Several factors contribute to systemic abuse in gynecology:
1. Power Imbalance: The inherent power imbalance between healthcare providers and patients can lead to situations where abuse is more likely to occur. 2. Lack of Accountability: Inadequate reporting mechanisms and oversight can allow abusive behaviors to go unchecked. 3. Cultural and Societal Norms: Societal stigmas around reproductive and sexual health can discourage patients from speaking out. 4. Training and Education: Insufficient training on patient rights and ethical practices can leave healthcare providers ill-equipped to handle sensitive situations appropriately.