Child sexual abuse and physical injuries that may result
Physical indicators of sexual abuse are not always present and in fact, most examinations of sexually abused prepubertal girls result in normal examination findings due to the elasticity of the hymenal tissue and rapid healing of any injuries that may have occurred during the sexual abuse. Long term problems resulting from sexual abuse are rare but may include gastrointestinal disorders such as irritable bowel syndrome, non-ulcer dyspepsia, or chronic abdominal pain. Occasionally gynecological disorders may persist such as chronic pelvic pain, dysmenorrheal, or menstrual irregularities.
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