Yes, Iām sexually active, but I donāt use the back door. I mean ā you know what I mean. Is it really necessary for you to check there?
ā¦nervous? *blush* a bit, I supposeā¦I appreciate you talking me through what youāre doing. Alright, Iām ready.
Itās good to know, that you are sexually active. I will have to spend some extra time, looking for anything amiss, due to sexual activities.Ā
I have some follow up questions while you get comfortable - and make sure to scoot a little bit over the edge of the exam chair. gives me better access.Ā
Soā¦How often do you have penetrative sex? Do you engage in rough sex? Do you use dildos or vibators to masturbate?
No need to blush, my dear, I am a professional, I need to know if I should look for small tears or injuries as a result of rough playā¦and Iāll be using a speculum later on Itās quite thick, to give be a better view of your insides, and maybe an intravaginal ultrasoundā¦So itās good to know if you might be sore from recent sexual endeavours.Ā
With regard to anal penetration there are a lot of reasons why we should also check there. If you haven't had anything in there, itās all the more important that I feel a bit round, if everything is in working order and you donāt experience any unnatural pain. Also some diseases can spread there without the need for anal penetration to happen first. But I donāt want to worry you, thatās probably unlikely. But just one more reason why you really should consent to an full rectal exam.Ā
Itās okay that you are nervous, that is to be expected. But please be very still during the exam and try not to move around to muchā¦Everything will be okay. But otherwise I will have to restrain you physically. For your own safety. We donāt want you to hurt yourself now, do we?Ā
Iām starting with checking your pulseā¦let me just put on some gloves first.
Did you know, that the vaginal canal is actually a quite precise spot to feel a persons pulse? that throbbing feeling you experience during arousal in your labia is just the extension of that.Ā
Darling, please open the legs a little widerā¦you knee pits should comfortable rest of the stirrups. There you goā¦thatās perfect. Your labia spreading by themselves. Iām going to insert two fingers now. You are doing so well for me. I can feel a little muscle spasm, but overall your are nice and open for me.Ā
Strong pulse. Your heart rate is a little fast, but not to concerningā¦
If you are still anxious about the following anal exam or the pap smear - which to be honest might hurt just aĀ small little bit - I can also offer you something for your nerves. A mild sedative or muscle relaxant. Itās your choice. Or I can just be very patient with you.Ā
Please let me know, what your decision is.Ā
For now I am going a bit deeper. starting to feel around. Donāt be alarmed, I will put my other hand flat on your belly. You should feel some pressure, maybe some small discomfort, but no pain - yet.Ā
Hmmā¦goodā¦everythingās feels healthy and right were it should be. Your vaginal muscles are still spasming a bit, and moisture production is good. Thatāll make it easier to insert the speculumā¦
I personally find it better to drag out the manual exam for as long as needed to get you open and wetā¦Other doctors might use lube, which is very cold and has a clinical smell. In my experience that only make the patients clench up even more sometimeā¦natural lubrication is always to be preferred.Ā
Are you ready to continue with the next part of the exam?Ā