Wartime sexual violence
Hence, male rape victims experience the worst possible 'humiliation' with regards to the ingrained social roles they are traditionally expected to fulfill. Moreover, their stigmatization takes on particularly severe dimensions within conservative social environments in which homosexual intercourse – regardless of consent – is punished harshly. For example, Ugandan male rape victims explain their choice to not speak out with the fear of being branded homosexuals. As homosexuality is widely condemned in Uganda, male victims of sexual violence often struggle to get proper support because they are accused of being gay. In certain cases, gender roles concerning violence and sexual conduct are so deeply ingrained that the mere existence of male rape is denied. In Nigeria, 81 per cent of people are against human rights for homosexuals. A 2021 study showed that as a result, both victims and perpetrators justify the act as a form of spiritual security which will bring the perpetrators 'physical safety, material wealth or socio-political ascendancy.'

Effects: 

Physical effects: A 2013 study lists the physical injury to the victims of war rape as traumatic injuries, sexually transmitted diseases, maternal mortality, unwanted pregnancies, unsafe abortions, and persistent gynecological problems are of major concern. Because war rapes take place in zones of conflict, access to emergency contraception, antibiotics, and abortion are limited. Infection with the human immunodeficiency virus (HIV) is not uncommon. In certain instances, women were taunted by soldiers with the threat of infection.

War rape may include physical rape of the male organ. Gang rape and rape with human objects or physical objects, such as fists, sticks, rods, and gun barrels are also methods used in war rape. Women victims may suffer from incontinence and vaginal fistula as a result of these particularly violent instances of rape. Vaginal fistula is a medical condition of vaginal abnormality where there is hole in the vagina in close proximity to the colon (anus or rectum) or bladder. In some cases, it is a birth defect, in others it is a result of female genital cutting (FGM) and rape. In extreme instances of violent rape in war, the walls of the vagina are torn or punctured, resulting in severe pain and debilitating incontinence (urinary complications) and bowel containment. Violent rape is also a cause of obstetric fistula which is a hole in the female organ and birth canal.
Physical effects may also include bone breakage such as backbreaking and cranial cracks, causing future disability, visual and hearing impairment, and mental incapacitation.

Psychological effects: Victims and survivors of war rape are at very high risk of psychosocial problems.
The short-term psychological injuries to the victims include feelings of fear, helplessness, sadness, disorientation, isolation, vulnerability, and desperation. If left untreated, the psychological effects of sexual assault and rape can be devastating, sometimes even deadly. Causes of death as the result of sexual violence include suicide and murder. Murder of sexual assault and rape victims may be perpetrated by the rapist or as part of an honor killing by family members of the victim.
Long-term psychological injuries may include depression, anxiety disorders (including post-traumatic stress syndrome (PTSS)), multiple somatic symptoms, flashbacks, on-going trauma, chronic insomnia, self-hatred, nightmares, paranoia, difficulty re-establishing intimate relationships, shame, disgust, anger, and persistent fears. They could have trouble sleeping, experience changes in their appetite, or develop full-blown emotional problems, including posttraumatic stress disorder, depression, substance abuse, or dependence. Individuals who have experienced sexual assault are at risk for other day-to-day problems, including arguing with family members and having problems at work. Lack of medical psychological support resources also puts victims of war rape at further disadvantage. Refugee women are also at a disadvantage of receiving adequate assistance to deal with the psychological consequences of war rape – not only do they lack legal representation, they also may lack protection from the perpetrators of the violent act. Furthermore, there is an increase in dislike of refugees and asylum seekers which is another obstacle in the psychological healing process of victims seeking assistance outside of their countries that may still be under civil strife. Psychological support and counseling sessions given by individuals not part of the ethnic, linguistic, or community may incite difficulties in communication between patient and caregiver. As a result, adequate emotional and psychological support to the victims is not fully developed, affecting the long-term healing potential for the patient.

Psychosocial and societal effects: In addition to the physical and psychological damages resulting from rape, sexual violence in the context of war often disrupt the linkages between the rape victims and their communities. Thus, the phenomenon of war rape can structurally affect entire societies, which is closely linked to the logic underlying the strategic use of rape as an instrument in armed conflicts. Raping 'enemy' women also constitutes an act of abuse and humiliation against the men of the community the victims were representative of.
Research in 2019 suggests that wartime sexual violence may increase instances of intimate partner abuse in the affected society. A study on the aftermath of civil war in Peru estimated that in departments which had experienced conflict-related sexual violence, women in the department were at increased risk of intimate partner violence after the war.
Besides the psychosocial effects on women as the most frequent victims of wartime rape, children born of rape are faced with distinct social stigmas. The existence of taboos around the issue of war rape can also be an obstacle to post-conflict reconciliation.

Stigmatization and isolation: Psychosocial consequences of war rape describe how the linkages between victims and the society are altered as a result of sexual abuses during war. Both during and even more in the aftermath of conflict, when abuses become known, victims of war rape risk finding themselves in situations of social isolation, often abandoned by their husbands and rejected by their communities The ordeal is thus not over with the survival of the act of abuse but has a long-term effect that can only to a limited extent be dealt with by the victims themselves. The process of re-victimization captures how victims of sexual violence continue to "receive additional hurt after the direct cause of victimization has disappeared" with stigmatization and exclusion being among the main sources of re-victimization.
This is particularly relevant in patriarchal societies, where female sexuality is linked to male honour, virginity is a core value, and where a culture considers ethnicity transmitted through male genes. Given the ethnic dimension of sexuality, rape can become a means of ethnic cleansing or genocide, as has been claimed in relation to systematic instances of rape in Rwanda and Bosnia. In this context, "rape as a weapon of war is not an individual issue, but a societal one." In a number of countries, the targeted infection of women with HIV, which creates further suffering for victims experiencing social exclusion and discrimination for having HIV/AIDS.

Impact on children who are born as a result of rape: War rape can have an equally strong and a long-lasting effect on children who are born as a result of it. On the one hand, these children may not be immediately identified and as a result, they might not find out about their origins until they reach a later point in their lives. In turn, if the children themselves but even more importantly, if the community knows about the 'war babies', they risk being regarded as the 'other' by the communities into which they were born. Recurring patterns in countries which include Bosnia and Herzegovina, Uganda, Sierra Leone and Rwanda show how children who were born as a result of war rape and the mothers who do not want them both have to face struggles with regard to issues which are related to their identities – both in an administrative and a personal sense – and their rights are sometimes restricted, such as their right to obtain an education and their right to be protected from discrimination and physical harm. Unwanted children who were born as a result of rape are potentially more vulnerable in both a psychological and a physical way and cases of child abandonment have been reported in various contemporary conflict and post-conflict societies.

Impact on post-conflict reconciliation: The societal consequences of war rape can equally have a negative impact on post-conflict reconciliation and the judicial follow-up on wartime crimes, including rape. Given the stigmatisation of victims and their isolation or fear thereof, they might prefer to remain silent with regard to the violations they have suffered. Indeed, underreporting of cases of rape during armed conflict is a practical challenge post-conflict communities have to face that is pointed to by a number of actors, including the United Nations Secretary-General, the United Nations High Commissioner for Human Rights as well as international NGOs.
As Human Rights Watch reported with regard to war rape during the Rwandan genocide, victims "expressed dismay at the fact that they were being urged to forget what happened to them in the name of peace and reconciliation". The fear of consequences and threat of exclusion felt by the victims makes it difficult to establish clear figures of war rape incidents and to hold perpetrators accountable for the crimes they have committed, as has been claimed with regards to war rape in Darfur: "Underreporting of cases may be attributed to the stigma associated with rape, shame and fear of reprisal, denial that rape occurs, intimidation by many Government officials and the inability to access some conflict-affected areas". This points to another difficulty victims of war rape have to deal with at the societal level. The perpetrators of rape are often officials or otherwise affiliated with the state's institutions, which might make reporting of assaults appear useless.

Psychiatric care: Disrupted healthcare sectors is a term the World Health Organization describes for medical facilities that are destroyed or partially destroyed in war torn areas. Health care facilities are essential for the establishment of support systems for rape victims.