A history of sexual violence is associated with an increased incidence of long
term physical and psychological health problems, psychosocial difficulties,
risk taking behaviours and premature death. Most survivors do not disclose a
history of sexual violence to their doctors. Without this context, their ongoing
health issues may not be fully understood, leading to suboptimal care. A safe
environment is vital to support disclosure. General practitioners are well placed
to identify, support and treat and/or appropriately refer women with a history
of sexual violence. Priorities in management include addressing the pervasive
long term consequences of sexual violence, encouraging preventive care and
avoiding inadvertent retraumatisation.