According to the report published on Tuesday, 68 reports of abuse have been received since the commission was set up in 2018.
Of the 68 cases, 44 have already been conclusively processed, of which the allegations were confirmed in 39 cases.
The commission suspects a high number of unreported cases. This is based on reports made by those affected to the church reporting centres.
"The published figures by no means reflect the objective state of affairs, as we are aware that there are many more real cases in Slovakia," says the report.
The majority of the allegations received relate to the country's Latin dioceses, 50 in total.
Three cases concern the Greek Catholic Church in Slovakia, 15 the religious orders.
Statistical analyses of the offences are only available for the 39 confirmed cases, which relate to 44 affected persons.
The victims are mainly young people aged between 14 and 18, and in 54 per cent of cases the victims are female.
The perpetrators are priests in 34 cases, plus three religious and two lay people. Ten of the cases involve rape.
Laicisations and bans on activities most frequent sanction
Sanctions were imposed on the accused in each of the completed cases.
14 clergymen were removed from the clergyand two lay people were dismissed.
Eight offenders received limited bans, ten received comprehensive bans and in five cases a canonical admonition was issued.
The Commission notes that not all cases were handled completely correctly, "either because in the past there was not yet the legal basis that we have today, or because the human factor failed".
The Commission for the Protection of Minors was established by the Slovakian Bishops' Conference in 2018 and is now reporting on its work for the first time.
Since 2018, the dioceses and religious orders have reported new cases to the commission every year according to a standardised procedure.
The Chairman of the Slovakian Bishops' Conference, Archbishop Bernard Boberacknowledged at the presentation that the Church had not always taken a proactive role in investigating abuse.
"We sincerely regret this and apologise for our own unpreparedness, negligence, lack of interest or lack of acceptance that we as bishops may have committed in certain situations," Bober continued. "We know that the evil that has been done cannot be repaired, but we want to alleviate the heavy burden of the people who have been mistreated."
We are now on a path of transparency and truth.
Of Slovakia's 5.4 million inhabitants, around 60 per cent are Catholics, divided between the Latin Church (56 per cent) and the Greek Catholic Church (four per cent).