The doctor begins his examination of Ainsley. First he performs the HEENT exams, then palpates the lymph nodes in her neck, finishing with palpating her thyroid. Satisfied, he slips the stethoscope under her paper vest to listen to her lungs from behind, placing the disc on each quadrant of her back while having her take deep breaths. He moves on to her front, parting the vest enough to slip the stethoscope onto her chest to listen to her heart. He finishes by placing the disc just under her left breast, and listens for a moment to her heartbeat.

The doctor tells Ainsley “All sounds nice and healthy, now for the breast exam.” The doctor unties the front of the paper vest and opens it, fully exposing Ainsley’s firm, perky 34B breasts. He looks at her perfect breasts, checking the symmetry and looking for any dimpling or other abnormalities. None are observed. Next he has her place her hands behind her head, then he palpates each breast, one at a time, thoroughly feeling every square inch of breast tissue, finishing by lightly pressing on her nipples to check for discharge. All is normal. He palpates the areas near her armpits to check the lymph nodes, all is normal. The doctor says “Okay Ainsley, all good so far, now go ahead and lie back, I am going to repeat the breast exam while you are lying down.” Ainsley complies, lying back as the doctor pulls out the table extension for her legs. More table paper crinkling as she gets into position. The doctor has her place her hands behind her head once again, and repeats the breast exam, more slowly this time, making sure nothing is missed, including repeating the palpation of the lymph nodes in her armpit areas. All checks out normal. The doctor closes the vest enough to cover her breasts, but leaves her abdomen exposed for the abdominal exam.

The doctor says “Okay Ainsley, now I am going to examine your abdomen. Let me know if you feel any pain or tenderness.” Ainsley says “Okay” as the doctor pushes the drape to just below her buttery soft, bare mons pubis, almost exposing the very top of her slit. He places the stethoscope on her flat, firm tummy to listen to her bowel sounds. Satisfied all sounds normal, he first lightly, then firmly palpates her tight abdomen from just below her ribcage down to her mons, thoroughly feeling her liver, spleen, kidneys and reproductive organs. Satisfied all feels normal, he tells Ainsley that he will be feeling her femoral pulses. He places two fingers in the crease of her right thigh, feeling her pulse for a moment, then repeats on the crease of her left thigh. Next he tells her that he will be checking the pulses in her ankles. He pulls the drape back up to a few inches below her navel and closes the vest. He moves down to her feet and checks her ankle pulses. Her shiny black, opaque nylon anklet socks are cut low enough to not be in the way. Satisfied all is normal, he tells Ainsley “Now for the last part of your physical, the Pap test and pelvic exam are next. Before I begin, I need to ask you a few questions. Have you ever had sexual intercourse?”

Ainsley sheepishly replies “No.” The doctor asks “Have you used tampons, or ever engaged in penetrative foreplay, like using a finger or other object?” Ainsley, now obviously blushing, quietly replies “Umm, yes, I use tampons regularly, and I, umm, my boyfriend has used a finger before, and, umm, I have as well.” The doctor says “Please try not to be embarrassed, I am not going to judge you, I am only concerned with your health and wellbeing. I need to know these things so I know how to prepare you for the pelvic exam, and also so I know which size speculum to use. Before we begin, let me show you.”

The doctor opens a drawer and removes two different sized plastic specula, still wrapped in their clear plastic wrappers. He shows them to Ainsley, saying “The one in my left hand is a small, sometimes referred to as a virginal speculum, and the one in my right hand is the most common size I use, a medium. Some circumstances require a large, which I won’t show you, since these probably scare you enough. A large is usually only used for certain medical procedures, and on very large, obese women who have given birth. For a routine pelvic exam and Pap test, the medium is usually used on sexually active women, and the small is usually used on very young women that are still virgins, such as you. So as you can see, the small has narrower and shorter blades, and I will not be opening it much at all, just enough to be able to see your cervix to take the sample for the Pap.” Ainsley says “I am glad you aren’t showing me the large, the small is scary looking enough!”

The doctor and nurse chuckle, and the doctor says “That is good you can laugh a little, anything that helps reduce your anxiety will help you relax more. Staying as relaxed as possible will help you feel less pressure and cramping. Don’t worry, I will go slowly, and explain everything as I go along, I won’t do anything until I tell you what I am about to do, so you are prepared for it.” Ainsley says “Oh boy, I am still so nervous!” The doctor says “That is okay, taking slow, deep breaths during the exam helps a lot. Now one more question before I begin. Do you want me to prescribe you birth control pills? Even if you don’t think you will be sexually active anytime soon, it is best to already be using birth control before it happens. Because when it does eventually happen, it is usually spur of the moment, and unplanned.” Ainsley says “Umm, I guess it is a good idea. I am so paranoid about getting pregnant, it would completely derail my scholarship and my free education. Even with the pill, I would STILL make my boyfriend wear a condom!” Ainsley immediately blushes, she can’t believe she blurted that out! She is so nervous, she is getting chatty, something she does when she has anxiety. The doctor says “Don’t be embarrassed, I was going to suggest that your boyfriend still wear condoms if you have sex, even when you are on the pill. Double the protection from pregnancy, and also good for STI prevention. I will write you a prescription for birth control pills before you leave.”

The doctor pulls out the stirrups, and adjusts them wider. He tells Ainsley “Okay, go ahead and slide down the table towards me, and place your feet in the stirrups. I’ll help guide your feet into place.” Ainsley slides down, making the exam table paper crinkle loudly, and as she moves her feet towards the stirrups, the doctor gently puts his hands on her ankles and lightly guides her feet into place. He pushes in the table extension, and says “Okay Ainsley, slide down towards me some more. A little more. That’s good. Now let your knees fall all the way open to the sides.” He holds his hands out wide, to show her how far apart he wants her knees. Ainsley slowly lets her knees open up until they touch his hands. He then pushes the paper drape up to just above her navel, completely exposing her from just above her navel down, her bare, buttery smooth, completely hairless and stubble free mons and vaginal/rectal areas on full display. Ainsley has never felt so embarrassed. The doctor raises the head of the exam table about 30 degrees, saying “This will help you relax your abdominal muscles better, and also lets you see what I am doing.” He switches on a bright LED lamp, and swings it into position between her legs, illuminating her silky smooth, well toned thighs and her bare pubic area and lower abdomen. The bright overhead LED lights are making her shiny black, opaque nylon anklet socks look almost glossy, her feet firmly planted in the stirrups for the first time in her young life. As the doctor snaps on a pair of white nitrile gloves and sits on the rolling stool, and rolls up between Ainsley’s wide open, outstretched legs, the nurse had finished preparing the tray on the Mayo stand next to the exam table with all the necessary supplies for a full, thorough pelvic exam and Pap test. Ainsley is so nervous, she is almost shaking. She is taking slow, deep breaths as instructed, but it is barely keeping her from freaking out. She feels so embarrassed, and vulnerable, with her legs so wide open, feet in the stirrups, her ass just over the edge of the exam table. She feels like if the stirrups gave way, that she would fall off the exam table. The doctor says “I will start with the external exam first, you will feel me touching you now.”

Part 3 coming soon.