Carol and Dorothy arrived at the doctor's office shortly before 4 o'clock. The receptionist buzzed the doctor and Dr. Barnes immediately invited them into her office. "Please have a seat, I'll be right with you."

"Carol, the first thing I want to do today is go over my findings from the physical examination and the initial test results. Let me tell you that I found no serious problems. The tests showed that your constrictive anal sphincter condition is not as severe as I had originally thought. I do however believe that it is one of the factors contributing to your problem with chronic constipation. I realize that you mother died recently and I don't want to speak badly of her, but I believe that your mother gave you so many enemas so often that you became dependent on enemas for a bowel movement. Do you understand what I am saying?"

"Yes, I think so," said the girl.

"Good. My plan then is to correct you constrictive sphincter using the dilation treatment we started the last time you were here. Now that I have reviewed the test results I think that you should only need the treatments three times a week for 2-3 months."

"That long?" exclaimed Carol.

"Unfortunately, that long. However, I had originally thought that you would require treatment for 6-8 months, so the two or three months aren't as bad. Wouldn't you agree?"

"Yes ma'am, I guess so."

"I have given instruction to Mrs. Ames regarding your treatments. Instead of an enema before the dilation treatment Mrs. Ames will give you a colonic irrigation. It cleans you out just like an enema, but you don't have to get up and run to the bathroom. I think you will find it a little easier. After the colonic irrigation the dilation treatment sessions will last 1-2 hours depending on how much dilation we are doing that day."

Dr. Barnes continued, "the other matter that we have to discuss is your rapid sexual arousal."

Carol blushed, but the doctor continued.

"During my examination you became aroused quite quickly when I touched you breasts and your vaginal area. You also showed signs of arousal when I examined your anus and when I manually dilated you. Dorothy also told me what happened last night at Kramer's."

Carol was now very embarrassed and blushing heavily. "I'm sorry, I couldn't help it. It's just…."

"I know you couldn't help it and that's why I want to perform some more tests. First we need to understand what is happening and then we will help you correct any problems we find. How does that sound?"

"Okay I guess. Will the tests hurt like the dilator treatment?"

"There won't be any pain at all. There may be some minor discomfort from time to time, but that's all. Nothing more, I promise."

"The last items we need to address are feminine hygiene and sex education. Dorothy tells me that you have a limited knowledge of sex. Is that correct?"

"I guess I don't know too much actually," Carol replied.

"That's perfectly okay and understandable. What I would like to do is schedule a sex education session every Saturday morning until you feel that we have covered everything you need to know. My associate, Miss Pratt will show you educational films and she and I will be available to answer any questions that you may have. Does that sound agreeable?"

"I suppose so. Will it be very embarrassing?"

"In the beginning you may very well be embarrassed, but I think you will find the sessions to be educational and enlightening. I know that you have been through a lot this week so tomorrow we'll stay away from sex education and we'll just focus on feminine hygiene. Tell me, do you douche after you have your period?"

"No ma'am."

"Do you know what douching is?"

"My mom said it's like an enema for your female parts."

"That's pretty close," replied the doctor. "It's a way of cleaning and freshening your vagina after your period. One last question. When you have your period do you use a sanitary napkin or a tampon?"

"Uh, a napkin. Mom said that I couldn't use a tampon because I was still a virgin."

"That's not quite true Carol. First of all a tampon doesn't go far enough into the vagina to break the hymen. Secondly, my examination shows that you are not a virgin, your hymen has been broken. Have you ever had sexual relations with a boy?"

"Oh no ma'am, never. I've only been to two dances and I've never had a date with a boy. Mom wouldn't let me. I have never done the sex thing with a boy, never."

"I believe you Carol. Please try to relax. I am assuming that since you have just turned eighteen that you have been masturbating for a while. You do masturbate don't you? Don't be shy, I need to have a truthful answer."

"I - er - I suppose so."

"About how old you were when you started and how often you masturbate now ?"

"I guess I was thirteen or fourteen when my girl friend showed me how to do it. We did it together sometimes and I did it quite a bit at first, but then my mom caught me a couple of times and she made me stop."

"How did she make you stop Carol?"

“She made me wear a heavy canvas belt around my waist at night and she attached my wrists to the belt so that I couldn't touch myself. I really hated it, but mom made me wear it every night. She said that her mother made her wear it when she was young. She said that it helped build character by teaching you how to resist temptation. Mom would hook me up when I went to sleep and unhook me in the morning."

"Did you find it helpful Carol?"

"No, I think it just made it worse. When I was about fifteen, I found that I could do it by rubbing myself on the mattress or I would put something between myself and the mattress and do it that way. Mom caught me doing it like that one night and she really got angry. She said my behavior was wanton and disgusting and that she would fix it so I never did it again. She gave me a really bad spanking. Then she went and got two straps and told me to lie on my back. She attached a strap to each side of the bed and attached the other end of each strap to the sides of the belt so I couldn't roll over. I had to sleep on my back all of the time."

Doctor Barnes was fascinated but her tone was very sympathetic. "How long did you have to sleep like that?" she asked.

"I had to wear the belt and sleep like that all the time until mom got real sick."

"Did you masturbate a lot when she stopped restraining you?"

"Not at first, but then I started closing the door to my bedroom and I guess I did it a lot."

The doctor continued her questioning carefully. "Did you ever use anything other than your finger to masturbate with?"

"I, ah, uh, I guess so. I heard the girls in school talking about what they used. Sometimes I used a soda bottle, some times a carrot or the handle of my hairbrush. I guess I did it too much for a while."

"It's perfectly understandable," said the doctor. “After all those years of being prevented from doing something very natural and necessary, your behavior wasn't out of the ordinary. And I'm sure that you broke your hymen with one of those instruments. Give us a little time and I'm certain that we can get all of this straightened out too. This may take longer than three months, but it will be worth the time and effort."

Before Carol could respond the doctor said, "Enough of this for now, tomorrow, Mrs. Ames will show you a movie about feminine hygiene and show you how to use a tampon. Right now Mrs. Ames will take you to the colonic treatment room. You've been there before; it's the room where you had the retention enema. Mrs. Ames will explain how a colonic works and she'll get you started with your first irrigation. Don't get completely undressed though. I want to see the new undergarments that you got at Kramer's last night. Dorothy tells me you really look great."

Mrs. Ames led Carol to Treatment Room #3 and instructed her to get undressed to her underwear. Knowing that there was no escape from this and that there was no use in protesting, Carol did as she was told and removed all of her clothes down to her bra and girdle. On the other side of the room Mrs. Ames made preparations for the colonic irrigation.

There was a light knock on the door and then it opened and Dr. Barnes walked in. "Stand up and let me see you Carol."

"My what a difference," said the doctor. "Look at you all nice and neat and trim.” She put her hand on Carol's tummy and said how it was much flatter but still not flat enough. She moved her hands to the girl's bottom and felt the firmness provided by the rear control panel. "A marked improvement but not up to my standards," she exclaimed. "And look at your breasts. Now they're getting some support." She lightly cupped each breast and said, "this is better, but after your dilation treatments are over I would like to see you in more structured garments for everyday wear. When you're ready I'll call Betty Finch, the local Spencer Lady and she can take a look at you. Your posture still isn't very good and we may want to consider something that will help you stand up straight."

"Finish getting undressed and put a gown on. Mrs. Ames will get the colonic started and I'll be back to check on you."

Carol was bewildered by the doctor's talk about more structured garments, but she removed the remainder of her clothes as instructed. She sat on the treatment table that had been draped with a rubber sheet. Mrs. Ames was already wearing rubber gloves and a rubber apron. She was running water into a large white enamel container about two feet square. On the front of the device Carol could see several knobs and two gauges. When Mrs. Ames noticed Carol looking at the machine she explained that this was the container that held the water for the colonic irrigation. She went on to explain that there were two tubes that were used during a colonic irrigation. The smaller of the two tubes delivered the water just the way the tube from an enema bag did. The second tube was larger and allowed the water to flow out of the patient and into a drain so the patient didn’t have to run to the toilet. She said that the gauges showed her how much water remained in the container and how much pressure the patient was feeling from the water.

Mrs. Ames held up a cylindrical metal object with the tubes attached to it. "The two tubes are connected this proctoscope adapter. The tubes connect here and here and the adapter goes in your bottom. Don't worry, it's smaller than the dilators we've been using and I'll use plenty of lubrication."

Before Carol could ask a question, Mrs. Ames said, "stand up and I'll remove your dilator and we'll get started."

Ames unbuckled the crotch straps from the two buckles at the back of the belt and let the strap hang between Carol's legs. She then instructed Carol to get on the table in the Simms position. Carol's mother had taught her the Simms position early on, so she knew exactly what to do.

With Carol in position, Mrs. Ames parted the girl's cheeks and removed the dilator and placed it in the sink.

"Now I'm going to insert the adapter and we'll get started." Carol felt the coolness of the metal adapter being pushed into her rectum and then heard Mrs. Ames say, "Okay, here we go." Carol felt the water entering her bowels and gradually she began to feel full and then very full, but he water didn't stop. Mrs. Ames was watching the pressure gauge and she knew that Carol could take more water.

"I feel pretty full," said Carol.

"Just a bit more and I'll stop," replied the nurse.

Almost immediately Carol felt the pressure diminish as Mrs. Ames stopped the flow and unclamped the drain tube.

"Now I want you to slowly roll over on your back. I'll hold the adapter in, roll over easy. Good, now raise you knees."

Mrs. Ames pulled Carol's gown down to cover the girl's pubic area and then resumed the flow of water. She filled the girl until the gauge reached the indicated pressure, stopped the flow and unclamped the drain hose.

For the next forty minutes, Mrs. Ames filled Carol's belly until it was bloated and then drained it. During that time she refilled the tank in the colonic machine three times. The filling and draining of Carol continued until the nurse was satisfied that the return was completely clear. Numerous times during the course of the irrigation Ames intentionally continued the flow of water beyond the stop point indicated on the gauge. It wasn't until Carol began to show real discomfort that she stopped the flow. Even when she had stopped the flow, Mrs. Ames didn't release the drain tube right away forcing Carol to hold the water for an unbearable length of time. When the nurse was satisfied that the girl had been thoroughly flushed she ended the irrigation process and removed the adapter from Carol's rectum.

"That's all for today," said Mrs. Ames. "You can get up when you are ready. Go easy at first, you may find that your legs are a little weak. A full colonic like this can take a lot out of you."

When Carol was up and sitting on the treatment table Mrs. Ames told her to sit on the toilet for a few minutes to let any remaining water drain out. Carol got down from the table and weakly made here way to the toilet.

"I can't believe how weak I feel," she told the nurse.

Mrs. Ames nodded and said that it was normal. What she didn't tell the girl was that the reason for giving her a colonic instead of an enema was to weaken her and make her more compliant during the dilation therapy.

After Carol had finished on the toilet and Mrs. Ames had put things away, she led Carol back to the main treatment room and told her to have a seat while she readied the treatment table.

Acting like it was a routine matter Mrs. Ames said, "before I set you up for dilation I need to shave your pubic hair. Get up on the table and lie on your back."

"You're going to shave me?" Carol asked incredulously. "Why do you have to do that?"

"The doctor explained that to you the last time you were here. Right now the only way we can administer the dilation treatment is with you in a kneeling position. In that position some of the lubrication we use during the treatment runs down from your rectal area to your vaginal area and it could cause an infection. Removing all of you hair will allow me to put tape over your vulva. The tape will prevent the possibility of infection. Sorry, doctors order. Now get up on the table and stop wasting time, we still have a lot to do."

Carol reluctantly got on the table and lay down on her back as instructed. The nurse pulled the examination gown out of the way, spread the girl's legs and began the procedure. The longer hair was removed with a pair of scissors. Then with gloved hands, Mrs. Ames lathered up a shaving brush and applied soapy lather from Carol's pubic area to her anus. Slowly and carefully Ames removed all of the hair from the girl's pubic mound and then worked her way down between the girl's legs until there wasn't a hair left.

Mrs. Ames instructed Carol to get down from the table and get into the kneeling position at the end of the table. "You remember the position." Once Carol was in the kneeling position with her chest on the table the nurse proceeded to apply the restraining straps. She then applied a piece of wide adhesive tape to Carol's vulva, sealing it off from contamination. With Carol ready for treatment, Mrs. Ames rang for the doctor and moved the dilation apparatus into position. As she was attaching apparatus to the end of the treatment table, Dr. Barnes walked in carrying a manila folder.

"How did the colonic go Carol, was it easier than an enema?"

"Kind of," replied the girl. "It made me pretty tired."

"Colonics can be taxing, but you must be clean for the treatments."

"Mrs. Ames, we left off last time with a #3 dilator. Start out with a #4 and work up to a number #6. Do thirty minutes with the #4, forty minutes with the #5, and one hour with the #6. Now that she's becoming accustomed to being dilated we should be able to progress at least three sizes at each treatment."

"Heat up a #4 straight and I'll loosen her up before you start."

Mrs. Ames removed a #4 stainless steel dilator from a drawer and heated it to the desired temperature, applied lubricant to it and handed it to the doctor. Carol felt her cheeks being parted and in a smooth, swift motion the full length of the dilator was in her rectum. The #4 dilator was larger than what Carol was accustomed to and she let out brief cry.

"Mrs. Ames will leave that in for a few minutes and then she'll start the treatment."

A few minutes passed quickly and Carol felt the dilator being withdrawn from her rectum. When she heard the familiar hum of the small motor she knew that the first tapered dilator would soon be stretching her anus. First the spreader was moved in and parted Carol's cheeks. The action of the spreader was followed by the initial coolness of the lubricated dilator touching her anus was the first indication that the dilation process had started. The coolness was quickly replaced by the stretching action of the dilator as it inched into her anus. Over the next thirty minutes the machine continued its slow in and out motion and as it pushed the dilator deeper into Carol's anus until it reached the full depth of penetration.

"How are you doing?" asked Mrs. Ames.

"It hurts, but not real bad."

"We're almost done with the #4 dilator. As soon as the time is up I'll give you a short break and then we'll start with the #5 dilator."

A few minutes later the buzzer sounded indicating that thirty minutes were up. The slow stroking action was stopped and the dilator was gradually withdrawn.

The short break consisted of Mrs. Ames wiping Carol's forehead with a cool cloth and changing out the dilators. Within a few minutes the second dilator was penetrating the girl's anus and the stretching process continued.

The second dilator had only penetrated an inch and a half when its larger size became evident to Carol. What the doctor and her nurse referred to as discomfort was really starting to hurt and Carol tried to pull away from the intruder but the restraints held her immobile.

"Oh, please stop, it hurts," she cried.

"I'm sorry Carol, it's not even half way in, I can't stop. I'll turn on the heat shortly and that should help some."

"Please turn it on now," begged the girl.

"We have a long way to go yet. You must learn to tolerate discomfort and even some pain.”

Mrs. Ames let the machine progress at the set penetration rate even though Carol was now in considerable discomfort. She struggled against her restraints but to no avail.

"Be still Carol. I'm turning on the heat, it will help."

"Please no, please stop, I can't take any more. Pleeeeeessssee … "

The warmth of the dilator began to have its affect and Carol started to relax as the pain subsided. Sometime later when the pain began to intensify, Mrs. Ames increased the heat and turned on the vibratory action distracting the girl long enough to make full penetration with the #5 dilator.

And so it went, three times a week, week after week. It took two full months of the office dilation treatments and constant wearing of a dilator and the retainer belt before Carol could repeatedly accept and wear a #12 dilator without real discomfort.

About two weeks after full dilation had been accomplished and Carol only had to wear a dilator at night, Dr. Barnes said that it was time to start weaning Carol from daily enemas. Dorothy was instructed to give Carol an enema each morning to help promote a bowel movement. The amount of each enema was to be decreased each morning over a period of several weeks until an enema was no longer needed. After four weeks with only minor relapses, Carol was able to function on her own.

Now she was ready for sex education and training with Miss Pratt.