ABSTRACT

This chapter presents a case of a 13-year-old girl who is reported for a sprained ankle. As examining her, she asks if doctor can prescribe the contraceptive pill for her. She tells that she has been in a relationship with a 35-year-old man for nearly 2 months. The relationship has had some sexual activity already, but she now feels ready for full intercourse. Her 'boyfriend' is reluctant to use condoms, hence her request. She has a swollen ankle but nil else of note. She looks slightly older than 13 and is wearing some make-up. Her dress is casual and appropriate for her age. This girl is clearly being sexually abused by the so-called boyfriend. The fact that he is 35 suggests that the relationship is not consensual and she has probably been 'groomed'. As well as being at risk of sexual abuse, there is a need to consider how she is being parented and whether she is being adequately protected.