A Visit to the Doctor by Tiny Tommy Copyright© 2018 by Tiny Tommy It is amazing how much you can do with a female patient under the guise of medical examination and treatment. It isn’t shocking that malpractice insurance rates are so high. I am a family doctor in an affluent neighbourhood. My greying hair at the temples gives me a slightly older, more sophisticated look. I work out regularly and have a lean muscular body. With that combination, when I am dressed for work, I look older and more experienced than my 45 years. When I step out of the shower, I look considerably younger. I am very careful in selecting and screening which patients I will abuse. First and foremost, they have to be worth the risk. I’m not going to lose my livelihood over some fat, middle-aged housewife. The woman needs to be beautiful. You might think that the ditzy ones would be good candidates because they are easily fooled. But they invariably run their mouths and someone would find out. Besides, people are always expecting the bimbos to be taken advantage of, so they look out for these “handicapped” women. The ideal candidate is the highly intelligent woman, who is slightly awkward socially because of her brains. They don’t have to be an introvert, but it helps. They need to be shy, particularly about their bodies and sex. But even when I have an ideal candidate, it has to be approached carefully. I always explain that it will be an intimate and potentially embarrassing process. I always ask if they would be more comfortable with a female doctor, letting them know I can recommend several good ones. I always offer that having a nurse present is their choice; some women are more comfortable with another female present while other prefer not have anyone else see them. I emphasize that whatever they want to be comfortable is all that matters. I repeatedly tell them that if they are ever uncomfortable about any aspect of the treatment to speak up; I let them know that we can stop, change procedures or doctors at any point. Nearly all of the women prefer not having to explain the situation to another doctor, and the shy ones that I target usually prefer that no other person is present. But when they feel like they have made all those choices and even insisted that they would prefer to be treated by me alone, they now feel both in control of what happens and responsible for what happens. As a result, most of them thank me for being such an understanding and compassionate doctor. My online reviews are through the roof. Case Study #1 The first patient that I would like to tell you about is Andrea. Andrea is a 23-year old newlywed. I have been her only doctor since she stopped seeing the pediatrician at age 12. “This is really embarrassing. I’ve been afraid to tell anyone. But I guess you ARE a doctor and you have probably heard everything before. I can’t believe how nervous I am even talking about this.” “It’s OK. Take your time.” “I’m worried something is wrong with me. I’m never interested in sex. It doesn’t feel good. I’m afraid that if I don’t find out what is wrong, Im going to lose my husband. Is there anything you can do to help me?”. After covering the preliminary screening issues, I proceed. “I will have to check for your physical responses to stimuli. This helps me establish the specific physiological functions and either identify or rule out dysfunctions. Some of my actions may seem a little strange, please remember I am trying to evaluate your physical response to each action and compare these against normal ranges.” Of course there are no established normal ranges for what I am about to do, but there is no reason to tell this to the patient. I step out of the room so that she can undress and lay back on the table. I don’t want her to wear a robe, but I give her a sheet to cover herself. I raise the stirrups before I go, but don’t instruct her to place her legs in them yet. “First I am going to test for physical and psychophysical responsive to various stimuli to your breasts. Some tests may tickle, hurt, or elicit another strong response. Don’t worry about how you respond, I’ll be tracking that. As soon as you are ready to start, lower the sheet below your breasts.” Andrea pulls the sheet down to her stomach exposing two tiny tits. Laying on her back, the small breasts nearly disappear. I begin with a light caress. I switch to an even lighter touch, barely brushing her skin and the tips of her nipples with my fingers. I try a feather. I squeeze vigorously, pinch her nipples and even pull on her breasts. None of these register any response. I try nipple clamps, vibrators, and even ice. The ice makes her nipples harder, but nothing I do elicits any arousal. “It appears that you have diminished nerve sensation from you breasts. You certainly should have noticed both more pain and more arousal from the different tests I conducted. I will want to do some further testing to identify the causal mechanisms for this diminished nerve function, but it could explain some of your lack of sexual desire. Routine foreplay may not be preparing you for sexual activity. I’ll need to repeat some of these same tests with your genitals in order to determine how widespread the nerve dysfunction may be. This may be a little strange for you because of how intimate some of these tests may seem. Let me know if any test is making you uneasy and we can stop. When you are ready, put your feet in the stirrups and pull the sheet up to your waist.” Despite Andrea’s light brown hair, her cunt is sparsely covered; she looks more like a blonde given the minimal hair. There are no indications that she ever shaves or waxes, instead there are a number of stray hairs just outside the clustered edges, the kind of outliers that only develop over years. I begin by lightly running my fingers through the hair on her pubis mound. I follow this up by brushing my fingertips along the outside of her labia. She begins to show a response as her lips swell and a slight amount of lubrication is present. I proceed with my vigorous stimulation, rubbing hard. Her arousal builds. I try pinching and pulling on her lips, that doesn’t diminish her arousal. I move directly to rubbing and pinching her clit. At this point she is quite aroused and appears to be on the verge of an orgasm. I gently insert one finger into her very wet pussy. She immediately tenses up and complains of pain. I don’t move, neither removing the finger nor pushing further into her. Surprisingly, she doesn’t relax the tension. “I have been able to determine a great deal with the tests so far,” I explain. “I feared after the breast exam that you might have a complete lack of functioning of any sexual nerve; however, you responded normally to vaginal stimuli, at least until the point of insertion. Something in your body is triggering a muscular response that causes you to involuntarily spasm, rejecting any object, or person, that enters you. I would venture an educated guess that you weren’t completely forthright with me about the sexual response problems you are having.” “I’m sorry, I truly didn’t realize. My husband has never touched me in the ways that you did. I’ve never quite felt like that ‘down there’ before. Yes, sex is painful when he enters me, but I figured that it was my lack of arousal.” “That’s OK. It was only a guess on my part. I asked so that you could correct me if I was wrong. It appears that I was. I want to apologize in advance for the next part of this test. I need to evaluate and document the physical limits of your vaginal passage. I will use probes that increase in diameter. This will be uncomfortable given your body’s response, but I wouldn’t do this if it wasn’t necessary. The first probe is ¾” diameter, about the same size around as the end of my finger. The probes increase by ¼” at a time up to 2.5”. Once I can determine the maximum width, I will also measure the maximum depth. Your tissue throughout the vagina is very resilient and stretchy, it has to be in order to deliver a baby. But your muscle reaction is the issue.” Even though Andrea is plenty wet from the earlier I still apply a liberal amount of KY to the probe-or dildo-before gently inserting it between Andrea’s legs. She tenses her muscles, but has no problem fitting this small object. I proceed to the 1” probe. Again, she struggles to accept it but it does fit within her. She tenses so hard with the 1.25” probe that it hurts. “I’m not going to try any larger this week. But I still need to test your depth tolerance. I know it is uncomfortable, but you are doing a good job so far. Let me know the deepest you can tolerate the insertion.” I slide the probe back and forth (sounds like I’m fucking her with the dildo doesn’t it?) I slowly move the probe forward until she tells me to stop; it isn’t quite 4” deep at this point. “Andrea, what we need to work on is reducing the involuntary muscle response. I could give you strong muscle relaxing drugs, combined with some anxiety medication. Sex would be much more comfortable, but I doubt that you will get more enjoyment from the act. There is an alternative that will take considerably longer; however, I have had good success with this approach in the past, helping women achieve normal sexual functioning. I’ll describe the approach and you can decide.” Posed in this manner, there is no question which choice every woman is going to make, but outlining the options reduces the chances that they will blame (or sue) me later. “First, don’t even attempt sex until I tell you that you are ready. This could be several months. I recommend explaining to your spouse that you are undergoing treatment, you don’t have to share the details of that treatment if you don’t wish, and that your doctor has ordered you to refrain from sex until the treatment is complete. Is that going to be a problem?” “No. I don’t plan to tell him, but it shouldn’t be a problem. He rarely asks anymore, and it will be easy for me to put it off.” “We are going to help you become accustomed to objects entering you. During the next week I have cream that I want you to apply to your genitals twice per day. You need to spread it around the softer inside areas, where it can be absorbed better. You will need to make sure that you spread it around really well. Once every two hours I want you to work this probe into your vagina as far as you can, spend at least 5 minutes each time with the probe. It is important that you stay as close to 2-hour time block as possible. I’ll have you return in a week.” The biggest reason for the cream was to have this shy young woman rub herself. I mixed the cream myself and it contains tiny amounts of testosterone-to increase sex drive, a blood vessel dilator-to increase blood flow in the area, along with small amounts of peppermint and nettle oils to provide a “warm” sensation. I emphasized the two hour spacing to be a little humiliating as she would have to excuse herself from work activities and even home/social events in order to stay on the schedule. Andrea returns the following week. “I can hardly believe it. It has only been a week and I already notice that there is way less pain and I can insert the probe much deeper. Does this mean I will be able to have have sex, and enjoy it, soon?” “You need to be careful about rushing the process. You don’t want any setbacks at this early stage. Your progress so far is good, but this is a slow process.” “OK”, Andrea responded somewhat dejectedly. “I need to repeat the entire set of tests from last week, so we can track your progress against the baseline. Like last week, I will start with your breasts.” This week I spend a little longer with her tits. I follow the same pattern, gentle caress followed by more vigorous squeezing. I spend more time with the vigorous squeezing and particularly with the nipple pinching and pulling. “I’m not sure if you notice it or not, but you are having a little response to the more direct and forceful actions on your breasts. That is a good sign. I’m surprised to see that much progress so soon.” Andrea lied, “I notice it as well.” I knew she was lying because there was no difference. But getting her to think that painful play was arousing excited me. I proceed with the nipple clamps, adjusting them a little tighter. I leave them on for the rest of the exam. I positioned the stirrup a little wider before Andrea arrived, this both spread her legs farther and pushed them slightly towards her shoulders. The soft caress again created some arousal. As the caress became harder, her arousal grew even more. “Do you ever masturbate?” “No, I’ve never. I think it’s unnatural.” “I only ask because this next phase requires prolonged directly stimulation of your clitoris. Women who masturbate usually prefer to do this themselves, women who don’t usually prefer to have me provide that stimulation. Which do you want?” “Definitely you. Do some women actually prefer to do that themselves?” “Actually there are many women who do, but don’t worry about comparing yourself. Sexual response is about being relaxed and comfortable. Do what works for you. I am going to check the different probes again, but this time I am going to stimulate your clitoris while I check.” She handles the ¾” through the 1.25” she has been using daily without any resistance. The 1.5” causes very little problem, when we reach the 1.75” she finally has some resistance. This is a little larger than the average man, but I don’t tell her that at this point. “I am going to change the probe from the smooth surface to one with a bumpy surface. It will be just a little bit wider, but the texture will help to relax your tense vaginal muscles.” I changed from rubbing her clit to tapping on it while I slowly fucked her with the studded dildo. As she reached the verge of an orgasm, I was able to slide 10” of the tool into her. Andrea’s orgasm was explosive; her entire body shook violently. When she had recovered enough to speak, Andrea asked, “What just happened to me?” “That is the first time you have had an orgasm?” “I didn’t know what they meant when they wrote about orgasms. That was amazing. Would it be OK for me, you know, medically, to have another orgasm before I left here?” “That isn’t typical, but I could make an exception since this has been a breakthrough in your treatment. I am going to use the larger probe, as you fully adjusted to the last one.” I skipped a size and went to the 2.5” model with pronounced studs. I did add a little KY to help it get started. I returned to rubbing and pulling on her lips. She tried to wiggle her body around on the table to get the attention back to her clit. I teased her for longer, with the tip of the dildo against her opening and my fingers not quite touching her clit. Suddenly, I pinched her clit and shoved the dildo roughly inside her. She tensed, as I expected her to, and I was only able to get about 4” inside of her. “That’s too much, can we please go back to the smaller one.” “If you want another orgasm today, it needs to be the larger one. Pay attention to the good feelings and soon you will be handling this probe just fine.” I increased the attention to her clit and left the dildo still. Soon she closed her eyes and tilted her head back. I began moving the dildo back and forth. The light tapping on her clit increased to finger flicks. I was pumping the dildo pretty hard. Andrea was pushing harder on to the dildo when the second orgasm hit her. It was every bit as intense as the first one. “This week you will move to the second stage. Once every day you need to insert the probe all the way inside your vagina. Once you have it all the way inside you need to leave it in places for at least 15 minutes. Do not allow yourself to have an orgasm. Because this involves significantly more time, and is far more uncomfortable, I have found that many women don’t reach full insertion or don’t leave it in place for the full amount of time. I suggest that you commit now that you will text me a cell picture of the probe when you get it fully inside you and another picture 15 minutes later with the probe still fully inside. Are you worried about complying? Would it be better for you to make that commitment?” “You seem to know me pretty well. Knowing that you are monitoring me will help me follow through with the treatment. But I’m about to start my period. Shouldn’t this wait until I’m done?” “Your period won’t be any problem. Although you might want to use pads rather than tampons so you won’t dry out so much. And it will require more clean up time. Start to finish this may take you an hour each day.” Every day that week Andrea texted me pictures. I suspect that she went out of her way to have graphic camera angles. These pictures went into my private collection. “Will it be safe to have another orgasm this week?” Andrea asked as soon as I stepped into the room. “Let me see how your body is learning to respond to stimulation and then I can decide.” As before the stimulation with her breasts escalates to nipple clamp, although this time I add vibrators to the clamps. Perhaps it was simply the anticipation, but her cunt was soaking wet before I touched it for the first time. “The stimulation of your breasts seems to be accomplishing more each time. Perhaps you can sense how well lubricated you have become. I think we found the secret for getting a response from you stimulation on your breasts, the stimuli needs to be at least a little painful. Don’t worry; it isn’t as weird as it first sounds. Many woman have this same condition, once we know what makes you respond, I can help you have a more satisfying sex life.” The whole time I was talking to her I was lightly rubbing her clit. I selected the 2.5” studded dildo that was 14” long. It was more like a pony dick than a person’s. I slowly worked it inside her, going slightly deeper with each push. I had all but the last 2” shoved inside her when she reached orgasm. Again, her whole body shook and she squeezed so hard that it squirted lubrication juices around the shaft of the dildo. I allowed her to relax and regain her composure. “This week you will wear a vibrating probe for at least 8 hours each day. It is much smaller than the probe you used last week.” I continued, “The probe will start vibrating at random, but you can pause it for up to 15 minutes. It is attached to a leather thong that latches securely in place. The entire unit is equipped with a small transmitter that will upload when it was attached or removed as well as each period of time that it was on or paused. You may masturbate once per day to orgasm.” I know that with her sexual hang-ups, she won’t masturbate. Instead she will be teased for hours each day. She will return next week begging for another orgasm. After all of this teasing, she will probably want multiple orgasms. Maybe it will be time to shave her cute little cunt. If I tell her that it will improve her sensitivity and responsiveness, she will ask me to shave her. Sure enough, the next visit went exactly how I expected it would. I shaved her cunt and brought her to 5 consecutive orgasms with the giant dildo. “Does this mean that I am ready to try sex with my husband?” Now it was time for stage 2 of my process. “You could, but I’m worried that we have only addressed the physical aspects of your problem. I suspect that there are some psychological issues as well. If you really want to have enjoyable sex with your husband, you will need to overcome those as well. “What do you mean, ‘psychological issues’?” “Would you be comfortable having the lights on when you had sex with your husband? How would you feel about having him stare at your body?” “I would hate that. But why does it matter? Wouldn’t we both be happy with good sex in the dark?” “As long as you are ashamed of your body, you will never have really good sex with your husband.” “Great. What could I do about that?” “More than you think. There is a therapy process called desensitization. I will prepare a series of tasks for you to complete during the next week. Prescriptions for desensitization if you want to call them that. They will probably be embarrassing for you. But it is the only way for you to become comfortable with your body. You won’t be able to enjoy sex until you are.” Andrea was at the point that she would probably accept anything I said at this point. “Each day will have a different task. Don’t cheat and look ahead, just focus on completing that day’s task. If it helps you to stay accountable, you can send me a picture of each task you complete. But that is up to you. The pictures aren’t part of the treatment.” These were the tasks that I gave her: Day 1: Go to the gym in a tight shirt with no bra. Workout in a public area for at least 90 minutes. Day 2: Wear a skirt with no panties all day Day 3: Go to work without a bra in a top that will show the outline of your nipples Day 4: Wear the skirt with no panties again, but this time drive around town for an hour with your skirt raised around your waist. Day 5: Don’t wear a bra or panties. Sit in a busy park area at lunch with your legs spread far enough to show your pussy to anyone who looks up your dress. Stay that way for at least an hour. Day 6: Go to the gym in loose shorts with no panties. Find at least 6 different exercises you can do that could flash your pussy to anyone who is watching closely. Andrea sent me selfies of each activity. It was time to pronounce her “cured”. She visited my office for her weekly appointment begging for me to give her more orgasms. “I think you are ready to try sex with your husband. A week where you gradually showed more and more of your body to strangers has left you wanting sexual stimulation rather than withdrawing from it.”