Identifying instances of sexual abuse us particularly difficult because,often,few if any obvious physical indications of the activity exist. Also,many individuals are hesitant to believe children and are unwilling to report incidents. Even health professionals at fault when they cursory physical examinations of the genitalia and ignore behavior or verbal comments that suggest abuse. When sexual is suspected,other children in the family should be evaluated,because multiple victims are not uncommon.
Unfortunately,there is no typical profile of the victim and there must be a high index of suspicion to identify these children. Physical signs very and may include any of those listed for sexual abuse. The victim may exhibit various behavioral manifestations.