Expert opinion in child abuse has received considerable bad press and currently public confidence in this area of medical practice is low. Media interest has focused most on the diagnosis of factitious illness. However doctors who examine children in respect of proceedings arising from suspected sexual abuse should be mindful this area is potentially just as problematic. Widely different rates of abnormal findings have been reported. At least in part this has reflected inconsistency in interpretation.
Many cultural and religious beliefs place virginity at a high level of social significance, in that women who lose their virginity before marriage may face humiliation, ostracism, divorce, and extreme violence. This led to an increase in the demand for virginity restoration through surgical hymen reconstruction among these cultures. However, data regarding the acceptance of hymenoplasty in societies that consider sexuality a taboo are scarce.