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The prepubertal genital exam: what is normal and abnormal
1Department of Obstetrics and Gynecology, University of Texas Medical Branch at Galveston.
Current Opinion in Obstetrics & Gynecology
|December 1, 1994
Summary
Physicians increasingly examine prepubertal girls due to rising sexual abuse reports. Studies now clarify normal genital anatomy and identify trauma-related changes in children.
Area of Science:
- Pediatric Medicine
- Forensic Medicine
- Gynecology
Background:
- Increased reporting of sexual abuse necessitates physician expertise in examining prepubertal girls.
- Physicians require updated knowledge on normal genital anatomy and trauma-induced changes in children.
Purpose of the Study:
- To provide physicians with current information on the appearance of genital structures in nonabused prepubertal girls.
- To describe acute and chronic physical changes in the female genitalia resulting from trauma.
Main Methods:
- Literature review of recent studies on pediatric genital examinations.
- Analysis of findings related to normal anatomy and trauma in prepubertal girls.
Main Results:
- Clarification of the typical appearance of genital structures in nonabused prepubertal girls.
- Identification of specific acute and chronic changes indicative of genital trauma.
Conclusions:
- Physicians performing genital examinations on prepubertal girls need to be aware of normal findings and signs of abuse.
- Accurate interpretation of genital findings is crucial for the diagnosis and management of sexual abuse in children.