaliray Pavan,
Drife James
Publication year - 2004
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1576/toag.6.4.209.27017
Subject(s) - sexual abuse , medicine , psychiatry , depression (economics) , referral , pelvic pain , population , clinical psychology , injury prevention , poison control , family medicine , medical emergency , surgery , environmental health , economics , macroeconomics
Physical, sexual or emotional abuse in childhood occurs in all countries and social classes. Estimates of the prevalence of childhood sexual abuse among the general population vary from 7% to 38% but among gynaecological patients rates are generally between 15% and 20%. Rates are highest among women with chronic pelvic pain and those who have had gynaecological surgery. Childhood sexual abuse may cause adult depression, somatisation or neurological changes. Gynaecologists should remember that childhood sexual abuse is common. Empathic questioning about the possibility should be routinely included. Failure to do so may lead to inappropriate treatment, including unnecessary surgery. Women distressed by childhood sexual abuse should be offered appropriate referral.