This 54-page report documents the continued use of the archaic practice and the continued reliance on the "results" by many defense counsel and courts. The practice, described in outdated medical jurisprudence textbooks used by many doctors, lawyers, and judges, involves a doctor inserting fingers in a rape victim’s vagina to determine the presence or absence of the hymen and the so-called "laxity" of the vagina. These findings perpetuate false and damaging stereotypes of rape survivors as "loose" women. Defense attorneys use the findings to challenge the credibility, character, and the lack of consent of the survivors.