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Nonconsensual Condom Removal or Stealthing: A Case Study
Donna Scott Tilley1, Eryn Adams2, Mikayla Grosz3
1SANE Program, Covenant Medical Center and Covenant Children's Hospital, Lubbock, Texas.
Journal of Forensic Nursing
|June 13, 2025
Summary
Nonconsensual condom removal (NCCR), or stealthing, is a form of sexual violence. This case study highlights the experience of a 25-year-old transgender male patient who endured NCCR.
Area of Science:
- Forensic Medicine
- Sexual Assault Research
- Transgender Health
Background:
- Nonconsensual condom removal (NCCR), also known as stealthing, is a form of sexual violence.
- Victimization correlates include minority status and specific relationship types.
- Psychological impacts include decreased confidence, fear, depression, and history of abuse.
Purpose of the Study:
- To present a case of NCCR in a transgender male patient.
- To highlight the complexities of sexual assault for minority populations.
Main Methods:
- Case report of a 25-year-old transgender male (AK) presenting to the ED.
- Detailed clinical examination by a Sexual Assault Nurse Examiner (SANE).
- Provision of prophylactic treatment for STIs, HIV, and pregnancy, along with advocacy support.
Main Results:
- AK experienced NCCR during sexual activity, with his request to stop being ignored.
- Comprehensive medical and supportive care was provided, respecting patient preferences.
- The case underscores the need for further research and policy development.
Conclusions:
- NCCR is an underreported form of sexual violence requiring increased attention.
- Healthcare providers must be prepared to address NCCR with sensitivity and thoroughness.
- Policy and research are crucial to combat this growing issue.
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