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Mr_A... I am saddened that your friend has undergone such a tragic abuse and fears retribution if she takes steps to assure her health is sound.
I find it highly unlikely that she would develop an infection / disease as a direct result nine years after this abuse (I refuse to call it a medical procedure) took place. However, that is not to say that she can't be susceptible to infections from various sources.
Is she experiencing any symptoms that give her cause to feel she may have some form of infection or disease? I don't see where you have mentioned if she is having symptoms or not but that is a crucial factor in what steps would be best for her to take.
I am having difficulty putting aside my personal feelings of the abuse she and her sister have suffered and what I think should take place with her parents. But I am doing my best to try to help in some form and keeping in mind that you have made it perfectly clear that she will do nothing to incriminate her parents.
So, perhaps you could at least call Planned Parenthood and inquire as to what you can do to help her? You CAN do that anonymously. Ask them point blank if she came in for an exam if they are required by law to report it to the authorities. They are your best option for confidentiality. If they say that they are required to report it, ask them where they would recommend she go to simply have a check up.
If it has been 9 years, she can't be very far from 18 and IF, I repeat IF she is NOT having any symptoms, then she may have to wait until she turns 18 to insure her parents undeserved safety.
I wish you and her the best and I will say a prayer for you both. And bravo to you for wanting to help her.
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In the depth of winter, I finally learned that there was within me an invincible summer.
~Albert Camus
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