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Health Care Providers > Sexual Assault > Specific Medical Support

In the case of Sexual Assault

It is your primary duty to provide treatment for all the survivor's injuries. However, be sensitive but thorough while examining her.

- Keep in mind the possibility of pregnancy resulting from the assault in case of a female survivor. Discuss this with the survivor and offer her emergency contraception if you see her within 5 days of the assault. If you see her 5 days after the assault ask her to return for pregnancy testing if she misses her first period. If you first see her more than 5 days after the assault, you should advise her to return for pregnancy testing if she misses her next period.

- If sexual violence results in a pregnancy which the woman wants to terminate, you should refer her to legal abortion services. This choice should be made by the patient and should be respected by you.

- Test and treat the survivor for any acquired STD as a result of the assault.

- Offer the survivor testing and immunization for Hepatitis B.

- Treat the survivor for any secondary complications that she might have developed due to the initial assault like urinary tract infections, pelvic inflammatory diseases etc.

- Ensure that you call the survivor for follow up visits. Relevant medical history in relation to sexually transmitted diseases has bearing on what gets transferred between survivor and accused of sexual assault. Based on this information re-examination including investigations can be done after incubation period of that disease.


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