[Please note: Certain details don't match up with the earlier parts, since I have been revising the story as I write it.]

“Let's get started,” Dr. Little said, as I sat on the exam table, wearing just my briefs and socks. I looked at the bandage on each leg and the gauze pad taped to my arm and remembered what Nurse Terri had done to me a few minutes ago. As the memory came into my mind, I noticed a little wet spot forming on the front of my underwear. I started to feel embarrassed and hoped that Dr. Little wouldn't notice it!

He took his ophthalmoscope off the holder on the wall and brought it close to my eyes. “Look straight into the light,” he told me. I could sense that he's very close to me, much closer than people usually get. I instinctively flinched backwards a little. “You're safe. I'm not going to hurt you,” he reassured me as he gazed into my eyes.

“Now say ah.” He demonstrated it for me: “Ah!!!” I opened my mouth, and he gently placed a tongue depressor against the side of my tongue. “Your tonsils look healthy,” he remarked. “I want to check your glands,” he told me, as he felt the sides of my throat.

Now he replaced the ophthalmoscope and took his otoscope. “Let's take a look at the ears,” he said. He gently slipped the speculum into my left ear, and I flinched a bit and heard a squishing sound. “Looks like you have a lot of earwax,” he said. He switched to the other ear, with similar results. “You can have Jennifer put some drops in your ears to flush them out if it's bothering you.” he told me.

He replaced the otoscope and took his stethoscope. “Now, let's see how your heart sounds.” He warmed the bell with his hand and placed it on my bare chest. It was still a little cold, even so. I sat patiently while he moved the bell around several places on my chest. “No murmurs. Sounds good. Now lean forward for me a little bit, please.” I leaned forward, and he placed the stethoscope on my back. “Take some deep breaths,” he instructed and demonstrated. I breathed in and out several times, and he moved the bell around several locations on my back. “That's what I like to hear,” he said. “You have a healthy heart and lungs.”

He put the stethoscope back around his shoulders and took a reflex hammer out of his pocket. “Ok, let's see how your reflexes are.” He took the hammer and tapped it against my bare left knee. The sock-covered left foot jumped out. He tried the right side and got a similar response. “I can tell that you're a little tense,” he said. “Your nervous system is going pretty strong.”

“Yeah, that's how I am at the doctor's office,” I told him. I was getting apprehensive about what is coming next.

“Lie down and let me feel your belly,” Dr. Little instructed me. I got into position, my sock-covered feet hanging off the end of the table. I felt the waxy caress of the table paper on my mostly naked body as Dr. Little began poking and thumping on my liver. “Your liver is the right size,” he reassured me.

Then he placed his fingertips under the waistband of my underwear and started pressing down. “Let me know if you feel any pain here,” he instructed me. He looked into my eyes as he pressed. The sensation was uncomfortable but not painful. His hands reached the left side of my abdomen, where he stopped on a spot that felt hard. “This feels like some poop in your intestines,” he says. “Have you been having trouble having bowel movements?” I told him that I sometimes had to strain to get them out. “I want you to work on having a higher fiber diet and lots of water,” he instructed as he listened to the location with his stethoscope. “If you get really backed up, you can try an enema to move things along. Has Jennifer ever helped you with that?” I blushed a little and told him that she had suggested it. Dr. Little continued, “You shouldn't take enemas too often, but once in a while is fine. If you don't want to do it at home, Terri can do it here in the office,” he told me. “She's a real pro.”

“Now, Robby, I would like to examine your private parts. Jennifer, is it all right if I do this exam?” Jennifer nodded and agreed. “I know this is embarrassing, and I'll make it quick,” Dr. Little said as he deftly took a latex glove from a drawer and placed it on his right hand. He then rolled down the waistband of my briefs and exposed my 40 year old genitals. As the fabric pulled away, a shiny stream of sticky discharge extended from the head of my penis to the underwear. I was mortified! Dr. Little picked up my limp penis and rolled it around his fingers, squeezing out a little bit of the liquid. “Did Terri have you pee in a cup?” he asked. I nodded. “I think this has come out since then. Do you know when it started?”

“I felt a little wet spot when you were asking your questions before the exam,” I mumbled.

“How do you feel about this?” Dr. Little asked.

“Kind of embarrassed,” I replied.

Dr. Little rolled my underwear back into place, discarded his glove, and sat on the edge of the table, looking at me. “Can you tell me about it?” he asked.

“Well...” I began, then trailed off. “I don't know how to tell you this, but Jennifer and I like to play doctor for fun. It's kind of like sex for us.”

Dr. Little asked, “Does this bother you?”

“I was so ashamed about it when I was growing up. My friends were getting interested in sex, and I was having wet dreams about the nurse at the doctor's office. I thought there was something wrong with me.”

“Sexuality is so different from person to person,” Dr. Little reassured me. “We don't always get to choose what turns us on.” I nodded. “I see many patients who struggle with kinks. I hope that this office can be a safe space for you where you can talk about them and not be judged.”

Jennifer stood up and came over to the head of the table. “It's OK, sweetie,” she said.

Dr. Little continued, “We're almost done. I would like to examine your rectum and prostate and make sure that everything is healthy there. Jennifer, is it OK if I do that?”

“Yeah, it's best to check everything out,” she said.

“Robby, how do you feel about it?” Dr. Little asked.

Terrified and thrilled at the same time? “Um, just don't hurt me,” I nervously said.

“I'll be real gentle,” he reassured me. “Now, I'd like you to roll onto your side and hug your knees up to your chest.”

Jennifer said, “Here, sweetie. Let me get up here.” She sat on the head of the exam table, and then I placed my head on her lap and got into position. She stroked my hair as Dr. Little got another glove and a tube of lubricant out of the drawer. He peeled back my underwear and I felt the cold room air on my exposed butthole.

“This is different from what happened last time I had this done,” I told him. “I had a doctor that told me to bend over the table.”

“Yeah, that's kind of old school,” Dr. Little said. “There's no need to humiliate the patient like that. Now, I'm just going to look with my light.” He took down the ophthalmoscope from the wall and shined it on my exposed ass, which felt the heat from the bulb. “I can see a little spot here where you might be getting a hemorrhoid. I need to touch it.” He touched my butthole with his gloved finger. “Does this hurt?” he asked.

“Not really,” I answered. Actually, it might be nice if he kept doing it.

“Let's keep an eye on that. The high fiber diet should help you pass your stools and keep this from growing.”

I nervously awaited the internal exam. “OK, Robby, now I am going to put my finger into your bottom for just a moment.” I heard a squirting sound and looked over my shoulder to see him put lubricant on his finger. “It's OK to be nervous. I'd like you to turn toward the wall and look at the ocean.” I stopped craning my neck and looked forward at the wall, where there was an ocean scene painted on the wall as part of the room's theme. Jennifer stroked my hair. He placed his left hand on my thigh, and I was startled and flinched a little. “You're safe,” he said. “Now, I'd like you to push like you're having a bowel movement.”

I pushed, afraid that I was going to poop on the table. Instead, I felt the tip of his finger inside the entrance to my butthole. “Deep breaths. In and out, in and out,” he told me. “Look at the waves.” I took a deep breath, and as I exhaled, a slippery finger plunged all the way inside. “Ooof!” I grunted. “You're doing fine,” Dr. Little said as he twisted the finger around. “Keep breathing.” I was filled with an indescribable mixture of feelings: simultaneous humiliation and pleasure, the desire to pee and poop all at once, and a tickling sensation on the prostate. I also felt my penis start to come to life under me against the table paper.

“OK, all done,” Dr. Little proclaimed after what seemed like an eternity, but was probably no more than 30 seconds. He pulled his finger out slowly, drizzling some lube onto my buttocks on the way out. “Here, Jennifer can help you get cleaned up,” he instructed as he placed a box of tissues on the exam table. Jennifer wiped up the lube, and then I sat up and fixed my underwear back into place. By this point, my erection was starting to bulge against the front of my briefs.

“It's a perfectly normal reaction that some men have to this exam,” Dr. Little reassured me as he threw away his glove and washed his hands.

“It's a sensitive place with lots of nerve endings.”

“I hated it last time. The doctor just rammed his finger in, and it hurt so much. This was different,” I told him.

“Your prostate feels like it's a normal size. I don't feel any fissures or tears. I think you're in good shape down there,” Dr. Little reported.

“That's good to know. I feel better now.”

“Do you have any other concerns that we need to address?”

“No, I think that's it.”

“Well, I'll step out and you and Jennifer can get ready to go. There's no hurry. Come out when you're ready.”

“Thank you so much, Doctor,” Jennifer said. “We've needed this for a long time.”

“My pleasure,” Dr. Little said.

As Dr. Little left the room, Jennifer picked up the clothes she had folded. “Would you like to have your treat here, or would you like it at home?”

I smiled. “Here!”