“Okay, Joan, I’m going to begin the digital vaginal examination now. You’ll feel my two fingers go inside you and press all around the entrance first. We don’t use any lubrication for this part of the exam but you shouldn’t have any discomfort. Just relax.” Joan paid close attention as Doctor Welch took his index and third finger and introduced it into her vaginal opening about an inch, moving it in a slow circular motion. “Let me know if anything feels uncomfortable or like anything more than light pressure,” he instructed her as he pushed his fingers in another inch and made the same circuit, being careful to make a complete circle and not miss any area. Joan enjoyed the sight of the doctor’s fingers entering her and circling around, and yet the specific motions were not sexual at all and what she was feeling wasn’t exactly sexual either, just diffusely pleasant under the circumstances.

Doctor Welch was also enjoying the sensation of palpating Joan’s vaginal entrance, his fingers sure and thorough as he made his exacting circuit of her inner flesh. It was exciting, he knew, but somehow that sounded lame to him, and it was more of an awestruck experience to do this, and mere excitement seemed too blasé a word to describe it. Part of the intrigue was being able to take as much time as he cared to in this slow examination, being able to look and touch as much as he had always wanted. The female genital anatomy was fascinating and never more so than under this close scrutiny, the structures close at hand and open to his gaze. Was he getting sexually stimulated? Sure, that was a part of this whole fetish, but wasn’t the point of it. He knew instead that the mental pictures he was storing up now would be much more exciting days, weeks and months from now as he thought back on this playexam. Right now his only indulgence was the thorough examination of the patient.

Doctor Welch’s fingers were now inserted about three inches into Joan’s vaginal entrance. “Joan, I want to test your vaginal tone now. While my fingers are inside your vagina, I need you to tighten the muscles when I say so. Let’s start first with those near the entrance, if you can isolate those. Okay, please squeeze, hold for a count of three, release and continue until I say so.”

Joan concentrated on the sensations emanating from her vagina and tried to tighten the muscles nearest the entrance first. Doctor Welch both saw and felt Joan’s vaginal introitus contract around his fingers in a strong squeeze, hold for several beats, then relax. She repeated the movement, very conscious of the effort it took to isolate the specific muscles and also of Doctor Welch’s fingers as they shifted inside of her to assess the tone in a 360 degree sweep of her vaginal entrance. Joan also watched in the mirror and could see the contraction of her muscles around his gloved fingers.

“All right, Joan. I can feel that you’re able to isolate the introitus muscles fairly well. Very good. Now I’m going to push my fingers in further and then I want you to tighten all your vaginal muscles as much as you can, hold and repeat as before until I say stop.”

Joan watched in the mirror and felt as Doctor Welch went deeper into her vagina with his two fingers. “Now, Joan, begin please,” Welch requested. He immediately felt Joan’s vagina contract hold and release around his fingers, gripping his digits tightly as he slowly moved his fingers upwards, now to each side, and then downwards, feeling the pressure of her muscles on all sides during this exam. “Good,” he said quietly as his fingers assessed the contractions. “That’s fine, Joan.” She relaxed her vaginal muscles. “Your muscle tone is excellent, “ he commented as he withdrew his moist gloved fingers from her vagina. Because this was a playexam he knew that the act of inserting and withdrawing fingers and instruments was part of the fascination for both of them, and he wanted to take advantage of this. “This is a particularly important thing to maintain as you grow older, as many women become prone to some urinary incontinence and good muscle tone is a way to prevent it,” he explained to Joan. Another aspect of a playexam germane to the experience was the opportunity to engage in casual medico-talk while the patient is in an exposed position. Both playdoctor and playpatient are acutely aware of the dichotomy between the fairly normal chitchat and the fact that the doctor is clothed, the patient unclothed and in an immodest situation, the subject at hand is incredibly intimate, and yet…they talk as if nothing is unusual.

“You might want to begin doing regular Kegel exercises just to keep up the strength,” Doctor Welch offered as he glanced down at Joan as she lay there and then over at the clipboard to see what else was in store.

“Yes, I’ll look into that, Doctor, thanks,” Joan replied, taking in the situation as she lay there spread before him. Such was the veracity of the roleplay that there was almost no nervousness, or rather only that which goes along with any medically-oriented situation. Playdoctor Welch wasn’t leering, or salacious or untoward in any way, merely methodical, thorough, accurate – all excellent characteristics for a good playexam. This was really about the power exchange between male doctor and female patient, about the permissions granted and justified liberties taken in the name of medicine. Some women may have wanted a more sexualized playexam, but this one was exactly what Joan had in mind as a patient, and obviously fit what the playdoctor enjoyed.

“All right, Joan. Everything looks fine externally and in terms of your internal muscle tone. I’d like to take a vaginal temperature now before we continue to the other areas of the internal examination.” Doctor Welch chose the larger diameter thermometer from his instrument tray and turned back to face her. “Just relax and don’t tighten your vaginal muscles while this is inserted.” Without further adieu he positioned the leading edge of its approximately half-inch diameter at Joan’s vaginal introitus and pushed it inside until only about an inch remained outside of her. Joan wasn’t really aware of any particular sensation, as the thermometer wasn’t as obtrusive as Doctor Welch’s previous digital exam. Doctor Welch took the opportunity to revel in the sight of his gloved medico hands in the performance of their duties, and to again marvel in the entire situation as he sat between Joan’s upraised legs. After a minute or so he broke the silence with a “There, that should do it,” and he slowly pulled the thermometer out. “98.7 degrees,” he noted and pretended to write on her chart. “Very good.” Doctor Welch also noted to himself the shiny vaginal lubrication which coated the instrument. The patient definitely was experiencing some vaginal congestion, as evidenced by a slight reddening of the vulvar region, and of course was producing secretions to go along with it. He had seen more in his other playexams with other women, especially in the exams which were more overtly sexual, but even in this very authentic scenario there was still the fetish element which was clearly at work.

“Joan, any questions so far?” he asked her, giving her an opportunity for feedback and to gauge her reaction to the scenario. “You’re doing very well.”

“I’m fine, thanks, Doctor,” Joan replied. She was exploring the limits of her comfort levels and getting her head into the moment as she lay there.

“That’s good. I’d like to the first of two speculum exams now. I use two different style speculums in order to better visualize all your internal vaginal surfaces,” he explained as he took off his used gloves and put on new ones. Part of the doctor role involved the ritualistic donning and doffing of the latex gloves, and Doctor Welch didn’t want to miss an opportunity, plus it was part of the expected hyper-sanitary and ultra-clean nature of a playexam. Good playdocs were scrupulous in their cleanliness.

Doctor Welch picked up the Graves speculum, the standard two-billed up and down moving metal device supposedly dreaded by women, but he certainly knew better. He adjusted the spec so that the opening would be quite large once it was in, but of course the bills were closed now and would be opened with the thumb adjuster later. Turning the speculum sideways and placing the tip of the bills just against Joan’s introitus, Dr. Welch slowly began to push the speculum inside her vagina, watching as her pink flesh was parted by the device. As for Joan, she was relishing the feeling of the speculum entering her; she enjoyed the sensation as it moved deeper into her vagina, the slight metallic chill adding to the interest. Once it was fully inserted he gently rotated it so the handle was in its proper downward position, then opened it fully with the adjuster. Joan could feel herself being stretched wide and this was also a sensation she enjoyed. As her vaginal walls separated wider, held apart by the metal bills on the top and bottom, Dr. Welch could see the entire interior of Joan’s vagina. When the speculum was opened as fully as possible he locked it into position; picking up the small flashlight from his instrument tray, he flicked it on and shined its beam into the center of the speculum.

Joan’s vaginal side walls were brightly illuminated, their pink and ridged flesh completely open to the doctor’s gaze, her vagina stretched open very wide and held firm by the speculum’s metallic expanse. As Dr. Welch shined the light in her, he could see a small pool of vaginal liquid at the end of her vagina, and since she had undergone a hysterectomy, there was no cervix but instead a seam. The color of the flesh was a deep rosy pink, indicating very healthy tissue. “Everything looks fine here, Joan,” he reported to his patient as he continued to take his time in closely examining her speculum-spread vagina. Joan was holding the hand mirror to the side as the exam proceeded, and she was enjoying watching the doctor as he worked. She enjoyed the sight of her own vagina pulled apart by the speculum, and she adjusted the mirror’s angle so she could see her open genitalia from different views, all of them fascinating to her. As he intently studied her interior he could detect tiny quivers of the vaginal walls, signs that this intimate examination was causing some stimulation in the patient. These were involuntary movements on Joan’s part, of course, and although this was a very clinical and by-the-book playexam, it was natural that there would be overt signs of some amount of arousal induced by the proceedings. How could it be otherwise? Joan’s vulva was exposed in front of her playdoctor, her vagina spread wide open with a metal speculum, and he was studying her most personal internal areas at very close range. And yet every protocol was being observed; doctor and patient were both behaving according to accepted practice -- although of course to a greater degree, perhaps -- and were careful to conform to standard procedure all the way.

“As I said, Joan, your internal vaginal walls look very healthy,” he reiterated as he set the flashlight down. “I would, however, like to remove this speculum and insert the other model, which will give me a better view of the upper and lower walls.” “That’s fine, Doctor,” Joan assented, naturally. Dr. Welch unscrewed the side lever on the speculum, allowing the bills to compress for easier removal. He kept his thumb on the lever, however, and as he slowly, deliberately pulled the speculum out, he began a rotating motion so that he could try to expose the areas of Joan’s vagina that had not been visible with the instrument fully inserted. “As I remove the speculum, Joan, I’m moving it in a circle, but you can see that it’s difficult to effectively see the top and bottom walls,” he explained as he continued pulling it out. Dr. Welch was intrigued by the supple nature of the vaginal tissues as they began to close around the departing metallic object, and as he finally pulled the very tip of the bills from Joan, he marveled that her vaginal introitus closed again completely, leaving no trace of their just-moments-ago amazingly spread status. Joan was of course watching this in the mirror, and from her vantage point it was also fascinating.

“Very good,” he murmured as he set the Graves speculum down, and exchanged it for the more formidable Collins, a heavy stainless steel vertical-bladed instrument which he held up for Joan to see. “The Collins opens up side-to-side, rather than up and down,” Dr. Welch demonstrated. “It’s a good deal larger than the other speculum, Joan,” he explained, “and might feel strange if you’ve never been examined by one of these before. But of course it won’t hurt, it just might feel different as your vagina is stretched open in a way that’s new to you.” He positioned it in front of Joan’s vaginal entrance and gently touched the blade to her flesh, readying her for its push. “Joan, I’m beginning to insert it now,” he said; Joan watched in her mirror as Dr. Welch, holding the speculum upright, placed a finger at the bottom of her introitus, pulling it downward and opening it slightly, then nestled the blades into position and gently but firmly exerted the necessary pressure. The cool steel began to disappear inside Joan, who of course had felt a Collins speculum before, but not in these circumstances. Once he had pushed it inside to its full length, and the wide outer metallic lips of the speculum were flush again her, Dr. Welch began to turn the screw and the blades started to open, spreading her vagina side-to-side and revealing, bit by bit, Joan’s vaginal floor and, on top, pulling her urethra into more prominence and opening her vaginal roof for inspection. The doctor went slowly, careful to expand the bills as far as he could without causing Joan discomfort; one had to be cautious since the bills expanded in a V shape and it was important not to open the inner walls too much.

Once the speculum was opened the proper amount, Doctor Welch took the flashlight and shined it once again inside her, this time being able to see deep into her on the top and bottom. The Collins speculum was large, and it fully stretched Joan, far more than the other instrument. “Are you comfortable, Joan?” the doctor asked. “Yes,” Joan said, and watched in the handmirror as Dr. Welch continued to shine the light into her vagina and visually examine the interior. “I don’t see anything unusual here, Joan,” he reported, looking a few moments more and then placing the light down on the tray. “I’m now going to use my finger on the upper wall to locate your urethral passage, which should help identify the G spot area,” Dr. Welch explained as he turned his gloved right hand palm up, extended his index and third finger, moved them forward between the bills of the speculum and then slid this fingertips along the top wall of Joan’s vagina until they were fully inside her. “Now, Joan, you’ll feel me making gentle forward motions with my fingertips as I move my hand; when you feel any sensation other than just pressure please tell me.”

And so Dr. Welch began repeatedly crooking his fingers, a few strokes each time, then moving minutely forward. Joan felt the pressure of his movements, but nothing too specific, until when he had reached about halfway back out, the sensation definitely changed. “Doctor, there’s a different feeling now,” Joan reported, and Dr. Welch’s fingers stopped. “All right, now that should be where your urethra is, and basically the G spot is this whole area, which is more sensitive. I’m going to press just a little harder now,” he said as his fingers moved with a bit more pressure, “and it will probably feel like you want to urinate.” Joan felt the increased movement, and after just a few seconds the feeling of needing to pee had begun. “Yes, Dr. Welch, I definitely feel it.” He continued his finger movements for a few more moments then stopped. “If this pressure were to continue, eventually the feeling of imminent urination would stop and it would become a more specifically sexualized sensation. A lot of women are amazed that the G Spot is so closely related to the urethra, but it’s been proven. At least the G Spot is real,” he said. The doctor’s fingers had caused definite stimulation, but in this playexam scenario, it would be highly improper for the doctor to go any further with it, and it was interesting enough merely to discuss the sexual implications of the exam findings. Perhaps it was time, though, for the doctor to ask some more pertinent questions in that area.