Shevchenkovskiy district court Kyiv made a decision to take under arrest for a period of two months the well-known accordionist Igor Zavadsky, who is suspected of corrupting underage boys. Two more men were detained along with the musician. According to preliminary data, they chose boys from ordinary families as potential victims. So far, there are six injured children, but law enforcement officers suggest that there may be much more of them.

Although the police are very reserved in commenting on the criminal case, this story is acquiring more and more details every hour. Building versions that the suspects met children during the musician's tour of Ukraine, journalists are looking for his acquaintances, friends, students, who give him the most flattering reviews and characteristics.

At the same time, this story made me think of other, perhaps not so resonant, but no less monstrous facts of sexual abuse of children or their corruption, which we learn about almost every week from police reports. For example, a 39-year-old man suspected of molesting minors was detained in Sevastopol a week ago. According to the press service of the Ministry of Internal Affairs, he was looking for girls aged 12 to 17 for his entertainment. Children lay in wait near schools, offered them to be photographed and filmed in a video. If the girl agreed, he drove her home.

Deception, promises, threats ... They use all their dubious arsenal to get what they want. Because they understand well: children trust them or are afraid of them. Children are blind victims of those who are trying at any cost to achieve the satisfaction of their needs. A 9-year-old girl let herself be raped by a 23-year-old bastard to protect her dog. He dragged his victim into an old outbuilding, where there was no one to stop the criminal. The girl meekly complied with all the requirements of the rapist, because he threatened to kill her pooch if something went wrong.

Another scoundrel who raped an 8-year-old girl on the street in the presence of her brother achieved obedience from his victims through threats. This story happened in the Dnepropetrovsk region. An unidentified man approached young children when they were walking on the street. With threats to use physical violence, a pedophile forced an 8-year-old girl to have sexual intercourse. And her 10-year-old brother was ordered by a man to close his eyes and wait for him to do his job. The pedophile fled after committing the crime, according to the police.

As a rule, pedophiles are still detained. But as soon as it comes to court, the ministers of Themis suddenly remember condescension. For example, in the Chernivtsi region, there was a case when a boarding school teacher was sentenced to 8 years in prison, although 15 children suffered from his actions, and investigators proved 24 episodes of violence. The teacher was engaged in sexual molestation of children for 13 years - during 1996-2009.

Not only Ukrainian judges are loyal to pedophiles. For example, in Germany, the court of the city of Braunschweig, having recognized the guilt of a pedophile priest in 253 episodes, sentenced him to six years.

The priest established a connection with his first victim back in 2004 in the city of Braunschweig. He took the boy to rest, gave him expensive gifts. In 2006, the boy's mother, suspecting something was wrong, complained to the bishop. Then the priest was forbidden to see the child. After that, he moved to Salzgitter and became friends with the family, where two boys grew up. They became his new victims.

Only in June 2011, one of the teenagers told his mother about the violence. After her appeal to the police, the priest was detained.

What they promised the children, and whether they promised at all, the three men detained in the capital, who are suspected of corrupting minors, will be established by the investigation. But if their guilt is proven, they face 8 to 12 years in prison. Because such is the sanction of Article 156 of the Criminal Code of Ukraine. Is this a sufficient punishment when it comes to crimes committed against children? This is probably even a long time to survive in a zone where prisoners are very harshly cracking down on those who are convicted of such crimes. But any mother whose child has suffered from a pedophile will say that no matter how long it takes, he will no longer be able to correct what was done.

In Ukraine, attempts have already been made to toughen punishment for pedophiles. Three years ago, the relevant draft law “On Amendments to Certain Legislative Acts of Ukraine (regarding counteraction to the commission of crimes against sexual freedom and inviolability of minors)” was submitted to the Verkhovna Rada. They were offered to introduce in Ukraine a pharmacological castration procedure for persons who have committed a crime against sexual freedom and the inviolability of minors or a socially dangerous act that falls under the signs of such a crime. It was about chemical (pharmacological) castration - the application to a person of a certain medical drug that suppresses sexual desire (libido) and sexual activity and makes it impossible for the subsequent physiological sexual potency of a pedophile criminal. The author of the bill was Vladimir Sivkovich, People's Deputy from the Party of Regions.

According to the bill, coercive measures to counter the commission of crimes against sexual freedom and sexual inviolability of minors should be applied by the court for life, regardless of the punishment imposed (imprisonment) or the applied coercive medical measures against persons defined by the Criminal Code.

But the parliamentarians did not support this bill, considering it too radical. But our neighbors in Russia nevertheless decided on this. The State Duma of the Russian Federation adopted, and the President signed the Law, which for the first time introduced the term "pedophilia" into the criminal legislation of this country. It provides for forced chemical castration for pedophiles who have committed crimes against children under 14 years of age. However, the law provides for a life sentence for recidivist pedophiles and pedophiles who have committed violence against children under 12 years of age.

A resident of Estonia went to work in Norway. There she met a man, married him and bore him two daughters. And in the end, the father began to practice very adult games with the girls. Details of this horror story found out "MK-Estonia".

A few years ago, Katya (hereinafter all names have been changed) went to work in Norway. She worked as a nurse in one of the Norwegian nursing homes. Where she met her future husband - he worked there as a nurse. Lars was older than her, never married, and had no children either.

“We dated for a month, then I got pregnant. He said, "Come with me." I moved, ”a young woman describes the beginning of a life together with Lars.

Alone with my problems

Lars had a cabin in the mountains. Not a soul for the next three kilometers. To get to civilization, a car was needed. Only Lars had a car in the family.

At first, says Katya, everything was fine. They merried. The husband did not drink, did not use drugs, but was rather nervous. Any little thing could piss him off.

“For example, he had a paddock where he kept sheep,” the woman says. - And if something did not work out, he broke down on them. I tried not to climb and stay away from him at these moments.”

Soon a healthy beautiful girl was born. The happiness of the parents at first knew no bounds.

“But then he started to take it out on me - at first he just yelled, then he started throwing his fists,” says Katya. - I did not contact the police, because then he would have killed me altogether. Mountains, empty, no one around.

The only ones to whom Katya then told that she had to endure screams and beatings at home were her parents. But they only answered: she chose it herself, this is now your husband, the child must have a father, so be patient until the child grows up.

“Despair,” the woman says. - That's how you can characterize what I experienced. Vicious circle, nowhere to turn.

The situation was complicated by the fact that the woman became pregnant a second time. At home, it only got worse: Lars realized the complete dependence of his wife on him and was no longer shy.

“He showed in every possible way that no one was holding me. That I'm not needed here. I can leave right now. Nobody will cry. But the children will stay with him, - says the woman. “All my attempts to agree in a good way - I will leave with the children and write a paper that I will not demand any alimony from him - they did not give anything.”

Escape from a pedophile

Meanwhile, the eldest daughter went to Kindergarten, and Katya was at home with her youngest, who had just been born. When the little girl was two months old, Lars filed for divorce. But the couple continued to live together - Katya did not agree to leave without children.

“I was all in trouble with the little one, so when Lars offered to bathe the older one, I agreed,” the woman says. - And everything was fine, until at some point I suddenly went into the bathroom for something and saw such a picture. She is naked, he is naked. She touches his penis, which is erect, and Lars giggles."

Shocked, Katya told him to stop it all right there. Lars was embarrassed and said: “Well, there was nothing! It's all right".

“I immediately remembered that after the wedding, Lars said that his father was in prison for pedophilia,” says Katya. - He molested a 12-year-old girl. Got four years. I put two and two together and began to watch him intensely and actively prepare to escape.

She called the DGM and said that she was an Estonian citizen, she had two daughters and they needed passports. They were made quickly, Katya received them and bought plane tickets.

She guessed it so that Lars left for the night shift, and she packed her things and called a taxi.

“But the taxi driver refused to go to the mountains,” says Katya. - Therefore, I had to walk three kilometers down a slippery road - it was already winter - with children and suitcases on foot. The little one is in a kenguryatnik in front, a backpack in the back, two suitcases in her hands, the eldest, who at that time was only two and a half years old, trudges behind. Slips, falls, cries, but goes. And Lars is about to arrive. And the taxi is waiting. And the plane in an hour.

As a result, Katya and the children flew safely to Estonia. Then she sued to keep the children with her. Lars, in turn, wrote a statement to the police that she had stolen his children. And he filed a counterclaim with the Norwegian court - so that the children would stay with him, and Katya would pay alimony.

As a result, a compromise was reached in court: every second month the children fly to him for a week, and then return to Estonia.

“He flew here, at the airport I handed him the children, he flew away with them,” says Katya. “Then I brought them back.”

Careful preparation

This continued until December last year. Until something happened that made Katya look at all these relationships differently.

At first, the girls began to complain that everything in their panties hurt. We went to the gynecologist, the doctor said that some kind of infection. Then both, especially the eldest, suddenly began to write - just in the middle of the day. And then there was a serious incident.

It so happened that between arrival and departure Lars had a couple of hours of free time. Then the former spouses went to Katya's mother, where she lived with the children, where Lars was busy with the girls, and Katya was doing household chores. And at some point she looked into the room and saw this picture: Lars is sitting on an armchair, the eldest is on his lap and pulls him in the area of ​​​​the fly. And he smiles. Katya came in, and he instantly jumped out of his chair and started to go home.

“And when she said goodbye to the children in the corridor, the youngest came up and kissed him on the groin,” the woman says. “When he saw my widened eyes, he flew out of the apartment like a bullet.”

Katya began to question the girls, and it turned out that she and her dad always say goodbye this way - with kisses in a causal place. And that dad likes to tickle them in the panty area. And how they all wash together merrily and dad loves to be touched in different places.

“The eldest didn’t speak for a long time, because Lars categorically forbade her, but in the end she also split up,” Katya says quietly, telling such details that we don’t even dare to publish them in the newspaper.

Hearing this, she immediately ran to the police, where a criminal case was opened. The girls also went to the gynecologist, one of them had a slightly damaged hymen. Both have some kind of bacterium that needs to be treated for a long time.

“He cooked them. I haven’t done anything yet, but I’ve already processed it for this, ”says the shocked Katya.

She sued for a ban on approaching Lars to children, which the court approved. And now the case is being considered for the deprivation of his parental rights. There is also a criminal case.

Be careful!

Katya is very afraid that even though the girls are small, this will affect their psyche.

“It is especially difficult now for the eldest,” says Katya. Her hands are constantly shaking. She doesn't say anything, she's all closed up.

All the time he draws dire wolves that attack the princess. Her toys are constantly kissing, and then they make moans, like in pornography. He asks when they will go back to dad.

Katya decided to tell her story so that mothers would be more attentive to their children.

“To the last, I came up with various excuses,” Katya sighs. - I thought that yes, heredity, of course, but he will not touch his daughters. And it turns out that he was already preparing them systematically, when they were with him, they didn’t do anything else. And another month or two - and there would be no turning back.

Including HEADSS questions. The girl, shedding tears, says that her stepfather touched her in intimate places when her mother was not at home. When examined in the presence of a companion nurse, the doctor finds that hymen girls looks normal. But a more thorough examination with a cotton swab reveals a tear in the hymen. When the girl is asked if there were any other forms of sexual abuse by her stepfather, she confesses to repeated penetrations. In some cases, the examination reveals more than what the child is willing to reveal about the fact. " violence. Children often disclose the facts of violence only partially. In addition, signs of sexual abuse are often subtle and can be easily missed without careful examination and special techniques. Attempts are made to reassure the girl that this should never happen again and that it is not her fault. The mother returns, after delicate discussion, the police and child protection services are notified of the case.

A typical view of the hymen and surrounding tissues in a 12-year-old girl. As women enter puberty, the hymen becomes redundant with overlapping folds and it becomes more difficult to detect small signs of acute or healed injury.

Questions start with the easiest and least sensitive, with a gradual transition to more delicate ones. H-home (home) E-education (study) A-activities (employment) -depression and drugs (depression and drugs) S-sex and sexual abuse (sex and sexual abuse) S-suicide (suicide).

EPIDEMIOLOGY

The Department of Health and Human Services received data from government health agencies in 2005 on 3.3 million visits with 899,000 confirmed cases of violence. Of these, 9% were sexual violence. Not included in this number are several thousand additional

victims who are sexually assaulted by non-family members; these cases are reported to law enforcement, but not to health agencies. Sexual abuse of girls occurs much more often than boys: 2.3 per 1000 versus 0.6 per 1000. 2

Types of forced intercourse and relative frequencies based on a population-based study of 191 cases include the following: o Touching, caressing, 100 (86%). o Coitus in the vulva, 29 (25%). o Penetration vagina. 6 (5%). o Penetration anus. 20 (20%). o Oral-genital contact, 15 (13%). o Introduction of a foreign body, 8 (8%). o Unknown, 13 (11%).

ETIOLOGY AND PATHOPHYSIOLOGY

Child sexual abuse occurs when a child engages in sexual activities without understanding what is happening, is not developmentally ready for it, is unable or unable to give consent, and/or what is happening is outside the law. State laws vary considerably with respect to the mandatory filing of such cases; some are based on a professional's assessment of the acts as violent, while others are based on age criteria only (i.e., any sexual acts involving minors are reported).

In most cases, sexual abuse involves an adult perpetrator known and trusted by the child who uses deceit and authority to coerce the child into acquiescence and acceptance of the abuse, usually progressing from less severe to more severe and penetrating sexual acts.

DIAGNOSTICS

CLINICAL SIGNS

Child victims of sexual abuse may have behavioral changes, depression, increased sexual behavior, somatic complaints (such as headaches or pain in the abdomen, constipation, enuresis/fecal incontinence, genital/anal pain) or may be asymptomatic.
A child may be brought before a health worker for the following reasons:

• The child has revealed the abuse (most often) or it has been witnessed! this is the most typical scenario.
• Nanny suspects abuse due to behavioral or physical symptoms.
• The child is brought in for a routine examination and sexual abuse is suspected based on clinical findings (eg, physical examination findings, behavioral abnormalities).

Recent studies show that the<5% по­страдавших от CSA есть физикальные признаки, ука­зывающие на проникающую травму, потому что тип полового акта либо не приводит к повреждению тка­ней, либо потому, что при повреждении ткани про­исходит быстрое и полноценное заживление.В ис­следовании 36 беременных подростков, только у двух были признаки проникающей травмы.Медицинский диагноз основывается преимущественно на истории ребенка, и клиницисты должны помнить, что «нор­мально» не означает, что «ничто не случилось».

Advice for Physical Exam Performers:

• An anal-genital examination should be carried out with optimal direct illumination, magnification, in an adequate position and a certain examination technique.
• Recommended positions for examination: lying on the back with legs apart, position for lithotomy and inclined knee-elbow; the latter position is especially important for confirming tears seen in the supine position. o Various examination techniques include labia dilation and stretching, buttocks elevation in the knee-elbow position, and the use of cotton-tipped swabs to dilute tissues,
• In some cases, an assistant is needed to gently inject a small amount of bacteriostatic isotonic saline solution onto the hymen while the examiner gently partes the labia for examination.
• Examination with a speculum and the use of a cotton-tipped swab to spread the edges of the hymen are traumatic procedures for prepubertal girls and should only be done in exceptional circumstances.
• Most of the signs of anal trauma can be detected by gently spreading the anal folds.

Physical Findings Indicative of Violence:

• Abrasions or bruises of the genitals (Fig.).
• An acute or healed tear in the posterior aspect of the hymen extending to or nearly the base or posterior frenulum of the labia, or a complete tear of the hymen (Fig.).
• Marked reduction in hymen tissue, o Anal abrasions or tears.
• Petechiae or hemorrhages in the soft palate

A 10-year-old girl with an acute rupture of the posterior vestibule following a recent sexual assault by a stranger. The posterior vestibule is the most common site for acute penetrating injury in women.

Acute hematoma of the hymen in a prepubertal girl from penile penetration. One reason why the great majority of the study is normal may be that contact is more common than full penetration, and contact injuries from contact with the penis are rare or are minor bruises that heal quickly and completely within a few days.

LABORATORY STUDIES AND VISUALIZATION

• Collection of forensic data if sexual assault has occurred< 72-96 часов до клини­ческого осмотра (возможно обращение в отделение экстренной помощи или кризисный центр для изна­силованных, имеющий опыт сбора данных судебной экспертизы у детей).
• Approximately 5% of sexually abused children and adolescents acquire a sexually transmitted infection (STI) from the abuser.
• Offer STI testing to all pubescent patients and pre-pubescent children after any sexual contact.
• HIV, hepatitis B and C, RPR (for syphilis), cultures for chlamydia, gonorrhea and trichomoniasis.
• Culture for HSV1 and 2 if ulcers or vesicles are present.
• Genital warts is a clinical diagnosis, and a biopsy is required only if the lesions are atypical or resistant to treatment.
• Pregnancy test in puberty adolescents; offer prophylaxis (e.g. plan B) if an incident occurs< 96 часов до обсле­дования.
• Follow-up examinations 2-3 weeks after the acute event to complete screening for STIs with a long incubation period (especially human papillomavirus), assess wound healing, and ensure emotional recovery.

Herpes simplex virus (HSV) type 1 infection on the vulva of a prepubescent girl due to sexual abuse. Genital HSV type 1 after sexual contact occurs more often than infection of the genitals caused by HSV type 2.

DIFFERENTIAL DIAGNOSIS

Girls can be mistaken for signs of violence:

• Leg extension injury (or other accidental injury). This happens when a child falls on an object. Bruising or tearing of the labia majora, labia minora, or posterior frenulum may be visible. Rarely, accidental penetrating injury occurs, involving tissue near the hymen.
• Anatomical variations of the normal, including small notches, anterior clefts, white median lines in the vestibule, perineal defects, and narrow margins of the hymen.
• Vulvar dermatitis can be caused by atopy, contact irritation, or seborrhea.
• Vulvovaginitis (eg, nonspecific, shigella, streptococcus, poor hygiene, candidiasis). Complaints include irritation or itching in the vagina and vaginal discharge; sowing can help.
• Lichen atrophic sclerosus is a skin disease not associated with sexual abuse. It may cause bleeding, vulvar itching, or discomfort, and examination shows subepidermal hemorrhages and/or atrophic changes with areas of hypopigmentation over the vulva, perineum, and/or anus (Figures 8-7).
• Anogenital irritation or bleeding can be caused by shigillosis vaginitis, urethral prolapse, anal fissures, bulbar excoriations, lichen atrophic sclerosus, candidiasis, or labial commissure dehiscence.
• Normal physiological leukorrhea is a scanty whitish discharge with a normal-looking vulvovaginal area. Wet slides for microscopy are normal.

In boys, the signs of violence are similar:

• Accidental injury (for example, infringement of a member in a fastener). The history must match the picture of the damage. Most injuries to the male genitals are the result of physical rather than sexual abuse.
• Phimosis is a non-movable foreskin of the penis. Irritation and redness from retention of the secretion.
• An anal fissure is a superficial excoriation or tear extending from the anal margin to the anal channel; may or may not be accompanied by pain or bleeding during stool. Sometimes, but not always, its appearance is associated with diarrhea or constipation.
• Hemorrhoids sometimes look like a protrusion of the rectum or a conglomerate with itching and bleeding; history of constipation is common.
• Pinworm or scabies infestation can both cause intense itching and excoriation; can be detected by microscopy.

Treatment

• Children may experience non-specific behavioral and physical symptoms (with undetected abuse) that include chronic stomach or stomach pain, learning problems, mood changes, and sleep disturbances. These children need to be questioned carefully and without pressure about the possibility of sexual abuse. For example, a doctor might say, “I treat other kids who have the same problems you have with school and headaches. Some talked about things that happened to their body or mood that made them feel sad, shy, or embarrassed. Maybe you also had something similar?
• Take the child's history, if necessary, to make a medical diagnosis and determine appropriate testing, treatment, and the need to report suspected abuse. The clinician may decide not to take the history if the child has been or will be interviewed elsewhere; in this case, information is required to determine which medical examination and testing data should be obtained from other sources.
• Make sure the parent is not in the room where the history is being taken. Parents may be present during the physical examination.
• Use open-ended questions such as "What happened?" or "Tell me more", avoiding suspicious questions such as "Who touched you there?"
• If possible, take careful notes and document with references.
• Do a complete physical examination, including the genitals. Enlist the child's support by explaining all procedures and gaining his or her trust.
• Offer STI and pregnancy prevention for post-pubertal patients.
• Withhold STI treatment in asymptomatic prepubescent children until positive cultures are obtained, as the incidence of STIs in asymptomatic prepubertal children is relatively low.
• For HIV prevention, consult with an infectious disease specialist. If HIV prevalence is high in local areas, HIV abuser risk factors are unknown or high, and if the child is tested within 72 hours of risky exposure, then HIV prophylaxis may be appropriate.
• A thorough examination is needed to identify signs of physical and emotional abuse and neglect.

When visiting children, the specialist should discuss the causes of sadness, fear, or embarrassment, or cause internal rejection, and encourage parents to pay more attention to these topics at home.

Unintentional sexual stimulation can also be found in some families (quite prosperous, with a sufficient level of culture), where parents, out of good intentions, strive at all costs to master an ultra-modern, but alien to them attitude towards sex. Following this kind of "progressive recipes", they may try to demonstrate their nudity and draw attention to it. This often leads to an increase in internal tension with a more or less explicit sexual-erotic coloring both in them and in the child. In children, depending on gender, character, stage of sexual development, etc., this can be discharged either in infantile behavior or in sexually aggressive actions.

Among the population, and often among doctors, there is an erroneous opinion about the connection between the corruption of children and the brutal behavior of the corrupter, apparently due to the fact that less dramatic cases do not attract special attention or simply remain unknown, they do not leave deep traces in memory. Approximately a quarter of women in childhood encountered corrupters, but only in a quarter or a third of them, according to A. Kinsey (1953), corrupting actions extended to genital games or coital attempts. Only one out of 4000 corrupted became the object of brutal actions. Usually attempts of seduction and corruption are addressed to girls, more often at the age of 10-12; cases of seduction of boys are less studied.

Most often, such attempts are believed to come not from the mentally ill, the elderly and impotent, but from people experiencing sexual difficulties due to limited or inadequate communication. These are usually teenagers, men around the age of 30, the elderly. The opinion that strangers seduce is also untrue: out of 100 seducers, more than half are family members, relatives or close friends of the family, who have the opportunity to constantly and not cause alertness close communication with the child.

Such actions without physical coercion are usually associated not only with the initiative of the corrupter, but also with the already awakened sensuality of the child or with the unconscious "initiative" (or behavior similar to it) of the child himself. Some psychomotor unstable, accentuated or abnormal girls take a kind of pleasure in embarrassing sensitive men with their sexually colored behavior. They seem to provoke an adult, which is sometimes a neurotic challenge to parents or protest behavior addressed to other people. With any "advance" of the child, the responsibility for the development of events lies with an adult who has neither the moral nor the legal right to take advantage of such behavior of the child.

The reaction of the child to attempts at seduction can be different. It depends on his emotional characteristics, the situation in the family, the positions of adults. Sometimes experiences arise retrospectively - in a collision with the reactions of adults to other cases of corruption. Sometimes the child's anxiety is caused not so much by the attempt at corruption itself, but, for example, by fears due to the delay in returning home. Frankly naked sexuality can cause quite severe psychogenic reactions.

Incestuous relationships between fathers and daughters are very rare, but their likelihood is increased in families where parents are psychopathic, primitive, and alcoholized. During the period of disclosure of incest, girls may experience acute neurotic and even psychotic reactions. Painful experiences are intensified by the disintegration of the house, associated with the arrest or exile of the father. In cases of disclosure of incest, it is better not to leave the girl in direct contact with her father, and in a sharp conflict situation in the house, it is more useful to place her temporarily in a good boarding school or with her mother's relatives. This may, if necessary, be preceded by outpatient and inpatient care for psychiatric reactions and disorders. It is desirable during this period the supervision of an experienced psychiatrist or psychologist. Possible medical help (for real indications, and not "just in case") includes a combination of tranquilizers with mild antidepressants.

Attempts to abuse children (most often girls aged 6-11, but sometimes boys) are an exceptional event, but always requiring the attention of a doctor. The physical traumatization of the child is associated with genital manipulations, concomitant or sexually valuable aggressiveness of the sadistic type, and perverse tendencies. A girl found after violence is usually in a state of reactive excitement, sometimes in a stupor, caused by the suddenness and cruelty of what happened (the sexual nature of the incident is less realized). After several hours of calm, repeated reactions of a hysterical or hysteriform type may develop: sobbing, attempts to hide or run away, panic reactions to attempts to help. The child's confused presentation of what happened is natural and does not mean that he is lying or fantasizing, later the stories of the survivor of violence are even less informative, and information can be obtained only with skillful and delicate questioning.

It is better to keep the child in a calm environment, and if the mother does not excite him with her experiences and reactions, then preferably with her. A thorough physical examination is essential, as serious physical damage may not be apparent. The reliable absence of any traces of violence, especially with weak or inconclusive reactions of the victim, gives rise to discussion of the possibility of fiction or slander. The presence of genital injuries can be a sign not only of genital contact, but also a consequence of only preparation for it or attempts. In connection with the possibility of infection with sexually transmitted diseases, examination, preventive treatment of the genitals, and the introduction of antibiotics are necessary.