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The forthcoming memoir by Virginia Giuffre stands to be a royal disaster for Prince Andrew. Giuffre's posthumous 400-page memoir goes into vivid detail about her years of what she says was sexual abuse by Jeffrey Epstein and Ghislaine Maxwell, as well as their powerful associates in the early 2000s. Of all of Epstein's friends discussed in the memoir, no one stands out as much as Prince Andrew, who, Giuffre wrote, she was trafficked to on three separate occasions. An attorney for Prince Andrew didn't immediately respond to Business Insider's request for comment. The British royal has previously denied claims by Giuffre, as well as claims by another Epstein accuser who said he sexually abused her. According to Giuffre, the first instance of Prince Andrew's sexual abuse was in March 2001, when Giuffre was staying in Maxwell's London home. Maxwell asked the prince to guess Giuffre's age. "The Duke of York, who was then forty-one, guessed correctly: seventeen," Giuffre wrote. "'My daughters are just a little younger than you,' he told me, explaining his accuracy." That same night, Epstein took the now-famous photo of Prince Andrew standing next to Giuffre, his arm around her waist, with Maxwell in the background, according to Giuffre. The prince and Giuffre had sex after going out to dinner and to London's Tramp nightclub, she wrote. "He seemed in a rush to have intercourse," Giuffre wrote. "Afterward, he said thank you in his clipped British accent. In my memory, the whole thing lasted less than half an hour." Giuffre is arguably Epstein's highest-profile accuser. Her sexual abuse allegations, first made in court filings years ago, were among those that ultimately led to the prosecutions against Epstein and Maxwell. Related stories Business Insider tells the innovative stories you want to know Business Insider tells the innovative stories you want to know And while Prince Andrew has sought to put his relationship with Epstein behind him, the accusations continue to dog him and cause scandal for the British royal family. The book's release comes days afterPrince Andrew relinquished his remaining royal titles, saying the "continued accusations" about him were a distraction from the family's work. Losing a fetus Giuffre's book, "Nobody's Girl: A Memoir of Surviving Abuse and Fighting for Justice," written in collaboration with the journalist Amy Wallace and published by Knopf, is scheduled to be released on Tuesday. Giuffre died by suicide in April. In what Giuffre wrote was her final sexual encounter with the prince, she, Epstein, Prince Andrew, and "approximately eight other young girls" had an orgy on Epstein's private island in the US Virgin Islands. Not long after, Giuffre had "irregular bleeding" and one day woke up in Epstein's Manhattan mansion "in a pool of blood," she wrote in her memoir. Giuffre wrote she spent several days at the hospital, where "Epstein took charge" and spoke to the doctors on her behalf. Epstein told Giuffre she had a miscarriage, she wrote. But she said the medical records don't contain that term and the procedure left an incision on her stomach. In the book, Giuffre questioned whether doctors removed an ectopic pregnancy, in which a fetus grows outside the uterus. "After my hospital visit, I had to come to terms with the fact that I had gotten pregnant and lost a fetus without even knowing it was happening," Giuffre wrote. "That made me feel even more numb. But there would be no time for grieving. In Maxwell and Epstein's world, the party never stopped." Going public Guiffre said she decided to go public in 2011, in part because of Prince Andrew. By that point, Giuffre was living with her husband in Australia, and Epstein had pleaded guilty to soliciting an underage woman for sex. He was required to register as a sex offender as part of a now-widely-criticized deal with Florida prosecutors. Giuffre wrote she was incensed to see news reports of Epstein partying with celebrities and spending time with Prince Andrew, and she decided to speak with a journalist. "When Maxwell had first arranged for me to have sex with Prince Andrew in London in 2001, Epstein was still largely concealing his predilection for young girls behind closed doors or on his private island," she wrote. "But by 2011, everyone knew that Epstein — though he'd gotten off with a light sentence — was a convicted sex offender. Seeing this new photo of Prince Andrew at Epstein's side made 'Randy Andy' seem even more arrogant to me," she wrote. Epstein killed himself in jail in 2019 while awaiting trial for sex-trafficking charges in Manhattan. Maxwell is serving a 20-year prison sentence for trafficking girls to Epstein for sex. In 2021, Giuffre filed a civil lawsuit against Prince Andrew, accusing him of sexual abuse. Prince Andrew settled the lawsuit the following year and publicly acknowledged "she has suffered both as an established victim of abuse and as a result of unfair public attacks." While the settlement didn't include an admission of wrongdoing, Giuffre still considered it a victory. "We would never get a confession, of course," Giuffre wrote. "That's what settlements are designed to avoid. But we were trying for the next best thing: a general acknowledgment of what I'd been through." Giuffre wrote that the settlement terms required that she not disparage Prince Andrew for a year after the agreement was reached. "I agreed to a one-year gag order, which seemed important to the prince because it ensured that his mother's Platinum Jubilee would not be tarnished any more than it already had been," she wrote.