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Chances of HEMOPHILIAC child being raped without bleeding.

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Hi there. My name is Katie. My family and I really need answers. A family member of mine has been diagnosed with hemophilia, vaginal atresia and is prepubertal. She claims she had been raped numerous times between the ages of 9 and 15, anally and vaginally, by another family member who did time for this claim. All we need is for a doctor/specialist to explain the medical, physical impossibilities, in order for our family to except the fact that it was in fact a false claim so we can be a family again. This has all been officially looked into and is indeed a false allegation. Child protective services did a full investigation as well as performed interviews with family members, investigated medical exams and the medical history of the alleged victim; and no maltreatment was reported. These rape claims have been disproven with non-medical evidence; however the medical evidence has not been explained well enough for my family to understand. The alleged rape victim reported these rape claims simply out of anger towards the other family member. My family needs reassurance from a doctor, then we will be able to give closure to this madness. If a doctor would be able to give a little explanation/professional opinion about these following bullet points, it would be greatly appreciated.

* The hardships of a hemophiliac and the proper procedures it would take to attend to a 9 year old hemophiliac rape victim
* How attending to a 9 year old rape victim would require a legally mandated report of abuse from the doctor to the state
* The consequences of a hemophiliac child being raped and not being attended to by a doctor immediately to stop the bleeding
* The impossibilities of having full penile/vaginal intercourse with a prepubertal unestrogenized 9 year old with vaginal atresia
* The medical/physical consequences of having anal sex (scarring, tearing, lesions, stretch marks, tissue damage, fissures etc) and the impossibilities of having anal sex countless times without leaving some form of inner rectal scarring

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 18 Doctors Online

Hello Katie.
Yes, I am an OB - GYN Specialist and would be glad to assist you with your concern.
Let us take it one by one.
1. Generally hemophilia does not affect sexual activity. Most females with hemophilia would not bleed during sex. Only with vigorous sexual activity, there might be bleeds deep within the hip muscles.
2. Of course, a legally mandated report of abuse is a must from the doctor's side. Specially as the girl is pre pubertal, hemophiliac and underaged.
3. A hemophiliac female might sustain injuries to the external genitals from attempted rape. These injuries might bleed for a variable period of time. Again, she might not bleed, the presentation is myriad and varied.
Also, is it possible that she is confusing molestation with penile penetration and proper rape ?
It is also possible that she maybe scared and hence might have lain stiff and co operated with the rape, thus limiting the nature and intensity of possible injuries to the external and internal genitalia.
If she had bled, and it was not attended to immediately, then she would have been exsanguinated, and would have definitely required transfusion with blood / clotting factors .
4. It is not impossible to have full penile sex with a prepubertal 9 year old. Vaginal atresia is now a different issue.
Vaginal atresia is of varying degrees, with partial atresia, some amount of penile penetration is still possible.
She would be unestrogenized, but of course, forcible penetration can be achieved.
I need to know the degree of vaginal atresia that she has, and how truthful / perceptive she is likely to be when she is making that claim.
5. Regarding anal sex, if it was forced, there would surely be signs of rectal tear, anal tear. Scarring is doubtful, as the injuries in a young girl might heal well.
But there would most definitely be evidence of acute injuries / tears in the area.
It is possible to have had anal sex without long term inner rectal scarring.
Hope this has been of some help.
Let me know on what points you want me to elaborate further.

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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