However, Human Rights Watch found that doctors still conduct this procedure. For instance, Gayatri (pseudonym), from Madhya Pradesh state was 17 when her brother witnessed their father raping her in 2016. The rapes had been happening for months. After they reported the rapes, the doctor noted Gayatri was likely pregnant, conducted a “two-finger test,” and wrote a professional opinion that her “vagina admits two fingers loose, not enlarged” and that “she is habitual to sexual intercourse.”

The Supreme Court directed the central and state governments to ensure the 2014 guidelines are circulated to all hospitals, to conduct training workshops for healthcare providers, and to review medical school curriculum.

The Indian government has repeatedly said it is committed to ensuring justice for violence against women. Instead of continuing with patriarchal practices that degrade women, authorities should ensure that medical professionals treat sexual assault survivors with dignity, provide a safe environment of trust for treatment and examination, and offer crucial support and therapeutic care services.