[Sexual abuse: what gynaecologists hear].

Area of Science:

• Psychiatry and Psychology
• Trauma Studies
• Women's Health

Context:

• Sexual abuse is prevalent and has significant psychopathological effects.
• Victims frequently conceal their experiences, even during medical consultations.
• Subtle behavioral and symptomatic indicators may suggest underlying trauma.

Purpose:

• To highlight the importance of recognizing the hidden impact of sexual abuse in clinical settings.
• To emphasize the need for empathetic approaches to uncover patient trauma.
• To underscore the long-term therapeutic process required for healing.

Summary:

• Sexual abuse, despite its frequency and severe consequences, is often not the stated reason for patient consultations.
• Clinicians must be attuned to non-verbal cues and indirect expressions of suffering, such as specific behavioral patterns or gynecological issues.
• With sustained empathy and time, patients may disclose past abuse, initiating a lengthy recovery process often involving multidisciplinary specialists.

Impact:

• Improved patient care through sensitive identification of hidden trauma.
• Enhanced understanding of the long-term psychopathological effects of sexual abuse.
• Facilitation of a more comprehensive and effective therapeutic approach for survivors.