And Aly Raisman — the captain of the American women’s gymnastics teams at the 2012 and 2016 Olympics, and one of the most outspoken survivors of Dr. Nassar’s abuse — published thousands of words in The Players’ Tribune on Thursday.

“I ask that you give Larry the strongest possible sentence (which his actions deserve), for by doing so, you will send a message to him and to other abusers that they cannot get away with their horrible crimes,” Ms. Raisman, 23, said in her statement. “Maybe knowing that Larry is being held accountable for his abuse will help me and the other survivors feel less alone, like we’re being heard, and open up pathways for healing.”

Because of Dr. Nassar’s abuse, Ms. Raisman wrote, she is frequently afraid: afraid that other doctors will treat her similarly; afraid even that a man will deliver her room service order when she travels.

“I hold the door open as he drops off the food and keep it open until he leaves,” she wrote. “I often wonder if I am hurting their feelings by being so obviously distrusting of them. I always used to give people the benefit of the doubt, but if a decorated doctor who served on the national team for over 30 years turned out to be a monster, then how can I trust anybody?”

Even so, she continued: “I am not a victim. I am a survivor. The abuse does not define me, or anyone else who has been abused.”

Beyond Dr. Nassar himself, the cases have ensnared U.S.A. Gymnastics and many of its top officials, whom lawsuits have accused of turning a blind eye and of fostering toxic environments in which abuse could flourish. Earlier this year, U.S.A. Gymnastics adopted stricter reporting policies in response to an extensive report on its previous failings.