Rates of sexual assault injury vary widely in published reports and may be impacted by a variety of issues, including the types of techniques used to assess the patient and the amount of time between the assault and the exam. This article discusses how documentation from sexual assault medical-forensic examinations often notes that no injury was found to the female genitalia or anus. The absence of anogenital injury does not mean that a sexual assault didn’t occur. Anticipating the circumstances when injury will be identified is a challenge.

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