The existing literature on gynaecological disorder as a long-term consequence of childhood sexual abuse is reviewed. The most widely researched and supported physical association with a history of childhood sexual abuse is chronic pelvic pain, although a few stories have also postulated a link with premenstrual syndrome. To the author's knowledge dysmenorrhea which is an integral component of premenstrual syndrome, has never been isolated as a possible sequelae of abuse. The methodological difficulties which are inherent in sexually abuse research are also discussed.