A member asked:

What would a doctor do if a girl age 19 came in after a rape? she has never been to a doctor before besides from when she was born. what are the procedures? what dp they procedures intale? how long? what if she is pregnant or damaged?

4 doctors weighed in across 2 answers

All : All hospital/er rooms have a team that specifically deals with rape. The protocols may differ from state to state. I will summarize standard protocol based on current california guidelines: overview of what will occur(explanation given to victim), patient consent, documentation(sexual assault, medical, and injury) , body diagrams, forensic photography , bite mark evidence if applicable; dna evidence collection, oral swabs and smear , trace evidence , clothing , underwear , debris collection , dried secretions and/or bite marks, matted material in hair, fingernail scrapings , pulled head hairs , pubic hair combings , pulled pubic hairs , external genital exam , perianal and anal swabs and smear , vulvar/penile swabs and smears vaginal swabs and smears, cervical swabs and smears therapist/cunselor additional health concerns prophylaxis against pregnancy- a Plan B pill will be given if desired (emergency contraeption pill) std counseling protocol and timeline for testing. Post-assault care and patient discharge i hope this helps, and i hope the victim you speak of will heal physically and emotionally very soon.

Answered 10/3/2016

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Dr. Stephen Christensen answered

Specializes in Family Medicine

I'm : I'm sorry to hear about your situation. Since you posted your question a week ago, i hope you've addressed this issue by now. The best time to perform an examination following rape is immediately after the assault, before the victim has showered or changed clothing. Most urgent care centers and emergency rooms have established policies for performing rape examinations. These policies are designed to respect the victim's needs while still addressing the strict legal issues surrounding a sexual assault. Evaluation of a rape victim includes obtaining a history (gathering details about the assault), which may involve a physician, counselor, and/or law enforcement personnel. A thorough physical examination is also necessary -- including a pelvic examination -- to document genital and/or rectal injuries and trauma to other body regions, and to gather samples of vaginal fluid, semen (if present), pubic hairs, and other evidential material. Screening for sexually transmitted diseases is performed at this time. Medications to prevent pregnancy are typically offered, as well. I've attached a link that discusses the medical highlights of a typical rape evaluation. I hope it's helpful. http://www.merckmanuals.com/professional/gynecology_and_obstetrics/medical_examination_of_the_rape_victim/medical_examination_of_the_rape_victim.html.

Answered 10/4/2016

5.5k views

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