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h-quality reporting on patient outcomes will help improve the evidence base on this topic. © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.Virginity testing is a complex, culturally mediated practice that is poorly understood by Western clinicians. While advocating for global elimination of the practice of virginity testing as a human rights violation, clinical practice is often more complicated and ethically nuanced, and the clinician must act in the best interest of her patient. Upholdi