Sexual Abuse: Signs and Symptoms
Signs of sexual abuse may not be apparent without an examination of the genital area. These signs include:
- Bruises, scars, chafing, or bite marks in the genital area.
- Discharge or bleeding from the vagina.
- Rectal or genital bleeding.
- Anal tears or dilation.
- Symptoms of a Reference sexually transmitted infection (STI) Opens New Window, such as Reference gonorrhea Opens New Window, Reference chlamydia Opens New Window, Reference syphilis Opens New Window, or Reference HIV Opens New Window.
Vaginal bleeding in a child before the beginning of menstruation is abnormal, as are other vaginal or genital symptoms such as sores, warts, pain, or unusual discharge. Abnormal vaginal bleeding may be caused by physical or sexual abuse that injures the abdominal or vaginal area. Vaginal bleeding that is caused by abuse often is the result of minor physical injuries that will get better on their own or with home treatment.
You may feel uneasy if your child's doctor brings up the issue of abuse. But doctors have a professional duty and legal obligation to evaluate the possibility of abuse. It is important to consider this, especially if there were no witnesses to the injury that caused the child's vaginal bleeding.
If you think your child has been sexually abused, call your child's doctor or contact the National Child Abuse Hotline and Referral Service at 1-800-422-4453.
|By:||Reference Healthwise Staff||Last Revised: Reference June 20, 2011|
|Medical Review:||Reference William H. Blahd, Jr., MD, FACEP - Emergency Medicine
Reference H. Michael O'Connor, MD - Emergency Medicine