Long term effects of childhood sexual abuse are changing, complex, and often devastating. Several obstetrician gynecologists knowingly or unknowingly provide care for abuse survivors and should screen all women for a background of like abuse. Depression, anxiety, and anger are the most important reported emotional responses to childhood sexual abuse. Gynecologicalproblems ,concluding chronic pelvic pain, dyspareunia, vaginismus, nonspecific vaginitis, and gastrointestinal disorders are common diagnoses among survivors. The Gynecologist can offer support to abuse survivors by giving them empowering messages, counseling referrals, and empathic care during sensitive examinations.
Sexual contact that is accomplished by force or threat of force regardless of the age of the participants is abusive. . Sexual relation with an older child and a younger child also can be abusive if there is a significant disparity in age group , development, or size, rendering the younger child incapable of giving informed consent. The sexually abusive acts may include sexual penetration, sexual touching, or noncontact sexual acts like as exposure or voyeurism (2). Legal definitions vary by state.
More extreme symptoms can be associated with abuse onset at an initial age, extended or frequent abuse, incest by a parent, or use of force. Common life events like as death, birth, marriage, or divorce may trigger the return of symptoms for a childhood sexual abuse survivor. The primary aftereffects of signs of childhood sexual abuse are follows:-
• Emotional reactions
Emotions such as fear, shame, humiliation, guilt, and self-blame are basically and lead to depression and anxiety.
• Symptoms of posttraumatic stress.
Survivors may experience intrusive or recurring thoughts of the abuse as well as nightmares or flashbacks.
• Distorted self-perception.