Purple Book Chapter 7: The extent of anogenital signs at examination

This chapter aims to define what the prevalence of anogenital signs in sexually abused children is, what the key explanations for a lack of anogenital signs of sexual abuse in sexually abused children are, whether skin colour affects the extent of anogenital signs seen at examination in sexually abused children, whether hormone blocker use impacts on the extent of anogenital signs seen in sexually abused transgender or non-binary children, and whether systemic steroids or topical oestrogen use impact on the extent of anogenital signs seen in sexually abused children (including transgender and non-binary children). Read our summary and download the full chapter as a PDF.