The doctor surveyed the examination setup and instruments. A lamp, vaginal speculums, swabs, gloves, lubricant, thermometer, penlight – everything he would need for a thorough examination. Then he looked at his patient before him, her legs spread, the drape modestly covering her genital area for the moment. She had left her socks on, though of course her legs were bare. Unlike a real doctor he allowed himself to soak in the extreme intimacy of the situation and the unique dynamic that allowed he and his patient to meet in this manner. He wondered if actual doctors could totally separate their professional situation from the basic intriguing premise of being in this position, that is, as a man about to have a woman’s genitals bared before him, and to be allowed to examine and probe them.

As for Joan, she was acutely aware of her position as she lay on the table with her legs spread apart, only a thin towel separating her private parts from the playdoctor’s gaze. She tried to keep her breathing steady, but knew at least that her heart was beating faster in anticipation of what was about to happen. If exposing her breasts was a big step, putting your genitals on view to a complete stranger was another level entirely, especially within the shared mindset and context here. There were obviously sexual elements present – could anything that involved female nudity ever not have them? -- but the exacting playexam scenario both limited and expanded the possibilities for both of these participants. Most people wouldn’t be able to get beyond the obvious, and would not understand what was going on inside their heads, but both Dr. Welch and Joan were working on a different level of expectation and appreciation.

Doctor Welch snapped on the lamp and pointed it to shine on the drape, pulled on a pair of the latex gloves, then seated himself on the chair directly between her legs. “Joan, I’m going to remove the drape now,” he said matter-of-factly, his hands steady as he pulled up the edge of the draping slowly, revealing her vulva to him. He took a deep silent breath as he took in the view. Joan looked upward and concentrated on feeling the material being lifted from around her legs, then higher, as finally the doctor removed it entirely and she lay exposed before him. The height of Doctor Welch’s chair put Joan’s pubic area about nine inches below his eye level, just perfect. He calmly adjusted the light to shine more directly on her, taking a moment to orient himself and become comfortable with this new situation. Joan thighs were wide open before him; her pubic area was clean-shaven, her pink outer labia slightly parted from the position she was in. He could not see any of the other structures clearly at this point, although he could see that her labia minora were on the thicker side rather than thinner. He could see a slight moistness glistening on the vulvar tissues, an indication that Joan was probably experiencing some arousal at this point, completely normal under the circumstances. Of course he would not mention it.

Joan allowed herself to look away from the ceiling now, and saw her spread legs with Doctor Welch framed between them, her body naked from the vest down. She could feel the heat of the lamp on her exposed pubic area. She wasn’t sure what she felt – not embarrassment, certainly, not humiliation, but instead a calm relief and at the same time a sense of freedom mixed with opposite of it – she was just following doctor’s orders, after all -- as she lay revealed here on this table under the explicit gaze of her playdoctor.

The doctor reached for the written checklist, mostly to break the tension and put the roleplay strictly in place now that Joan was in a vulnerable position. “Joan, I’ll be assessing all your external genital structures first and then continue to the internal. I like to do an extremely thorough work-up so this will probably be much more detailed than exams you’ve had before. Be sure to tell me if anything I do causes you pain or discomfort.” This portion of the exam would be a protracted version of the standard external exam, which he knew from speaking to women was usually very cursory. During this playexam it also was an excellent opportunity for both playdoc and patient to further inhabit their roles, to take part of a real exam and expand it to fit the gynofetish mindset, to give the doctor more hands-on experience and allow the patient to be scrutinized in a very specific and prolonged way.

“Yes, Doctor, I will.” She knew that Dr. Welch’s eyes were on her genitals now; she couldn’t decide if she felt embarrassed now…didn’t feel exactly like it, it felt like a real exam, didn’t feel too weird. Joan picked up the hand mirror and positioned it so that she could see between her own legs; it was a little odd, but it actually calmed her. Plus, she wanted to see the exam from this angle, to share the doctor’s experience and lay it on top of her own as the patient. “All right, Joan, you’ll feel me touching you now,” he warned before he made contact with her inner thigh, then moved on to her most private area. She watched intently as Dr. Welch finally touched her vulvar area, pressing the index and third finger of one hand against her outer lips, pushing gently but firmly first down one side and then the other, moving his fingers in tight little circles.

“I’m checking for lumps or anything unusual on your outer labia, Joan,” he explained as he continued his deliberate examination. “I don’t feel or see anything out of the ordinary. Normally we also note the pubic hair pattern, but since you are shaved we’ll skip that,” he said as he moved his fingers higher to palpate her fleshy mons area. Joan watched in the mirror as he worked, not feeling anything other than professional adeptness in his touch, but fascinated to see his fingers moving over her genital area with such care.

“Very good so far, Joan. I’m now going to separate your outer lips – “ Joan watched as he gently pushed apart one side of her labia majora – “ and we’ll take a look at your labia minora.” As he held one of her outer lips open to the side, he took the fingertips of the other hand and pressed them into the flesh between the larger and smaller lips, then unhurriedly moved them up and down, feeling again for any abnormalities. He did the same on the other side as Joan watched in the mirror, curious and thoroughly absorbed in the examination so far. The doctor then placed fingers on both sides of her labia majora and pulled them apart at the same time, starting at the top of her pubic area and moving down an inch at a time as he spread her labia wide in order to begin closer examination. He noted that she had labia minora that were puffy at the top and thinner below, and slightly thicker on the left side. As he observed her opened vulva area, he noted that he could not see her clitoris at this point, nor did spreading the labia majora open up the vaginal orifice to full view.

“Joan, everything looks fine so far. I’m going to examine your clitoris and clitoral hood now. This can sometimes feel a little unusual and you may experience some sensation. Just relax.”

“Yes, Doctor.” She watched as Dr. Welch used one hand to separate the labia majora at the top, then used the other hand to pull back and up on Joan’s clitoral hood, revealing Joan’s clitoris. It was approximately a quarter inch long, and well hidden by the generously folded hood. He pressed the hood further back to check for any adhesions; there were none.

“Joan, I’m going to palpate the clitoral shaft now.” He gently used his fingers to see if he could feel the hidden structures of Joan’s clitoris, but was unable to feel much as most of Joan’s clitoris appeared to be evident when the hood was retracted. “Most of the structures of the clitoris are under the skin and it’s good to assess them during this exam.” He noticed a very small muscular spasm in the lower vulvar region as he gently probed her clitoral bud. He was most definitely not trying to provoke a sexual response here, but this sensitive area was bound to elicit some kind of reaction.

Joan watched in the mirror as Doctor Welch worked, and was intrigued to actually not feel any sort of specific sexual stimulation from this part of the exam. It really felt like a medical procedure, and she was probably most fascinated by the act of watching it rather than the physical sensations she was experiencing. She enjoyed seeing the playdoctor’s gloved fingers probing her.

“I hope that wasn’t uncomfortable for you, Joan,” Doctor Welch commented as he removed his hands from her and glanced over at his notes. The playdoctor asked this as an opportunity for the patient to express any doubts or embarrassment with the examination so far; some women enjoyed feeling this way and liked to talk about it with the doctor. “Some women are upset that they experience mild arousal sensations during the clitoral examination, but it’s nothing unusual, of course, and nothing to be embarrassed about.”

“No, Doctor, it felt fine. I appreciate your being so thorough.” Joan could see in the mirror that her genital area was becoming a bit pinker in color, which definitely meant that she was experiencing some physiological changes from this roleplay, but nothing overt so far, and she wasn’t expecting any.

“Good. I’m now going to take a look at your urethral opening.” He took one hand and spread open her labia minora just below the clitoris, pushing her lips very wide apart and pressing slightly downward to bring her urethra into full view. “Everything looks fine, nothing unusual here,” he said quietly as he continued to look, moving his fingers slightly to bring the Skene’s glands (located on either side of the urethra) into better view. At the same time he noted the slightly rougher texture of the inner labia minora, and of course their color. As he spread his fingers her vaginal opening came into full view, and he thought to himself that this area was such a very interesting junction of fleshy folds, all the bright pink flesh meeting here at the entrance to the vagina.

“Joan, have you ever had any urinary tract infections?”

“Yes, as a matter of fact,” she answered. “Not for a couple of years, but I did have a couple.”

“Of course it’s important to wipe from front to back to help avoid them,” he advised her. “Also urinating after intercourse can often prevent them too,” Doctor Welch offered to her. “Now I’m going to massage your urethra to check for any discharge.” Joan watched as the playdoctor slipped his index finger just inside her vagina and stroked his finger a few times on the upper wall under the urethral area, watching for any secretion. It definitely felt unusual to Joan and not unpleasant. “But as I said everything looks normal here, Joan.”

“That’s good, Doctor.”