It was late afternoon. One last patient waiting. I looked at the schedule. The patient was a 28 year old woman referred to the x-ray department for a hysterosalpingogram. This is a procedure involving the injection of liquid contrast material into the uterine cavity to detect any abnormality of the uterus and ovarian ducts, usually done as part of a fertility workup.

Her name was Vivian Pearce. It rang a distant bell. She was sitting on the exam table, clad in a hospital gown, chatting amiably with the female tech. I introduced myself: "hello ms. Pearce. I'm doctor Collins. I see your gynecologist has referred you to us for an examination of your uterus and ovarian ducts. Tell me, what seems to be the problem ?"

"Hello dr. Collins. I've been having lower abdominal pains, no fever or other symptoms. Since my doctors haven't found a cause my ob-gyn suggested I come in for this study."

"Do you understand the procedure? And do you have any questions?"

"No, your nice technologist here explained the whole thing to me. So I'm ready."

The tech started to open the hystero tray and let out a groan. "They sent us the wrong tray. Ill have to go down to central supply and get the right one. It'll probably take twenty minutes or so."

"My apologies, ms. Pearce. These things happen. So we'll have some time to talk. Your name is familiar and so is your face. How come? Have we met?" she laughed.

"I'm the host on a morning talk show. You've probably seen me on TV, wearing real clothes and not almost naked as I feel in this gown."

"Of course! I guess my hours don't permit me much morning TV. Tell me about yourself."

With that, Vivian brought her dangling and very shapely legs onto the table and to my surprise drew them up and wrapped her arms around her knees, her feet apart. She was giving me an unobstructed view of her lovely unclothed private parts. The situation did not call for modesty, to be sure, but we were alone, she was a very pretty single woman, and I was not much older than she. Could she be so relaxed and un-self conscious, or was this display for my benefit? Female patients not infrequently have sexual fantasies about their doctors, and some act them out. I couldn't decide what, if anything, Vivian might be signaling.

But that didn't prevent me from enjoying her enticing cunt. I'll just try not to be obvious!

"I'm from Connecticut, went to private school there, and Madelyn Lawrence college. Then came out here, got lucky and landed a job at a TV station. And after a few years was able to talk my way into an opening as host and I've been there ever since. Let me ask you something doctor: I've been very constipated for a couple of weeks. Could that interfere with today's procedure?"

"No, I don't see how it could. But maybe your constipation has something to do with your lower abdominal pains. Have you tried laxatives or enemas for relief?"

"I've taken some laxatives with not much effect except they made me nauseous. And I've never been able to work up the courage to give myself an enema. I'm always afraid I'll do it wrong and do some damage. I know it sounds silly. Many of my girlfriends take enemas before going out on dates to avoid the embarrassment of having to visit the ladies room. Sounds silly ? You don't know the dating scene in this town. You could return from the bathroom and find your date with another woman. It's vicious, especially in the entertainment crowd."

"That's awful ! But you really should learn how to take an enema. It's harmless if you know what you're doing. But getting the full benefit does take some knowledge."

"What do you mean ? What do I need to know?"

"Well, first there's the anatomy of the region where things are. Simple, but you'd be surprised at how innocent of their own anatomy some women are. They're often unclear of the details of their anus and rectum, their labia and vagina, and the location of that most sensitive part, their clitoris. Grossly they do know, but the fine details they don't. That's too bad because ignorance makes them fearful and they can deprive themselves of relief, such as an enema, and of much sexual pleasure, too. Then there are the details of how much water to use, whether or not to use soap, how high to hang the enema bag, what sizes and shapes of enema tips are available for efficiency and pleasure-yes, enemas can and should be pleasurable-and the various positions one can take them in, depending on the purpose."

"I had no idea there was so much to know. It's a good thing I've never tried to give myself an enema."

I couldn't help but notice that Vivian's cunt was now glistening with secretions. This talk about enemas was arousing her. But she didn't alter her exposed posture. She must have noticed my eyes focused between her legs. I couldn't help myself, and felt her position and maybe even her steering the conversation was part of a seduction. Maybe.

Just then the tech arrived, she put Vivian in the stirrups and I proceeded with the study. After wiping her labia and anal area with antiseptic I inserted my right forefinger and middle finger into her self-lubricated vagina

Vivian squeezed my fingers, her eyes closed, and she started to squeeze me rhythmically. I responded in kind by extending my thumb onto her clitoris-this done under the drapes so the tech's view was blocked.

Quietly Vivian had an orgasm, I then introduced the catheter into her cervical canal and injected the contrast material. I'd warned her that this could cause some discomfort. It did, and Vivian winced.

I took a few spot films and removed the catheter and speculum. She breathed a sigh of relief. The tech took the cassettes to be developed. I wiped Vivian's secretions and the contrast material from her labia.

She sat up and smiled.

"Well, doctor, that wasn't so bad, but I'm glad it's over. Did you see anything wrong?"

"Everything's normal, Vivian. Whatever the cause of your abdominal pain, it's not your reproductive system."

"Do you think it could be my constipation ? You see, it hasn't been announced yet, but my show has been picked up by national cable, and I guess I'm really nervous about the challenge. This is a vicious business, and I could fall flat on my face if anything goes wrong."

"Congratulations, Vivian ! That's great news. Maybe that's all it is-nerves . I'd like to encourage you to try a gentle enema and see if that doesn't end your pain."

"Oh, but doctor, I'm still nervous about doing it to myself. I know this is presumptuous but could I ask you to pay a house call and do it for me/ and then you could teach me all I need to know."

Vivian smiled and batted her eyelashes. Was I being seduced ? Was she acting out a fantasy ? On the other hand she'd confided in me and she needed an enema, soon.

"Of course, Vivian. I'll be glad to do this for you. Just say when."

"Could you come over this evening? I'll even cook dinner. And I live not far from here." And so I stopped at a drug store and bought an enema bag, a jar of Vaseline, and a bottle of castile soap. Clearly Vivian enjoyed my examination of her. And her orgasm was real. Something told me Vivian might respond to anal stimulation so I stopped at a local sex shop and picked up a set of graduated enema nozzles, which ranged from 1/2 inch in diameter to the size and shape of a large erect penis. Just in case.

Vivian opened her door. She was wearing a sheer robe with nothing underneath. The table was set, candles lit, soft music playing. Some setting for an enema ! We ate and chatted. Then we moved to the couch. Vivian leaned into me and I kissed her.

"Doctor, don't you think we should be getting on with my enema ?"

"Yes, Vivian, but first I want to relax you. Bring your knees up to your chest."

She did so, and I ran my hand down her thigh and grasped her vulva. She was very wet. I inserted two fingers into her vagina and moved them in and out of her, stroking her clitoris with my thumb. Vivian gasped and started to rhythmically squeeze my fingers. I reached my other hand below her vulva and using her vaginal secretions as lubricant inserted my middle finger into her rectum. Vivian moaned and gyrated her pelvis.

And soon she had a powerful orgasm and fell into my arms. We kissed and caressed each other for some time. Vivian bent her head down and took my penis into her mouth. Expertly she sucked and stroked me and brought me to orgasm. We lay in each other's arms until Vivian had the urge to move on to the ostensible purpose of my visit.

I took her into the bathroom and prepared a large soapsuds enema. Without any instruction from me, Vivian got down on her knees, rested her head in her arms, and presented me with her beautiful behind.

I attached a mid-sized nozzle, larger than a douche nozzle. I spread a large gob of Vaseline on her anus and pushed some into her rectum, spreading it liberally on her rectal wall. Then I slowly inserted the enema nozzle.

"Tell me how it feels, Vivian."

"it feels good. I like the feeling of you entering me with the enema nozzle. Do it some more."

I withdrew the nozzle and reinserted it several times. Leaving the nozzle in her I unscrewed it from the hose and replaced it with the largest nozzle, the one the size shape and consistency of an erect penis.

As I inserted it into Vivian's rectum she inhaled deeply.

"Oh that one feels even better. Move it around in me ."

I moved this soft plastic penis in and out of her, rotating it as I moved it. Vivian seemed on the verge of another orgasm. I opened the clip and began her enema.

"I feel the warm water entering me. I've never felt anything so erotic. I love what you're doing to me. I think I'm going to love getting enemas."

With that I slowly inserted my penis into her vagina. She began to squeeze me and buck back and forth. As the bag emptied we both came. Explosively.

"Stay in me . Don't pull out until I can't hold the enema any longer ! Please !"

About ten minutes later, Vivian asked to expel the enema. I withdrew my penis and the penile enema nozzle and left Vivian seated on the toilet. When she'd finished we went into her bedroom and lay down. We kissed and fondled each other like two lovers. She told me of her background in New England and I shared some of mine.

Then, with a big deep kiss, Vivian turned over and got up on her knees, resting her head on the pillow, offering me her beautiful behind. I knew what she wanted. I placed myself behind her and slid my penis into her very wet vagina.

"No, not there. Do it to me like an enema. I loved the big nozzle in me."

I withdrew from her vagina and slid my very erect penis into her rectum. We stayed like that for several minutes, and Vivian began to rock back and forth, first slowly, both of us luxuriating in the wonderful sensations-she enjoying the long strokes of me along her rectal walls, and I ecstatic as her tight anal ring milked my penis-a very different sensation from the caress of a vagina. We both came in ecstasy.

Vivian and I enjoyed a long loving and intensely sexual relationship. She insisted on enemas to start, often several. Progressing to vaginal intercourse during an enema, followed always with my penis in her rectum. Sometimes we'd fall asleep coupled that way. And her cable show did well. It's still a feature.