Mark called the clinic and told them he was still feeling lousy. As expected, he was advised to make a return appointment. He deliberately chose Tuesday morning for the appointment, knowing that its the busiest day of the week for Tess and maybe she wouldn’t be able to come. He didn’t bring it up with Tess that evening, but she asked him about it right away. When he told her the day and time, she was a bit annoyed at first and suspected he did this intentionally, but she was not going to let him off so easy, “No big deal, I’ll cancel my Zoom meetings that morning. We can take separate cars so you can go straight to work afterwards and I can go home and catch up.“

Mark was not surprised at how easily she thwarted his ploy and resigned himself to the fact that she was going with him.

When the morning of the appointment came, they were going through their normal morning routine. Mark was at the sink in the bathroom brushing his teeth. As Tess was walking out, she said nonchalantly, “Remeber to pee before we go. And poop too if you can.” Mark glared at her with his toothbrush in his mouth. “Trust me. You’ll thank me baby,” Tess added as she walked out the door.

Mark got to the clinic and was checking in at the desk when Tess came into the waiting room. She smiled at him and took a seat at the far wall and waited for him. When he came and sat next to him, she kissed him on the cheek and briefly stroked his thigh, adding, “Relax! You’re here to get better.”

In a few minutes, Lisa, the nurse Mark saw last time came out and called his name. She recognized him and smiled as soon as he got up. Tess got right up as well and followed Mark. She eagerly introduced herself to Lisa and trailed the two of them down the hall closely.

Mark‘s heart started to quicken when they got into the exam room. It was the same room as last time or at least it looked identical. Lisa directed him to the corner chair and opened up his file in the EMR. Soon came the dreaded questions about his symptoms. He muttered his answers explaining his penis and perineum were still hurting. Lisa seemed impressed that he pronounced ”perineum” and so did Tess. Tess was unhappy with his demeanor and scolded him, “Mark, speak up. She’s just trying to help you.”

Mark got even more edgy when Lisa started to get ready to take his vitals. He watched with fear as she slipped the plastic cover on the electronic thermometer. She then looked at him with a bit of a wry smile, and after a pause, said, “Open up!”

Relieved, Mark opened his mouth. The probe was pointy and unpleasant under his tongue, but it certainly could be a lot worse he thought. In a minute, the beep came and Lisa withdrew the probe. “98.4F” she said with a smile. “That will suffice so no need to take it the other way today. I’m sure you are disappointed!” she added with a lighthearted sarcasm.

Mark let out a sigh of relief. Lisa took his blood pressure and pulse and then handed him a gown to put on and told him Dr Fable would be in shortly.

Mark took the gown and felt a bit relieved it would be Dr. Fable to see him again. She was pleasant enough and had been gentle. Mark got undressed after Lisa stepped out. He left his undershorts on in an act of foolish optimism.

Mark had sat down for just a minute before there was a quick knock on the door and Dr Fable entered. She warmly greeted Mark and then introduced herself to Tess and was quite happy she accompanied Mark to the appointment, “So glad to meet you and that you are here.“ She sat down on her stool facing Mark and started quickly going through questions —Pain when you pee? Blood? Fever? Fortunately they mostly required simple yes/no answers and that was easier for Mark. She finished with the questions and then said, “Alright, I need to examine you again, so hop up on the table.“

Mark climbed up onto the exam table. He had to decide whether it would be Tess or Dr Fable who would see the back of him through the opening of the gown, but he had his shorts on, so not really a big deal.

Dr Fable went straight to the abdominal exam. She had adjusted the exam table so that Mark could stretch out flat on his back. When she realized he still had his shorts on, she did not hesitate to pull the gown completely aside. Though nothing private was exposed, Mark still felt the chill of the room air and vulnerably exposed.

Dr Fable auscultated all four quadrants of Mark‘s abdomen and muttered, “Reduced bowel sounds,” mostly to herself. Mark made nothing of it.

She then went on to palpate his belly. He felt the warmth of her hands. ”Relax and breath through your mouth.” She had a gentle firmness that helped him to do so, and she started to press a bit more deeply. As she got down to his lower abdomen, he was a bit more sensitive and tightened up his muscles a bit. Dr Fable frowned. She pulled the waist band of his undershorts down to his pubic bone and he tensed up further, but she kept going and repeated her guidance to breath and relax. ”Pain as I press?” she asked.

“No, a bit uncomfortable though, mostly on the left and low down,” Mark replied.

Mark noticed a difference in Dr Fable’s manner form his prior visit. She seemed more confident and at ease, yet still gently reassuring.

He turned his head to the side to relax and saw Tess watching intently. When their eyes met, her face went from concerned to her familiar smile.

Dr Fable withdrew her hands and walked to the counter. Mark followed her with his eyes and when she started to pull out two purple exam gloves from the box on the wall, he felt a sense of dread. He knew it would come, but he had somehow managed to stay in a state of semi denial up until now.

The room became tense. Tess saw the gloves and quickly put her phone into her purse and straightened up in her seat to pay closer attention.

As she donned the gloves, Dr Fable came alongside Mark, “I need to examine you down below now, so slide down your shorts for me.”

Mark sighed and closed his eyes. He reached down with both hands and slid his tight blue briefs to mid thigh. His penis flopped to the side onto his thigh.

”Tell me if anything hurts, OK?” Dr Fable grasped his penis and palpated the length of it, focusing on the length of skin overlying his urethra. She then firmly squeezed the glans and inspected the urethral meatus for discharge.

Mark felt no pain, just subtle but definite pleasure at her touch. He started to swell and all three occupants of the room were soon very aware of this development. Tess was enthralled at what she was seeing. This attractive professional woman who was the same age as she was held and manipulated her boyfriends cock with such confidence and authority.

When Dr Fable finished and released him, his penis fell upward onto his lower abdomen with a barely audible slap of skin against skin. She then went on to examine his testicles. Mark flinched and tensed up his abdomen when she started. Dr Fable gentle put a hand on his abdomen and told him to relax and lie back town. She examined them one at a time, grasping firmly and going over the smooth surface beneath the loose skin with her fingertips. Mark had shriveled at this point and the anxiety and chill of the room had tightened up his scrotum to the point that when she went to examine each epididymis, she had sink her fingers in and pinch deeply behind each globe to feel them. “No pain Mark?”

”Nope. None.” He let out his breath with audible relief when she let go and quickly pulled his shorts back up.

She moved up to the head of the table and looked down at his face. “Next I need to recheck you prostate gland with my finger in your rectum. We need to get you back up.“ She slid in the footrest and Mark got up into a sitting position. “Hop down now and slide those shorts all the way off so you will be able to spread your legs.”

Mark slowly slid them off. Dr Fable motioned for him to come to the side of the table.

”Face the table and bend over. Rest you head and your chest on the paper.“

Mark assumed the position as instructed and felt the gown slide forward off his sides as he did so. Tess was in a perfect position to see everything. This was the best look at Mark’s butt she had ever had. She had certainly tried before, but he had thwarted her. She had admired his small round muscular ass from the beginning and especially liked the way he had dimples on the sides of his buttocks where his glutes met his hips. She could really see that now. She thought about her fixation and recalled how when she was a teen, she and her friend heard that some men were “ass men” meaning they were most drawn to that part of a woman’s body. Tess’s friend told Tess that she consider her an “ass woman“ as it seemed clear she had the same obsession. Tess had laughed at this moniker for her, but had to agree. She was an ass woman alright. Had been since grade school and was one now more than ever. She thought she struck gold when she and Mark started dating, but he had frustrated her. This seemed to just intensify her determination and make her fantasies about overcoming his thwarting her more frequent and persistent.

She refocused on the events in the room when she heard Dr Fable tell Mark to spread his feet wider as she was squirt some lubricant onto her finger. When he did this, his cheeks separated some and Tess could now see just a little into his shadowed secret valley. At the lower end she could just make out his still partly hidden brown anus.

“OK Mark, I’m going to start, so you are going to feel me touching you. When you feel my fingertip against your anus, you need to push and bear down.“

Dr Fable used the thumb and forefinger on her left hand to spread Mark more, and Tess was rewarded with an even better view of Mark’s anus. She saw the pale brown color and the symmetric radiating puckers. The doctor had stretched him just enough to reveal some of the more pinkish center.

Tess leaned forward more as Dr Fable brought the glistening pad of her index finger against Mark‘s anus and paused. Mark did as he was told and took in a breath and then Tess‘s mouth fell open as she saw his anus bulge a bit and spread, revealing more of the pink zone like a small flower starting to bloom. Just as this was happening, Dr Fable’s finger moved forward and was quickly buried within him. They could hear Mark moan softly as he lurched forward up onto his toes as if trying to escape this penetration to his private core.

“Relax Mark. Deep breaths. Any pain?”

”No, not really. Real uncomfortable though.”

”I am pressing on your prostate now. Still no pain?”

”No, feels funny but no pain,” he responded with a voice muffled by his face being buried in his arms.

Tess was transfixed as Dr Fable started to move her finger around more, sweeping around in all directions and then partially withdrawing a bit and then pushing all the way back in. She felt her pulse quicken and some tingling of physical arousal as she watched. She wanted to participate by helping spread Mark wider or stroke his hair and reassure him. She felt sympathy for him, but also loved that he must be feeling embarrassed and such intense physical sensations and emotions.

“Mark, your prostate seems better, but you are very full in here.” Dr Fable was wide eyed in surprise in response to what her finger was encountering inside Mark.

When Dr Fable finally withdrew her finger, Tess could see that it was soiled. She noticed how Mark’s ring immediately clamped down with a wink and extruded a pearl of clear lube as it recovered from the exam.

Mark was confused as he stood up, “What do you mean?”

”She means your constipated honey.” Tess felt a bit out of place for answering him.

Dr Fable took over, “You are. As I said, your prostate feels pretty normal and doesn’t seem to be too tender, but your rectum is quite full of hard stool. The fecal matter is probably pushing against your still overly sensitive prostate and making you not feel very better yet. No worries. This we can easily fix.”

As she said this, Mark could feel the heat of his ears and cheeks burning with embarrassment.

She told Mark he could get dressed and she stepped out. Mark was as near to tears as he had ever been in his adult life. Once he had his jeans on, Tess came and hugged him, “You did great honey. I am SO proud of you. You are taking responsibility for your health and cooperating with the doctor. I know how hard this ordeal has been for you. You ARE getting better, just one more minor bump in the road to overcome.”