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Master Thesis

Femmes aux antécédents de violences sexuelles : le vécu de l’examen gynécologique en ambulatoire

Abstract : Introduction: Gynecological examination is a key examination for women's health. However, many studies highlight its unpleasant nature, often being a source of anxiety for women in the general population. No French study has ever examined the experience of this examination among women who have been victims of sexual violence. Yet, 14.5% of women aged of 20 to 69 reported in a study in 2015 that they experienced sexual violence in their lifetime. The main goal was to study the experience of gynecological examination for women who have been victims of sexual abuse. Method: Qualitative study, by semi-structured individual interviews with seventeen women in France. Results: The participants were from 21 to 66 years old. For the majority of them, the gynecological follow-up was irregular and the experience was generally negative. The exam was considered as unpleasant and the pain was the main complaint. This feeling ranged from simple discomfort to trauma with sometimes revival of the undergone aggression. The practitioner had a key role in this feeling. A better accompaniment in explaining the gestures and in systematically requesting consent was proposed as an improvement for gynecological examination. They also wanted the practitioner to systematically seek the personal past history of sexual violence. Conclusion: The negative experience of gynecological examination seems to worsen for women with a sexual violence history, with a major risk of revival of the trauma. Additional precautions are necessary to facilitate the gynecological follow-up of these women.
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Master Thesis
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Submitted on : Monday, November 18, 2019 - 11:58:26 AM
Last modification on : Tuesday, May 11, 2021 - 11:36:24 AM


  • HAL Id : dumas-02367978, version 1


Noelia Bréchet San-Onofre, Sophie Pennequin. Femmes aux antécédents de violences sexuelles : le vécu de l’examen gynécologique en ambulatoire. Médecine humaine et pathologie. 2019. ⟨dumas-02367978⟩