Based on the outlined research, we propose some general implications for professionals in health care followed by more specific recommendations for researchers in the field of sexual health. As there are many possible clinical and research implications, we do not make any claim to comprehensiveness.

4.1. General Implications

Offences of FCSO are underreported and therefore FCSO are difficult to study. The resulting knowledge gap about FSCOs reduces the quality of child protection and treatment services. We therefore deem it particularly necessary for health care professionals to overcome the social taboo that is FCSO.

As mentioned, there seems to be a marked resistance in the general public and the health care system to detect FCSO [ 19 ]. Historically, the same kind of resistance was documented for the acceptance and awareness of men who sexually abuse children [ 74 ]. Thus, in accordance with Mellor and Deering [ 20 ], we state that the overall awareness and appropriate attitude towards FCSO have to be improved in health care, criminal justice, and child protection systems. Since a structured training as proposed by Mellor and Deering [ 20 ] may strain the organizational capacities of most institutions, we recommend an increased engagement of the issues concerning FCSO in internal conferences and discussions. This may lead to a more open discussion of FCSO among colleagues and therefore to a stronger representation of the issue in the professional’s mind. Consequently, this should help to uncover the abusive behavior for both victims and offenders.

As media portrayals of FCSO and their victims are generally inadequate [ 18 ], instructions for journalists concerning the appropriate attitude towards FCSO are also deemed necessary.

75,76,77,78,79, The tendency to deny and minimize, leads to FCSO being a hidden phenomenon, undeniably difficult to uncover (cf. References [ 18 80 ]). We therefore advise professionals in both clinical practice and scientific research to consciously challenge and control their own underlying mechanisms of denial when confronted with cases of FCSO.

Since it is assumed that victims of FCSO and even FCSO themselves have difficulties to recognize the women’s behavior as sexually abusive [ 18 ], we deem an active approach towards FCSO in order to meet their needs is most appropriate. Therefore, we propose education and information within health care, justice, and other systems. For instance, wherever undetected FCSO and/or their victims might occur (e.g., pediatrician practices, youth welfare offices, kindergarten, schools, counselling for victims of sexual offending, women’s house), an educational brochure could be distributed to adults. It might briefly and simply inform the reader about the fact that women are also capable of sexually abusing children including contact details for both FCSO and victims. By this, a network including members of different professions within health care, justice, and other systems might be built so that regular communication and information between different systems regarding the issues of FCSO can be established.