[Gonorrhea in children--a sexually transmitted disease].
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This report on 24 cases of sex offences on girls under 14 years of age examined and treated at the 2nd University Department of Obstetrics and Gynaecology in Vienna covers the period between 1984 and 1987. Experience gained in these cases led to the development of a specially devised mode of management which ranges from guidelines on supplementary history taking to special examinations and deals in particular with the after care of these young girls, which is a largely neglected area. The responsibility of the examining gynaecologist towards the victim as well as towards the person suspected of a sex offence is stressed. An obvious change in the accompanying circumstances and their possible causes are discussed.
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Rape and child sexual abuse are common in our society, and the incidence is increasing. A variety of presenting complaints in adults may be signals of unresolved, remote sexual trauma. These include memory problems, confusion, impulsive or self-injurious behavior, unexplained somatic complaints and many others. Family physicians attentive to such signals can assist in relieving the toxic secret.
The authors report on the pitfalls, contradictions, and potential of a three-year interagency collaborative effort between clinicians and state children's services workers treating child victims of sexual abuse.
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Irritable bladder symptoms are typically seen in women and usually lack pathological findings. Very often these symptoms have a psychosomatic component. The case of a 36-year-old woman is presented who, as a child, was sexually assaulted by her father and who later in life suffered severe sexual disappointment in her relationship with a married man. She has been suffering from anorgasmy since then and has developed irritable bladder symptoms. Therapeutic conversations helped the patient to accept her previous sexual experiences as a possible cause of her symptoms. Autogenic training also helped her to relax and relieved her symptoms to a certain extent.
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