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首页> 美国卫生研究院文献>Reproductive Health >The little tissue that couldn’t – dispelling myths about the Hymen’s role in determining sexual history and assault
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The little tissue that couldn’t – dispelling myths about the Hymen’s role in determining sexual history and assault

机译：不可能的小组织–消除了有关处女膜在确定性史和性侵方面的作用的神话

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Conclusions about women’s and girls’ sexual history are made in some settings based on assumptions about the hymen, a small membranous tissue with no known biological function, which typically occupies a portion of the external vaginal opening in females. Clinicians, however, continue to refer to changes in the hymen to assess for a history of consensual or nonconsensual sexual intercourse. We reviewed published evidence to dispel commonly held myths about the hymen and its morphology, function, and use as evidence in cases of sexual violence.An examination of the hymen is not an accurate or reliable test of a previous history of sexual activity, including sexual assault. Clinicians tasked with performing forensic sexual assault examinations should avoid descriptions such as “intact hymen” or “broken hymen” in all cases, and describe specific findings using international standards and terminology of morphological features.We call on clinicians to consider the low predictive value of a hymen examination and to: 1) avoid relying solely on the status of the hymen in sexual assault examinations and reporting; 2) help raise awareness of this issue among their peers and counterparts in law enforcement and the judicial system; and 3) promote fact-based discussions about the limitations of hymenal examinations as part of clinical education for all specialties that address the sexual or reproductive health of women and girls.Electronic supplementary materialThe online version of this article (10.1186/s12978-019-0731-8) contains supplementary material, which is available to authorized users.
机译：在某些情况下，会根据有关处女膜的假设得出有关妇女和女孩的性病史的结论，处女膜是一种不知道生物学功能的小膜状组织，通常占据女性阴道外开口的一部分。然而，临床医生继续参考处女膜的变化，以评估同意或不同意的性交史。我们审查了已发表的证据，以消除有关处女膜及其形态，功能和在性暴力案件中用作证据的常见神话。对处女膜的检查不是对以前包括性行为在内的性活动史的准确或可靠的检验突击。负责进行法医性攻击检查的临床医生在任何情况下均应避免使用“完整处女膜”或“破损处女膜”之类的描述，并应使用国际标准和形态学特征术语来描述具体发现。我们呼吁临床医生考虑其的低预测价值处女膜检查，并：1）避免在性侵犯检查和报告中完全依赖处女膜的状态； 2）帮助在执法和司法系统的同行和同行中提高对这一问题的认识；和3）进行基于事实的讨论，作为针对所有针对女性和女孩性健康或生殖健康的专业的临床教育的一部分，进行处女膜检查的局限性。电子补充材料本文的在线版本（10.1186 / s12978-019-0731 -8）包含补充材料，授权用户可以使用。

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