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Men Should Be Screened for Sexual Violence, Experts Say

 

Men Should Be Screened for Sexual Violence, Experts SayMen experience sexual violence almost as much as women do, according to a recent Urology Nursing paper. However, assaults on men are less likely to be reported.

Healthcare providers should consider this possibility and screen for sexual violence when necessary, the authors said.

They shared the story of Mr. Q, a relatively healthy man in his mid-thirties who saw his doctor for symptoms or a urinary tract infection – a burning sensation when he urinated and pain in his urethra (the tube from which urine flows out of the body). However, Mr. Q’s medical exam and lab test results didn’t show anything unusual that could be causing these symptoms.

Mr. Q seemed fatigued and nervous, however. His doctor decided to conduct a differential diagnosis and consider less-obvious conditions that might have the same symptoms.

After the doctor asked some careful questions, Mr. Q revealed that his massage therapist, whom he had been seeing for years, had sexually violated him during a recent appointment. Mr. Q was worried that he might have a sexually transmitted infection. He also felt embarrassed and traumatized.

Currently, routine screening for sexual violence is not recommended for men, the authors explained. But they stressed that “it is imperative to ask questions,” if sexual assault is suspected.

“Sexual assault can happen to any of our patients, regardless of gender,” they wrote. “When a male patient presents with risk factors for sexual violence, primary care providers must consider ‘him too.’”

Resources

Urology Nursing via Medscape

Ammerman, Beth, DNP, FNP-BC and Heather Jones, DNP, AGPCNP-C

“Him Too: A Case Report on Male Sexual Violence and Screening in Primary Care”

(Full-text. Published: 2020)

https://www.medscape.com/viewarticle/929816