Dr. MJ Bazos MD,
Rape: What to Do if
What is rape?
Rape is any form of sexual activity that you
don't agree to, ranging from touching to penetration. Rape is a crime even if
you already know the person who attacked you--if the person is a family member
or friend or someone you work with. It's a crime even if you didn't fight back.
It's a crime even if you were drinking or if you were taking drugs or were given
drugs, or if you were unconscious. Anyone can be raped--children or elderly
people, wives or girlfriends, even men.
What should I do if I've been raped?
The first thing you should do if you're raped is
get to a safe place, away from your attacker. Then you should go to a hospital
emergency room to be checked. You can call the police from the hospital. Don't
bathe or change your clothes before you go to the hospital. Just get there as
fast as you can.
What happens in the emergency room?
The doctor in the emergency room will give you a
physical exam to check you for injuries and to collect evidence. The attacker
may have left behind pieces of evidence that may help identify him, like
clothing fibers, hairs, saliva or semen. In most hospitals, a "rape kit" is used
to help collect evidence. A rape kit is a standard kit that has little boxes,
microscope slides and plastic bags to store evidence in. Samples of evidence may
be used in court.
Next, the doctor will need to do a blood test.
You'll be checked for pregnancy and diseases that can be passed through sex.
Cultures of your cervix may be sent to a lab to check for disease, too. The
results of these tests will come back in several days or a few weeks. It's
important for you to see your own doctor in 1 or 2 weeks to review the results
of these tests. If any of the tests are positive, you'll need to talk with your
doctor about treatment.
What kind of treatment might I need?
The hospital doctor can tell you about different
treatments. If you take the birth control pill or have an IUD, your chance of
pregnancy is small. If you don't take the pill, you may consider pregnancy
prevention treatment. Pregnancy prevention consists of taking 2 estrogen pills
when you first get to the hospital and 2 more pills 12 hours later. This
treatment reduces the risk of pregnancy by 60 to 90%. (The treatment may make
you feel sick to your stomach.)
The risk of getting a sexually transmitted
disease during a rape is about 5 to 10%. Your doctor can prescribe medicine for
Chlamydia, gonorrhea and syphilis when you first get to the hospital. If you
haven't already been vaccinated for hepatitis B, you should get that vaccination
when you first see the hospital doctor. Then you'll get another vaccination in 1
month and a third 1 in 6 months. The hospital doctor will also tell you about
human immunodeficiency virus (HIV) infection. Your chance of getting HIV from a
rape is less than 1%, but if you want preventive treatment you can take 2
medicines--zidovudine (brand name: Retrovir) and lamivudine (brand name:
Epivir)--for 4 weeks.
What else should I know?
Being raped can have a huge effect on your life.
You may be very upset, and you may feel disbelief, fear, anxiety and guilt. You
may have an upset stomach or feel nervous. About half of all people who are
raped say they are depressed during the first year after the attack. It's very
important that you keep scheduled visits with your own doctor. Be sure to tell
your doctor about any physical, emotional or sexual problems you have during
this time, even if you don't think they're related to the rape.
Where can I get more information?
Remember, sexual assault is a terrible crime.
But it's not your fault, and you didn't cause it to happen. Rape is against the
law. You have the right to report this crime to the police, and you have the
right to be treated fairly during the justice process.