The dynamics of physical abuse in a relationship are often complex. Physical violence often occurs after a period of months or even years of other forms of abuse, such as threats, intimidation and controlling behaviors such as restrictions of the other person's self-determination, through isolation, manipulation and placing of limits on personal choices and freedoms. Sexual violence, or sexual abuse, is defined by World Health Organization as any sexual act, attempt to obtain a sexual act, unwanted sexual comments or advances, or acts to traffic, or otherwise directed, against a person’s sexuality using coercion, by any person regardless of their relationship to the victim. It also includes obligatory inspections for virginity and female genital mutilation. Aside from initiation of the sexual act through physical force, sexual abuse occurs if a person is unable to understand the nature or condition of the act, unable to decline participation, or unable to communicate unwillingness to engage in the sexual act. This could be because of underage immaturity, illness, disability, or the influence of alcohol or other drugs, or due to intimidation or pressure.
In many cultures, victims of rape are considered to have brought 'dishonor' or 'disgrace' to their families and