Libby fidgeted nervously in the waiting room of the Nashville Medical Center, thumbing through a magazine without really seeing the pages. She had put off this appointment for months, but after one too many uncomfortable nights, she finally decided to see a specialist. Her recreational activities had taken a toll, and her body was sending her clear signals that it was time for a check-up.

The door to the examination room swung open, and a tall, middle-aged woman with kind eyes and a warm smile introduced herself as Dr. Serena Laden, the Dutch proctologist she had been referred to. Libby blinked up at her, her green eyes wide. "Oh, wow, you're Dutch? I love stroopwafels," she said, her voice tinged with her usual, endearing clumsiness.

Dr. Laden chuckled, her accent lilting. "I'm glad to hear that. Now, let's get started, shall we? Please disrobe from the waist down and position yourself on the examination table, on all fours. I need to take a look and see what's going on."

Libby nodded, her cheeks flushing as she followed the doctor's instructions. She pulled off her jeans and panties, folding them neatly before climbing onto the examination table. She turned around, presenting her rear to the doctor, feeling more than a little exposed.

Dr. Laden helped her get into position, her hands gentle but firm. "Comfortable?" she asked.

"As comfortable as can be expected, I suppose," Libby said, trying to keep her voice steady.

Dr. Laden laughed softly. "Good. Now, I'm going to perform a digital rectal examination. This involves inserting my gloved and lubricated finger into your rectum to check for any abnormalities."

Libby swallowed hard, nodding her understanding. She felt the doctor's cold, gloved hand on her left buttock, spreading her cheeks apart. A moment later, she felt the cool gel of the lubricant. She flinched at the initial touch, her muscles tensing involuntarily.

"Try to relax, Libby," Dr. Laden said calmly. "The more you tense up, the more difficult this will be."

Taking a deep breath, Libby tried to ease her muscles. She felt the pressure of the doctor's finger at her entrance, then a sudden, sharp sting as it breached the outer ring. She gasped, her fingers gripping the edges of the examination table.

"Oops, that might have been a bit too quick," Dr. Laden apologized, her voice warm and soothing. "Let's try again, more slowly."

Libby exhaled, forcing herself to relax. This time, the finger slid in more easily, albeit still uncomfortably. She could feel the doctor's finger moving inside her, prodding and probing in a way that was both intrusive and strangely intimate.

The doctor maneuvered her finger deeper, and Libby couldn't help but wince at the invasive sensation. She felt like she was being explored in a way she never had been before. The doctor's finger moved in a circular motion, checking the tone and strength of her rectal muscles.

"Okay, Libby," Dr. Laden said. "I'm going to insert another finger to check the strength of your muscles when I spread them apart."

Libby whimpered at the thought, but she nodded. She felt the pressure increase as the doctor inserted a second finger, opening her up further. The sensation was intense, and she couldn't help but let out a soft, mortified moan.

"Sorry about that," Dr. Laden said, her voice still gentle. "I know this isn't exactly pleasant. You mentioned that you have been using dildos to stretch your anal opening, yes? I can see the results of that. Hmm, it feels that the muscles are quite weak now. It's no wonder you’ve been having discomfort."

Libby groaned, her face burning with embarrassment. "Yeah, I might have gotten a little carried away," she admitted.

"Are you still enjoying using dilators?" Dr. Laden withdrew her fingers, and Libby couldn’t help but sigh in relief.

"Yes, but I don't go as deep as I used to," she sheepishly admitted.

"Okay. Make sure you take it slow. I’ll prescribe some medications with some mental exercises to strengthen your anal muscle. It’s nothing illegal."

Libby nodded, grateful that the exam was nearing its end. Dr. Laden handed her a wad of tissues, and she quickly cleaned up.

Dr. Laden helped her off the table. "I'll write you a prescription for some medication and some pelvic floor therapy exercises. Make sure you don't engage in those activities for a while. In the meantime anything you need to talk to me about or consult me?"

"No, Doc." Libby shook her head. "Thanks, Dr. Laden."

"Call me Serena. Good luck, Libby."

Back home, Libby couldn't wait to share the news with Romy. Her daughter was sitting at the kitchen table, her dark brown hair pulled back into a ponytail, her green eyes fixed on a book. She looked up as Libby burst through the door, her face flushed and her eyes alive with excitement.

"Romy, you will not believe what just happened to me!" Libby exclaimed, her voice a mix of disbelief and amusement.

Romy raised an eyebrow. "What now, Mom?"

"Well, I went to see that Dutch doctor you recommended," Libby said, her hands gesturing wildly as she spoke. "Dr. Serena Laden? She was so nice, but oh my god, Romy, the exam was the most embarrassing thing ever!"

Romy groaned, already sensing where this was going. "Mom, please, I don't need to hear about this."

But Libby was already deep into her story, her words tumbling out in a rush. "She made me get on all fours, Romy, and then she put her finger—well, two fingers—in my butt! Can you believe that? I was so mortified!"

Romy's face twisted in disgust, and she held up a hand. "Mom, stop! I don't need to hear the details!"

But Libby, caught up in her own dramatic retelling, ignored her daughter's protests. "And then she told me I need to strengthen my muscles! Can you believe it? She said it's why I've been having all that pain and discomfort ever since I've tried to stretch that poor hole with a dildo! I mean, who knew? and she wanted to know why i wanted to stretch that hole out so much, at first I just lied, then she kept pressing saying would i like a physical therapist to help and i said definitely. She even listed some practices she gets advice from. And I like a dining experience note pad on your personal things or whatever, and I was like Island, so she gave me not one, but three. She might not be able to figure it out, and then she says your area does physical therapy? I'm explaining to her I’m suppose to be to her job! And some trauma center place. She prescribed me with a bunch of meds to take, with all this painful shit, which is too many boggy questions to ask and I didn't want to ask because I didn't want to seem rude."

Romy looked at her mom with a mixture of amusement and horror. "Mom, I seriously don't need to know any of this."

Libby laughed, oblivious to her daughter's discomfort. "I know, I know, it's so embarrassing. But isn't it hilarious? I mean, who knew I’d have to go to the doctor for this?"

Romy shook her head, a small smile tugging at her lips despite her best efforts. "Only you, Mom. Only you."

As Libby continued to regale her daughter with every gory detail, Romy couldn't help but roll her eyes. But deep down, she knew this was just another quirk of her loving, carefree, and utterly clueless mother. And despite her embarrassment, she wouldn't have it any other way.