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J Midwifery Womens Health. 2017 Mar;62(2):215-219. doi: 10.1111/jmwh.12608. Epub 2017 Mar 24.

Dyspareunia in a Survivor of Childhood Sexual Abuse.


Dyspareunia is a frequent chief concern encountered by midwives and other women's health care providers. There are many possible etiologies for dyspareunia, including a history of childhood sexual abuse, and approaching assessment in a holistic manner is necessary to identify the etiology. This case report presents evidence on the importance of screening a woman who presents with dyspareunia in a therapeutic manner to facilitate disclosure of sexual abuse. Best practices for screening for sexual violence, along with recommendations for providing gynecologic care to survivors, are offered. By understanding the long-term sequelae of sexual abuse and through screening all women, midwives and other women's health care providers can facilitate healing and treatment for survivors.


childhood sexual abuse; dyspareunia; screening; sexual abuse

[Indexed for MEDLINE]

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