Out of 132 female patients reporting injuries resulting from rape, the doctors found 27% to be self-inflicted, 33% to be of foreign origin, and 40% inconclusive.
If a woman's injuries are found to be self-inflicted, that does NOT necessarily mean that she wasn't raped.
It is possible that she was raped, but she was afraid that the police would not believe her if she appeared to be uninjured.
(And, unfortunately, she could very well be right. Some people, including some law enforcement personnel who really should know better, will view a lack of visible injuries as reason to doubt a rape victim's story. Even though it's entirely possible for a rape to occur without physical injuries.)
She might have deliberately bruised or otherwise hurt herself, hoping that it would make it easier to convince the police she was telling the truth.
...
On the other hand ...
I have seen people cite the fact that a woman had visible injuries as proof that she was assaulted.
The argument is, essentially, "If it was consensual sex, then why did she look all beaten up afterward?"
Well, if somebody decided to make a false accusation of rape, it is possible that she would deliberately injure herself, or get an accomplice to injure her, to make her story more credible.
A medical professional might be able to tell the difference, but that 40% "inconclusive" seems to indicate that it's not always possible to do so.
In short, all of these things can be considered evidence, yes.
But they are not, in and of themselves, proof of anything.

It's the nature of rape as a crime that makes a false accusation so damaging, no matter how often it happens.
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