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When parents present to a physician's office because of concerns about their child's sexual behavior, several issues typically arise: parent anxiety, the extent to which the behavior is disruptive in the home or school setting, the origin of the behavior, and effective management of the behavior.

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Sexual behaviors become less common, less frequent, or more covert after five years of age.

Sexual behavior problems are defined as developmentally inappropriate or intrusive sexual acts that typically involve coercion or distress.

Sexual behaviors in children are common, occurring in 42 to 73 percent of children by the time they reach 13 years of age.

Developmentally appropriate behavior that is common and frequently observed in children includes trying to view another person's genitals or breasts, standing too close to other persons, and touching their own genitals.

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