As Mark waited, he started to feel chilly and got up to pace around the small exam room in a futile effort to warm up, but if anything, it made matters worse as it just allowed more cold air conditioned air to circulate around him in his flimsy gown. He wrapped it around him more snuggly and sat back down, wincing as the pain shot through his pelvis as soon as he hit the chair. For the first time, the pain was accompanied by a strong urge to pee. He dreaded having to sneak out to the restroom, but fortunately, the urge subsided.

Finally, there was a quiet knock on the door. There was a pause and so he said, “Come in.”

In walked a young woman in a white coat. She smiled and greeted him, “Hi, I’m Dr Fable. Good to meet you Mark.”

She was rather short and this along with her genuine appearing sympathetic smile and tone seemed to calm Mark as he stood to shake the small hand she extended to him.

“I’m so sorry to hear about the trouble you have been having. Hopefully we can get you tuned up and feeling well soon. Please sit.”

Mark sat back down gingerly, but drew in a sharp breath as the pain shot through him. Dr Fable noticed this and frowned as she sensed the significant discomfort he was in.

She went through his history briefly including his sexual history, but she did not delve and he got through without too much embarrassment with vague responses that she accepted. She then had him return to the exam table to examine him.

She started off checking eyes, ears and throat. She took a while on his ears and he found the quiet sound of her breathing and faint feeling of her exhaled breath on the side of his neck soothing. Likewise when her small hands felt around his neck. After she finished auscultating his back and chest, she flattened the table and pulled out the leg rest and had him lie back.

She told him she was going to check his abdomen and she pushed the gown to the side not realizing he was without his underwear. He imagined his unimpressive state with the freezing AC of the room. She pulled up a bottom corner of the gown and thus covered his genitals back up and this made him more embarrassed, thinking that she quickly concluded he was not worth looking at.

After she had pressed around for a minute or so, she went up to the head of the table and looked at him, tilting her head so that they were looking level at each other eye to eye. She started in a quieter voice hesitantly, “With what you are here for, I need to do a genital exam. I will be gentle. Try to relax and tell me if I am hurting you at any point.”

She put on a pair of purple gloves and pulled away the gown completely. At first she just looked, but then started to gently feel the sides of his groin area, “Just checking your lymph nodes first.”

Mark noticed she was very gentle and almost tickled him with her light touch. She seemed almost tentative. He then felt her gloved fingers on the shaft of his penis and he tensed up. She lifted it and gently pushed along the length of it and moved up to the head.

“Anything hurt so far?”

“Not yet,” he replied anxiously.

She went on to examine his testicles and seemed to have trouble getting her fingers around them as his scrotum had pulled them up so tightly as he struggled to stay warm. She asked him to part his thighs a bit, and she reached behind his scrotum and felt along his perineum with her finger tips with the same gentleness.

Mark noticed her finger sliding around a bit and recalled in horror that he still had some leftover lubricant in the area from the rectal thermometer, but then he felt the sharp pain as she pressed a bit more firmly and he yelled out, “Ow Ow!”

“Sorry! Sorry! I’m done!” She withdrew her hands gave a kind apologetic look and tried to help him sit back up as she folded in the leg rest. “You are so tender there, sorry I had to do that.” As she striped off her gloves, she told him she needed to discuss his case with her attending physician, Dr Morris and that the two of them would be back in a short while.

Once alone, Mark collected his thoughts and started to feel this was not so bad and that he was going to get through it ok. Perhaps the worst was over.

Before long, he could hear two women conversing outside the door. He recognized the quieter voice as that of Dr Fable. She seemed halting and diffident as she recounted his history and then went on to describe what she found when she examined him. He smiled to himself when he heard her describe him as “well-developed, well-nourished white male,” and he regained perhaps a trace of his self confidence for a moment.

Then the other voice took over. It was quicker and louder and peppered Dr Fable with questions. Mark felt a bit bad for Dr Fable as she seem to stumble in her responses.

When Dr Morris asked Dr Fable what her assessment of his case was, she said she though it was a muscle strain, but her response was almost more like a question rather than a confident conclusion.

Dr Morris pounced, “A muscle strain? Really? How might he have done that?”

“Dr Fable struggled desperately, he looks athletic, I think he works out. Maybe he did it that way.”

“I see.” Dr Morris went on somewhat sarcastically. “And what were your findings on rectal exam?”

There was silence.

After an awkward pause, Dr Fable admitted she had not done one.

“Why not?”

“I didn’t think I needed to in order to diagnose a muscle strain.”

“Oh, I see. So, you let your premature diagnosis dictate the thoroughness of your exam, doctor?” Dr Morris was quite unhappy.

Dr Fable had no reply as she recognized the all too familiar sarcasm Dr Morris was using when she referred to the young intern as “doctor.” It was used in a way that suggested she was perhaps unworthy of the title.

Dr Morris was not done with her yet, “There are two acceptable reasons not to do a rectal exam, Dr Fable, no finger or no rectum. I see your ten little fingers. Does the patient have a rectum?”

Mark immediately went from feeling sorry for Dr Fable to a near panic at the implications for him. Despite his sketchy knowledge of anatomy, he certainly knew what his rectum was and that he did not want it examined or even mentioned for that matter. The idea of Dr Fable looking at him there was too much to bear. In his unfamiliarity with medical terms, he misunderstood “exam” to mean a visual inspection. As mortifying as the prospect of that was, he would soon find it to be worse than he could have imagined.

The door to the room opened abruptly and the two women walked in, Dr Fable was leading the way. She did not make eye contact with Mark this time and her smile was gone. Not a good sign, thought Mark.

Dr Fable stepped to the side and the taller Dr Morris walked right up to Mark and quickly introduced herself. “I’m Dr Morris,” she said in a tone slightly less agitated than what she had used for Dr Fable. He shook her hand when she extended it to him and he noticed her hands were quite large and her grip firm.

She started questioning him at once in the same terse style he had heard her use in the hall. The questions quickly became more embarrassing, “When did you last have intercourse? Did you have any pain when you ejaculated?” He mumbled his answers as Dr Fable cast her eyes downward. “Any pain when you have a bowel movement?”

Dr Morris whisked out the wheeled round low stool and sat down a feet feet from Mark. “Okay, I need to examine you, please stand up facing me.”

Mark stood. He was a bit wobbly kneed.

Dr Morris pushed the front of his gown unceremoniously aside and looked at his genitals that were at eye level for her. She finished getting her gloves on and confidently grasped his penis and pressed along the underside of the shaft, periodically grasping the head and pinching it a bit and inspecting the urethral opening. Mark looked down and realized his penis looked ridiculous — shrunken from the cold but also a deep orange color all around the head from the disinfectant he had applied when he gave his urine sample.

As the doctor manipulated his penis, it plumped up a bit, but it was by no means looking impressive. His girlfriend Tess liked to trim his pubic hair and she did this after his Friday evening shower like a ritual. As he looked down and saw the short hair at the base of his cock and his smooth bare scrotum, he thought it looked boyish. Under normal circumstances, he though it made him look bigger, but that was not the effect it was having now.

When Dr Morris started to palpate along his perineum, he yelped and flinched, but unlike Dr Fable, Dr Morris kept going without hesitancy and seemed to home in on the most tender area. Mark reflexively closed his legs as his knees buckled. This caused him to clench her hands between his thighs and buttocks awkwardly.

She removed her hand from behind his scrotum and told him, “I need to examine your prostate by inserting a finger into your rectum. Turn around and face the table. Point your toes inward and spread your legs some, bend your knees and then lean over the table and rest your upper body on the table.”

This was going to be worse than he feared. He hesitated and looked at Dr Fable. She met his gaze with a look of pity. He slowly turned around and did his best to adopt the position as he was told. It was a goofy awkward position to begin with and he would have felt like a dork even if fully clothed, but the fact that he was naked under the gown and that this position was for the purpose of maximally exposing his ass to them was almost more than he could take. He had never been so embarrassed in his life. The cool flow of air between his buttocks and over the still lubricated skin of his anus confirmed how effective the position was in revealing all of him.

It was not quite adequate for Dr Morris and she ordered him to move his feet a little wider apart and then she grabbed both of his buttocks with her gloved hands and spread them wider yet. “Dr Fable, come over behind my shoulder so that you can watch and learn.”

Mark was astounded at how things just kept getting worse. He heard Dr Fable take a few steps to take up a position behind him. He had grown a bit fond of her with her gentleness and kindness and to have her looking at his spread open bottom was nothing short of mortifying.

“Dr Fable, hand me a packet of Surgilube.”

Mark heard the foil packet crinkle a bit. His legs quivered a little, partly from the cold and fear, partly from the muscle fatigue of an awkward position.

“Now, I am going to insert my finger into your rectum. Relax and take deep breaths.”

He felt the cold wet tip of her finger at his entrance.

“Bear down and push like you are trying to have a bowel movement.”

Mark couldn’t believe what he was hearing. He hesitated and Dr Morris repeated her order. He started to push as instructed and immediately felt the finger press against his anus and an intense sensation as she quickly slid it up his rectum. The feeling was so jarring to him he felt he couldn’t breath. It was like he needed to have a bowel movement and almost like that was going to happen without his control.

Dr Morris noticed him not breathing and told him to breath and stay still. She started to move her fingers around in his rectum and the sensations intensified. To feel like he was going to have an accident as he was sticking his butt out with two women behind him was mentally tormenting him.

“Now, I am going to feel your prostate gland.” Dr Morris announced.

An intense pain and pressure filled his pelvis and extended to the the tip of his penis with a burning need to urinate, “Uh! Oh shit! Ow!” was all he could utter. The pain intensified in waves and he felt himself getting lightheaded and nauseous. He started to sway a bit and Dr Fable came next to him to steady him, holding his arm with her hands.

“Hold still.” Dr Fable repeated unsympathetically.The pain started to ebb and then he felt her slide her finger out. The sensation of the slippery lubricant was all that remained.

As he gathered his wits, his spirits lifted as he thought perhaps he had survived the ordeal and it was over, but then Dr Morris turned to the young intern, “Dr Fable you will now repeat the rectal exam and describe your findings.”

Dr Fable clumsily put on her exam gloves, fumbling with them under the intimidating stare of Dr Morris. When she went to apply lubricant to her index finger, she overdid it and some dripped onto the tile floor audibly.

“That should suffice, Dr Fable.” Dr Morris quipped in a demeaning tone.

Dr Fable came up behind Mark’s protruding bottom. “OK Mark, here comes my finger tip. Try to relax.” As she moved it into position, the copious amount of lubricant was apparent to Mark and it got all over the inner aspect of both his buttocks. She slowly pushed forward and gradually overcame the tight ring of his anus and slipped inside him.

Mark was somewhat of a veteran now as he was now getting the second rectal exam of his life. He sensed Dr Fable’s more gentle approach and was slightly relieved, but still humiliated. Her finger seemed smaller as well. She slowly started to feel around and the exquisite feelings of invasion and loss of control returned, but to a milder degree.

“OK, Dr Fable, what are you finding?” Dr Morris demanded.

Dr Fable stammered a bit, “Um, well, the sphincter tone is rather tight. The rectal mucosa is smooth, I am not feeling any masses. I can feel a small amount of solid stool present.”

To hear her describe the inside of his ass out loud like this made Mark want to die.

“What about his prostate, Dr Fable?”

She moved her finger downward to find it, and when she did, Mark lurched forward in pain even though he was expecting it, “Ow! Oh! Ow!” Drawing his breath in sharply.

“Sorry Mark.”

Dr Morris was losing her patience with Dr Fable’s timid approach, “Dr Fable, you will hurt the patient more by failing to conduct a thorough exam. What else do you feel?”

“His prostate is very tender and boggy, but normal in size with no nodules.”

“And the temperature?”

“Well…his rectum is warm, but…”

Dr Morris cut her off, “A warm rectum! What a surprise! What about his prostate? Put the pad of your finger on it with light pressure.”

She did as instructed and indeed felt the increased heat with her finger.

“It’s quite warm.”

“Good. You are done.”

Relieved to be finished, she slowly slid her finger out of Mark’s rectum and Mark reacted with a sigh of relief.

“You can get back up on the table.” Dr Morris told Mark.

He slowly straightened up and gingerly climbed up onto the table. He felt a wet squishiness between his buttocks as his eased down onto the exam paper. He hunched over and sighed, crestfallen as he contemplated what these two women had just done to him.

“Dr Fable will be back momentarily.” Dr Morris announced as the two headed toward the door.

“Can I get dressed?” Mark pleaded.

“Not yet,” was the unwelcome reply form Dr Morris as she was halfway out the door.

Mark tried to regain his composure as he anxiously waited. In about 10 minutes, Dr Fable returned. She gave him a weak but sympathetic smile, “I’m sorry that was so uncomfortable.”

He could only nod his head in reply.

“You have prostatitis, an infection in your prostate gland. We are going to treat you with antibiotics. To try to get you better faster, we will give you the first dose as an injection today and then the rest by mouth for a month. The nurse will be in shortly to give you the shot, so don’t get dressed yet.”

“Can I put my pants on?”

“No, sorry, it has to go into your buttock. Its a large volume.”

Dr Fable left and in a few minutes, the nurse Lisa returned.

“Ok, this has to go in your bottom. Sorry about that, but it would hurt more in your arm. Believe me.”

She put down the syringe on the counter and when Marked looked at it, it looked huge. The needle was concealed with a cap and he hoped it was not correspondingly sized.

“OK Mark, stand up and face away from me.”

Mark went to get up and he heard rustling noise behind him, but it was not until he had hopped down to the floor that he realized the exam table paper was stuck to his butt, plastered to him from all the lubricant that he was gooped up with. He turned to grab it and pull it away, giving Lisa a preview of his bare bottom in the process. The paper had a large translucent wet spot on it and as he pushed it back onto the table, he noticed the blue vinyl of where he was sitting was also glistening with lubricant. He rolled up the paper into a ball and put it on top of the wet vinyl to conceal it, but Lisa had already seen it.

“Don’t worry, just turn around and face away from me.”

He heard her tear open the alcohol pad and felt the cold wetness as she rubbed his upper outer butt cheek with it.

“OK, bit of of pinch coming. Try to keep your muscles relaxed and it will hurt less.”

He jumped when he felt the sharp jab. What followed was a deep aching pressure in his buttock as if she had just hit him with her fist. This then transitioned into more of a deep burning in the muscle.

“Poor baby. Your butt has been through the ringer in every way today,” Lisa said as she disposed of the syringe in the sharps container and headed out.

He got dressed and got out of the office as quickly as he could, but as he was driving home, his sense of total relief was cut short as he realized his girlfriend Tess would be waiting for him, eager for the details of how the appointment went and what was wrong with him. He started concocting some less embarrassing stories and took the long way home to give himself more time to come up with something plausible.