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External genital inspections were performed using a colposcope with an attached mm camera to document the appearance of the hymen. Two subjects who denied intercourse but had posterior hymenal clefts described a painful first experience with tampon insertion. The physician performing the examination is then expected to determine whether there has been vaginal penetration. There is a paucity of data available to assist in that determination. While there have been studies to obtain normative data on the appearance of the hymen and other genital tissues in newborn infants and prepubertal girls selected for nonabuse, 3 - 5 the only published study comparing adolescent girls who were consensually sexually active with those who were not 6 did not use magnification, such as a colposcope, and did not use photographs to document the appearance of the hymen.

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Vaginal Foreign Bodies and Child Sexual Abuse: An Important Consideration

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Evaluating the Child for Sexual Abuse - American Family Physician

The study purpose was to assess, in a U. Through qualitative pilot research with women that informed the development of the survey instrument used in this study, we identified four previously unnamed, but distinct, techniques women use to make vaginal penetration more pleasurable: Angling, Rocking, Shallowing and Pairing. This study defines each technique and describes its prevalence among U. Data suggest that
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an insider's guide to penetration

Well, I'll tell you! The joys of penetration, as described by one late great Hollywood star John Barrymore to another Errol Flynn , at top volume in a crowded Beverly Hills restaurant. Sadly, Mrs Barrymore might not have got quite so much fun out of the process. Only about 5 per cent of women climax through penetration alone, according to Women on Sex Smith Gryphon, pounds 9.
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Related Editorial. Child victims of sexual abuse may present with physical findings that can include anogenital problems, enuresis or encopresis. Behavioral changes may involve sexual acting out, aggression, depression, eating disturbances and regression. Because the examination findings of most child victims of sexual abuse are within normal limits or are nonspecific, the child's statements are extremely important.
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