+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Labial adhesions and posterior fourchette injuries in childhood sexual abuse

Labial adhesions and posterior fourchette injuries in childhood sexual abuse

American Journal of Diseases of Children 142(6): 659-663

Six cases involving six sisters, all of whom were sexually molested, are presented to illustrate the association between labial adhesions and posterior fourchette injuries in sexually abused children. Although labial adhesions are a relatively common lesion, they only recently have been associated with childhood sexual abuse. Labial adhesions are ordinarily found in girls between 2 months and 7 years of age and are usually very superficial and disappear spontaneously by the time the child approaches puberty. We encountered six sisters, all of whom had been sexually abused, who had labial adhesions. Four of the six had changes in the area of the posterior fourchette that were consistent with previous trauma. In addition, four of the girls' hymens had thickened, irregular edges or other changes that were considered abnormal. The father, the grandfather, and an uncle confessed to lewd and lascivious misconduct with the children. Although labial adhesions alone are not reason enough to make a report of sexual abuse, the physician is obligated to inquire as to the possible cause if the adhesions do not fit the usual pattern or if there are other suspicious findings.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 005787165

Download citation: RISBibTeXText

PMID: 3369406

DOI: 10.1001/archpedi.1988.02150060093040

Related references

Association of a posterior fourchette finding with other evidence of sexual abuse in prepubertal females. Pediatric Research 49(4 Part 2): 162A, 2001

Childhood sexual abuse and psychiatric disorder in young adulthood: I. Prevalence of sexual abuse and factors associated with sexual abuse. Journal of the American Academy of Child and Adolescent Psychiatry 35(10): 1355-1364, 1996

Labial adhesions in childhood. Journal of Pediatric Health Care 10(1): 26-27, 1996

The development of a sexual abuse severity score: characteristics of childhood sexual abuse associated with trauma symptomatology, somatization, and alcohol abuse. Journal of Interpersonal Violence 24(3): 537-546, 2009

A meta-analysis of disparities in childhood sexual abuse, parental physical abuse, and peer victimization among sexual minority and sexual nonminority individuals. American Journal of Public Health 101(8): 1481-1494, 2011

Female sexual-offenders: personality pathology as a mediator of the relationship between childhood sexual abuse history and sexual abuse perpetration against others. Child Abuse and Neglect 31(8): 871-883, 2007

Amelioration of sexual fantasies to sexual abuse cues in an adult survivor of childhood sexual abuse: a case study. Journal of Behavior Therapy and Experimental Psychiatry 39(4): 417-423, 2008

Perceptions of childhood sexual abuse survivors: development and initial validation of a new scale to measure stereotypes of adult survivors of childhood sexual abuse. Journal of Child Sexual Abuse 22(3): 358-378, 2013

Anogenital injuries in childhood sexual abuse victims treated in a pediatric Forensic Nurse Examiner (FNE) program. Journal of Forensic Nursing 6(4): 188-195, 2010

Psychologists' beliefs about the prevalence of childhood sexual abuse: the influence of sexual abuse history, gender, and theoretical orientation. Child Abuse and Neglect 23(8): 803-811, 1999

Adult male survivors of childhood sexual abuse Prevalence, sexual abuse characteristics, and long-term effects. Clinical Psychology Review 16(7): 619-639, 1996

Does physical abuse, sexual abuse, or neglect in childhood increase the likelihood of same-sex sexual relationships and cohabitation? A prospective 30-year follow-up. Archives of Sexual Behavior 39(1): 63-74, 2010

Relationship between dissociation, childhood sexual abuse, childhood physical abuse, and mental illness in a general population sample. American Journal of Psychiatry 155(6): 806-811, 1998

Investigating the association between childhood sexual abuse and alcohol use disorders in women: does it matter how we ask about sexual abuse?. Journal of Studies on Alcohol and Drugs 73(5): 740-748, 2012

Trauma symptoms, sexual behaviors, and substance abuse: correlates of childhood sexual abuse and HIV risks among men who have sex with men. Journal of Child Sexual Abuse 13(1): 1-15, 2004