If my hymen doesn't break, I can not get pregnant. Ensure them that everything is OK and that there was no permanent damage. Examination for sexual abuse in prepubertal children: Most patients probably benefit from prophylaxis because follow-up of patients who have been sexually assaulted can be difficult, and they may be reassured if offered treatment or prophylaxis for possible infection. Comparison of colposcopic and unaided examinations. More Sign up for our newsletter Discover in-depth, condition specific articles written by our in-house team. Examination is usually performed in the supine frog-legged position.
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When testing for Chlamydia and gonorrhea, it is vital that true cultures be obtained. Continue reading from March 1, Previous: Ensure them that everything is OK and that there was no permanent damage. Unfortunately, there is an exceptional amount of misunderstanding concerning the anatomy of the hymen. November Heller, Debra S. The aetiology of vaginal bleeding in children. Acute Scrotal Pain or Swelling.
Many victims of abuse present to their local emergency department ED for evaluation. Without estrogen, the hymen becomes smooth, thin and without any elasticity. Angel Roar aims to teach kids about the child abuse epidemic and the importance of disclosure and to assist parents in understanding how common the problem of child abuse really is and how to cope with a child abuse incident. Doctors in the Netherlands resort to using the following form of words when subjected to such request: The second aspect that is often checked is the tightness of the vagina. The hymen is a membrane in the vaginal canal. Metronidazole, mg orally twice daily for seven days.
Diagnosis of gonorrhea, syphilis, HIV, or Chlamydia if other modes of transmission have been excluded i. The catheter is inserted into the vagina, the balloon is inflated and, with mild retraction, the hymen is stretched Figure 5. Findings by pediatric emergency medicine physicians compared with child abuse trained physicians. Many myths regarding female genital anatomy are based solely on dogma and lack of research. Left Healed transections are present at the 4- and 7-o'clock positions, and a notch is present at the 6-o'clock position.