Geburtshilfe. Probleme in der Schwangerschaft, während der Geburt und im Wochenbett nach sexuellen Gewalterfahrungen

Anogenital Warts in Childhood – Always a Marker for Sexual Abuse?

“…The symptoms noticeable in the paediatric gynaecological examination are only rarely pathognomonic of sexual abuse having taken place. Sexual abuse can be demonstrated by physical examination in less than 10 % of children [26,[33][34][35][36][37]. Circumstances providing clear evidence of sexual abuse, even without a statement by the child, include acute trauma of the anogenital tract (lacerations, haematomas, deep perineal tears) without clear evidence of accidental aetiology, infections with gonococci, syphilis and HIV after ruling out perinatal transmission, trichomoniasis after the 1st year of life, a chlamydia-trachomatis infection after the 3rd year of life, as well as evidence of spermatozoa on the childʼs body and pregnancy [26,33].…”