Table 1.

Sequelae of adult survivors of child sexual abuse

Gynecologic problems	Chronic pelvic pain
	Dyspareunia
	Dysmenorrhea
	Vaginismus
	Disturbances of sexual desire, arousal, and orgasm
	May seek little to no prenatal care/have Pap smears
	Early adolescent or unintentional pregnancy
	History of STI
	>50 intercourse partners
	Prostitution
Substance use	Alcohol and illicit drug use, 4 to 5 × rate of general population
	Tobacco use, 2× as likely
Increased somatic complaints	Disproportionately use health care services
	Lower pain threshold
	Chronic and diffuse pain, especially abdominal or pelvic pain
	Gastrointestinal disorders
Mental health	Symptoms of posttraumatic stress
	Depression
	Anxiety
	Eating disorders
Miscellaneous	Self-neglect
	Victimized repeatedly
	Physically sedentary, 2 × as likely
	Severe obesity, 2× as likely

Data from Adult manifestations of childhood sexual abuse. ACOG committee opinion No. 498. Obstet Gynecol 2011; 118:392–95.