Ethan had was nearly high school, having turned 18 a few months ago he was stuck in this awkward phase between being an adult but still living with his family and being told every move he should make by teachers. Honestly, final exams had him stressed. He was trying his best but just wasn’t very academically inclined, getting Bs and Cs despite his best efforts. Where he really shone was sports, and he had been offered a scholarship to his local college if he could get the grades to get in. Plus, running track gave him a lean, muscular physique.

His stepdad was more concerned about the grades than the sports, and despite only marrying his mom last year he had become very involved in his education. Whenever Ethan complained, his mom reminded him that it was “his house, his rules”. He wasn’t unfair, just more strict than the other parents seemed to be. So when Ethan decided to play sick to skip his math exam, it was his stepdad who came into his room.

“Not feeling well today?” Ethan just shook his head from bed in reply. “Well,” his stepdad pressed, “what seems to be the problem?” Ethan mumbled something about stomach pain from under the covers. “Ok then Ethan, get dressed. We’ll go to the doctor since you don’t feel well.” Ethan started to protest, saying he just needed some rest, but his stepdad wasn’t listening. “Your mother made an appointment with your usual doctor, but has to go into the office today so I will be taking you. Be ready to go in ten minutes.”

Ethan couldn’t think of what doctor his mother had made an appointment with, having not been since he visited the paediatrician in middle school. But not having any other option, he showered, quickly dried his brown curly hair, put on shorts and a t-shirt, and waited for his stepdad downstairs. The car ride was silent, Ethan not wanting to say anything that could hint he had been faking, until they pulled up in front of a familiar building. “This is the paediatrician’s office, why are we here? I’m 18!” His stepdad shrugged off his questions. “Ask your mother, she made the appointment. I’m just supposed to take you.”

Ethan dragged his feet inside, his stepdad getting him checked in at registration. They sat in the waiting room filled with story books about farm animals and toys for toddlers as his stepdad filled in most of the forms. He asked a few questions about symptoms, and Ethan gave vague answers about stomach pains and tiredness. Not long after the forms had been handed back in, a nurse called Ethan back to the exam room. To his horror, his stepdad came with him. “No, no I can go back alone. You wait out here.” Ethan protested. “Oh I’m sorry sweetie,” the nurse chimed in. “We need a parent or a guardian to be present during the doctors visit. It’s our policy here.”

Ethan’s eyes widened as he realised his situation was getting worse and worse. He followed the nurse, his stepdad close behind, into the exam room. A table sat squarely in the middle of the room, with two chairs against one wall and cupboards lining the rest. At least this room wasn’t decorated with Old McDonalds farm animals. “Ok Ethan,” the nurse’s voice snapped him back to reality. “Take off your shoes and socks so we can check how tall you are. Just leave them over there on the chair.”

Ethan pulled off each sneaker and stuffed his socks inside, placing them under the chair. His stepdad sat in the chair beside, watching him with a bored expression. Ethan stepped over to where his nurse was waiting, and recorded his height at 5’11”. He knew he was still growing, hoping to reach 6 foot before college. Next his weight was recorded. “Great job Ethan, sit up on the table for me now.”

The nurse was overly cheerful, but he guessed that was part of the job if you worked with kids all day. But he didn’t like being spoken to like a kid, even if he was at his paediatricians office. At least Dr Smith had always been quick, although he did remember hiding behind his mom from some shots when he was really little. He still was sick at the thought of needles. The nurse wrapped a blood pressure cuff around his arm, taking his pulse in the other wrist as it squeezed. Ethan got another “Great job!”from the nurse as the velcro was peeled off. His feet dangled from the edge of the bed, making him feel smaller than he was.

“Let’s take your temperature next Ethan.” The nurse was smiling as he pulled on gloves. “Lie down on your tummy for me.” The instruction didn’t make sense to Ethan. Why would he lie down to put a thermometer in his ear? Or his mouth? Suddenly it clicked. “No, no I can take it in my mouth-“ Ethan started to protest but the nurse cut him off.

“Oh I’m sorry sweetie, the doctor has everyone take it this way as it is the most accurate.” The nurse’s tone was calming, but Ethan felt his heart rate jump as the nurse approached holding a thermometer. “On your tummy now.” Ethan froze, not wanting to follow the instructions.

“Now Ethan, do what you’re told.” The stern, cold instruction came from his stepdad, who was rising from his chair in the corner. “I’ll have no disrespect today, to me or the medical staff. On your front, now.” Ethan turned over, lying so his face was away from his stepdad, who had moved to his side. The nurse spoke again, more gently and kindly than his stepdad. “I’m going to pull down your shorts and underwear a little now.” As promised, Ethan felt a gloved hand pulling down his clothes to expose his butt cheeks. The latex-covered fingers parted his cheeks, exposing his little hole. “This might be a little cold, just take a deep breath in… And out…”

As Ethan exhaled, he felt a cold slimy substance touch his anus, making him clench, but the thin tip of the thermometer was pushed in anyway. He heard a beep and his cheeks were let go to close around the thermometer. The nurse held it in place, hovering over Ethan’s bare butt, until two more beeps announced he was finished. The thermometer was removed, and the nurse pulled his underwear and shorts back up.

Ethan quickly sat, not wanting his butt to stay accessible for any other probing. The nurse snapped off the gloves and recorded everything in Ethans chart. “Ok Ethan, just sit tight for a minute and I’ll let Dr Clarke know that’s your ready.” Ethan nodded and his stepdad thanked the nurse. Ethan didn’t remember any Dr Clarke, but he guessed it didn’t matter anyway. Although if this new doctor was the one insisting on rectal temperatures, maybe that was a bad sign for the rest of the exam… No, it was probably because this is a paediatricians office, and that is standard for little kids. A knock at the door cut off Ethan’s train of thought. “Come in.” His stepdad replied for him.

“Hi there, I’m Dr Clarke, you must be Ethan?” Dr Clarke was a woman, looked about 30, with brown hair tied back in a bun apart from a few strands loose around her face. She didn’t wear a white coat, but was dressed in all black, a tight turtleneck with the sleeves rolled up to each elbow. A royal blue stethoscope hung around her slender neck. Ethan couldn’t find any words, realising that he had never had a female doctor before this. The doctor continued on, despite his lack of response. “I hear your tummy is a bit sore today, is it ok if I have a look to see what might be going on?” Ethan nodded his permission as she washed her hands.

She gave him a reassuring smile as she approached, taking an otoscope from the wall. She placed a hand on Ethans chin, moving his head to the side to look in his left ear, and moving him again to look in the right. She shone a small light into his eyes, as he followed each instruction on where to look. “That’s good Ethan. Now open wide and say ‘ahhh’.” A tongue depressor pushed and pulled his tongue around his mouth, leaving a woody taste. The doctor produced a long swab. “I’m going to check for any throat infection, this might tickle a bit.” Her warning came as the tongue depressor pulled his tongue firmly from the back. As the swab ran across the back of his throat, he gagged. “All done!” The doctor’s cheerful tone didn’t do much for Ethan.

“Ok Ethan, can you take your shirt off so I can have a look at your neck and chest?” Ethan followed this instruction quickly, laying his shirt beside him on the table. His stepdad took it and folded it neatly on the chair. The doctor’s fingers probed along his neck, around his jaw, ears, and collarbones. She held his arm out slightly from his body and palpated inside each armpit. Ethan started to realise he had never had such an in-depth trip to the doctor before. He jumped as cold metal touched his chest for the first time. The doctor placed a hand firmly on his shoulder to hold him in place. “Sorry Ethan, this should warm up in a minute. Just breathe normally.”

The stethoscope moved across his chest, and then to his back. The doctor placed a hand between his defined pecks as she listened to his lungs, this time instructing Ethan to take deep breaths. “Lie down on your back now, I’m going to tap on your chest.” When Ethan lay back he felt even smaller, with the doctor standing over him and looking down. He tried to look at the ceiling instead of focusing on the doctors hands.

“That all looks good Ethan. Now I’m going to listen to your tummy, can you tell me where it hurts?” Ethan gestured to his lower right side, randomly picking a spot. “Ok, stay nice and still for me.” The doctor repeated the listening and tapping. “I’m going to press on your tummy now Ethan. If it hurts, tell me and I promise I will stop, ok?”

“Ok.” Ethan didn’t see any choice but to agree, and the doctor once again towered over him to start palpating. She slowly moved across his stomach, making small circles starting near his ribs and working down. “Deep breath in now, deep as you can.” Ethan sucked in a breath as the doctor’s fingers pushed under his ribcage. As he exhaled, the probing under his ribs continued. The doctor’s second hand slid under his back, the one on top and underneath pushing together. Ethan felt increasingly uncomfortable as the doctor felt every inch of his insides. “I’m going to press a bit harder this time, let me know if anything hurts.” The doctor’s words were exactly true, fingers pressing deeply into his abs. As she continued to work on him, he noticed the light scent of floral perfume, which contrasted with the sterile smell of the exam room. Ethan’s face went red as he realised his penis had started to stiffen inside his underwear. He squirmed a little to try and adjust himself, but the doctor noticed. “Did that hurt Ethan?”

“Um, just a bit.” He guess agreeing would be normal, since he was here because of ‘stomach pain’ he should probably say he had some. His stepdad and mom would freak out if they thought he had been faking to get out of school, he would probably be grounded until retirement.

“Ok, I’ll stop there. Why don’t you sit back up?” Ethan was glad to sit up again, thinking that he would be able to better mask his growing erection. For the next few minutes, the doctor tapped his elbows and knees with a reflex hammer. She also tapped each ankle, eliciting a twitch at each spot. Ethan’s toes curled in response to the handle being dragged across the sole of each foot. “That is all good Ethan.” the doctor confirmed, stepping away to make some notes in his chart. “I’m just going to step out for a moment, I’ll be right back.”

As the doctor left, Ethan’s stepdad sternly stood beside him. “I know you’re not feeling well, but you have got to loose the attitude.” He crossed his arms over his chest, preparing to give one of his famous lectures on respect. “Everyone here is trying to help you. You don’t protest, you do what you’re told immediately. And you don’t grunt, or say ‘yeah’. It is ‘YES’. Or in this case, ‘Yes Doctor’. And say thank you, they are working hard here. Understand?”

Ethan knew when he got like this there was no arguing with him, even though he didn’t think he had been disrespectful. “Yes, I’ll be respectful.” It was easier to agree than argue. His stepdad nodded in agreement just as there was a knock on the door and the nurse from earlier came in. “Hi again Ethan. Dr Clarke has asked for a urine sample from you. Do you want to come with me to the bathroom down the hall?”

Ethan got a stern look from his stepdad and he hopped off the table. “Yes,” he remembered, “thank you.” The nurse kept the same overly happy smile on their face as he led Ethan into the bathroom and handed him a small plastic cup. “So Ethan, I need you to pee into this cup, don’t worry if you don’t fill it the whole way. If you need to, you can finish going to the bathroom after that.” Ethan took the cup and waited for the nurse to close the door before pulling down his shorts. Despite the rectal temperature experience earlier, he didn’t want anyone to see his penis. After closing the cup and washing his hands, he emerged and handed over the sample to the nurse, who walked him back to the room.

The doctor arrived just as Ethan was sitting back up on the exam table. She thanked the nurse, who left and took the urine sample with her after showing the doctor. “Are you a little dehydrated Ethan?” She asked. He could feel his cheeks redden. He was embarrassed to have not just one but multiple people looking at his pee. “I don’t know, maybe?” He answered. A stern look from his stepfather made him correct his phrasing. “Um, maybe, doctor.”

“Ok Ethan. Next I’ll do a quick genital exam, so why don’t you drop your shorts and underwear?” Ethan went even redder than he had been before, unable to look at either the doctor or his stepdad. He slowly got down from the table and stepped out of his shorts, leaving only his white briefs. His stepdad appeared beside him and took the shorts, folding them on top of his shirt on the chair. Ethan closed his eyes and quickly pulled down his last remaining piece of clothing, obediently handing it over to be folded on top of the pile.

He heard the snap of latex gloves as the doctor told him to lie on his back again. He awkwardly climbed up, trying to use one hand to cover his crotch while not exposing his butt. As he lay back, both hands covered his privates. Worse again, he knew his penis was still a little bit hard. “Hands by your sides now.” The doctor’s tone was calm and kind, and Ethan took a shaky breath as he put his palms flat against the vinyl table. “That’s perfect Ethan, I’m going to feel around your pubic area now, to check your lymph nodes.” The doctors gloved fingers started probing again, working methodically through his pubic hair. The hands moved to his penis, moving it around as he watched the doctor inspect every inch. The gloved fingers started probing again, working from base to tip. At the top, a gentle pinch opened his urethra and he watched the doctor peer inside.

“All good there, now let’s have a look at your testicles. One hand held his shaft firmly out of the way, as the other rolled his left testicle between the fingers. He grimaced as the chords within his balls were squeezed between her thumb and index finger. Ethan couldn’t help but squirm a bit as the whole procedure was repeated on the other side. “Good,” the doctor tapped his thigh in approval. “Stand up now and we’ll have another look.”

Silently complying, Ethan climbed down and stood in front of the exam table, his hands covering his crotch again. The doctor pulled a short stool out and sat in front of him as he slowly pulled his hands away. He looked down and saw his penis pointing directly at the doctor, making his face burn with humiliation. The doctor didn’t seem to notice, just repeated each step of palpating his penis and scrotum. As she rolled the first testicle around, the doctor started to question Ethan. “Do you do self-exams at home?”

“Um, what?” Ethan wasn’t sure how to answer. “Self-testicular exams.” Clarified Dr Clarke. “You should be doing them once per month at your age. What you want to do is feel each testicle, just like I am doing here, and see if you feel any lumps or bumps, changes or pain. Also include your epididymis, and around your scrotum.” Ethan watch the gloved hand move around his balls, demonstrating each step as the doctor described it. He also watched as one index finger pushed its way up and in through his scrotum. “Turn your head to the left and cough.”

Ethan turned and covered his mouth as he coughed gently. “Again, a little harder.” The doctor instructed. Ethan coughed again, and again as a finger was inserted on the other side. “Good Ethan, that all seems fine. Any questions about self exams?” He met the doctors gaze as she soot from the stool. “No doctor,” he replied.

“Ok Ethan, earlier you seemed to have a bit of pain in your colon. Have you been going to the bathroom ok? When was your last bowel movement?” The doctor asked about his bathroom habits as casually as someone else might ask about the weather. His eyes darted over to his stepdad, who was watching intently from the corner. “Um,” Ethan stuttered out, “that’s fine. I went this morning.”

“Good Ethan.” The doctor snapped off the gloves used to examine his penis, briefly giving Ethan hope his ordeal was over. But the doctor quickly got some new gloves, putting them on as she explained the next steps. “I think we should do a quick rectal exam, where I have a look and feel in your bottom, since that is where your pain is coming from.” Ethan, previously blushing from embarrassment, went white as a sheet, clutching his hands over his crotch.

The doctor pressed a button, letting the exam table lower its height slowly, stopping it at the right level. She turned back to Ethan, and seeing he was nervous started to reassure him. “I know it’s a little uncomfortable, but it shouldn’t be painful. If it is, tell me and I will stop.” She put a gloved hand on his lower back, and slowly ushered his toward the table. “I’m going to out just one little finger inside to have a feel, does that sound ok?”

“Yes” Ethan barely choked the word out, desperately wishing he had gone to school instead. “Good Ethan, now I just need you to kneel on the table here. Yes. Now, put your elbows down here. Ok, now spread your knees apart. A little more, yes even further. That’s good.” The exam table paper crinkled with each adjustment. Ethan thought he might cry, with his ass up in the air, head down, balls dangling between his open legs, just waiting to be violated. The doctor placed a hand on the small of his back. “Can you cough for me Ethan?”

Ethan coughed, realising this made his asshole open involuntarily as the doctor watched closely. He could feel his legs trembling, waiting for the next torture. “You’ll feel my finger on your bottom, it is a little cold but try and relax.” The doctor’s instruction to relax seemed impossible, and Ethan sucked in a sharp breath as the cold lube touched him. “Now, take a few deep breaths,” the doctor’s tone was calming and reassuring, but the situation was not, as the finger maintained firm pressure against his anus. Not really having any options, Ethan took several shaky breaths.

“Now bear down, like you are going to the bathroom.” Ethan couldn’t make himself follow this order, but on the next exhale a finger slowly started to work its way inside him butt. Ethan felt his toes curl and face scrunch, but even as his hips swayed the finger went deeper and deeper. When it went as deep as it could reach, the doctor moved it to sweep around every surface inside him. It moved to point directly down, making contact with something that made his penis jerk, and started to rub from the inside. Just as he thought he was going to burst, the finger was removed, and a swab wiped across his penis to collect some of the fluid.

“Good job Ethan.” The doctor said. Ethan dropped his butt down and raised from his elbows to his palms, still bent over on the exam table but now less exposed. He heard gloved snap off and could finally breathe. “Don’t get up just yet Ethan, I’ll need you in the same position to have a look inside to check a little bit further in for any problems.” The doctor returned to his side, holding a tube wrapped in plastic. Ethan watched, unable to look away, as the clear plastic equipment was unwrapped by the doctor. He guessed the length was about 5 inches, as the doctor spread lubricant using a gloved finger over the surface.

Knowing there was no way out now, Ethan raised himself to his knees again and rested his head on the table between his elbows. “A few deep breaths again Ethan, stay nice and relaxed and this won’t hurt a bit.” The familiar coldness of lubricant appeared on his anus, before the large object started to work its way in. It crept in, slowly but surely, taking what felt like an eternity for Ethan. He grunted and groaned as it twisted and manoeuvred through his rectum and deeper. A gloved hand patted his lower back, reassuring him “That’s all the way in Ethan, good job. I’ll start to take it out slowly.” The exit wasn’t any easier than the entrance, with more swivelling to let the doctor examine every inch of his insides. Ethan couldn’t help but let out a sob as tears came to his eyes. Eventually, the tip exited and let his sphincter close, getting a final groan from Ethan. “Good Ethan, that was very good. I know that’s tough, but you did really well.” The doctor patted his thigh while he caught his breath, ignoring whatever she was saying. “I’ll leave some tissues here to wipe with, whenever you’re ready. I’ll be back in a few minutes to discuss, so why don’t you get dressed.”

Ethan reached behind to wipe off the lubricant on his butt before climbing off the table and getting his clothes. He couldn’t even look at his stepdad, who had witnessed his most humiliating moments, watching him be penetrated and cry. He quickly got dressed, neither of them speaking about what had happened. Ethan thought about sitting on the chair, but his butt still felt funny so he didn’t want to sit anywhere really. As promised, the doctor returned a few minutes later.

“Ok Ethan, why don’t you have a seat back here and we’ll talk about your results. Mr Jones, why don’t you come over as well.” Ethan didn’t want to go back onto the exam table, worried it might lead to more exams, but he sat in front of the doctor with his stepdad beside him anyway. “So everything looked pretty healthy today, you are a little bit dehydrated which can lead to painful bowel movements, and cause some of the minor irritation I noted.” His stepdad nodded along at each thing the doctor said. “It’s likely that was the cause of your tummy pain this morning. Try and make sure you are drinking plenty of water, especially when doing exercise or when it’s hot out. I also noticed that you haven’t had any vaccines since your last visit, about 4 years ago.” The mention of needles made Ethans eyes widen. “Now we don’t give vaccines while you’re not feeling well, so we’ll get you scheduled for another visit for those.” Ethan didn’t know whether he was relived to not have shots today, or terrified about coming back. “What I think is best,” the doctor continued “is if we give Ethan some time to get hydrated, have some medication to help with the healing, and in a week we can check that everything is back to normal and get your shots done. Sound good?”

It didn’t sound good to Ethan at all, but his stepdad agreed firmly. “Yes doctor, that sounds good.” A stern look from his stepdad made Ethan also quietly nod, with a meek “Yes doctor.”

“Now that medication,” the doctor continued, “I’ll give the first dose here for today, and write a prescription for the rest. There’s a pharmacy just next door that should have it in stock. Because it targets rectal irritation, it does go in your bottom Ethan. Have you had a suppository before?” Ethan hung his head in shame. “No, doctor.” He couldn’t believe there was more to today. “Well I can show Mr Jones here how to administer one, as you may need a hand getting them in. Lie on your left side up here.” The doctor patted the table again. Ethan has no fight left in him, and just lay his head facing away from the others in the room. “Can you take down your shorts and underwear, and pull your knees up to your chest?” Ethan quickly found himself in the fetal position, closing his eyes as another pair of gloves snapped on.

“Now you just unwrap like this, and then grasp this end firmly.” A gloved hand lifted Ethan’s cheek to expose his anus. “Deep breath in, good, now out.” On the exhale, he felt something force its way into his bum again, followed by the tip of the doctor’s gloved finger. “Roll onto your tummy now Ethan, and stay there for a minute to let the medication start to work.” Ethan rolled over, keeping his face hidden by the table and his hands. It was bad enough his stepdad had been inspecting his anus get probed, he didn’t need to see his expression while it happened.

“Thank you doctor, you have been very helpful.” His stepdad stated. “That’s no problem. Ethan why don’t you get up now and get yourself home to rest.”

“Yes, thank you doctor.” He remembered what his stepdad had told him to say. “Well I’m glad I could help Ethan,” the doctor replied. “And I’ll see you next week.”