The phone rang at 3 a.m., waking both Julie and me. It was Mira, Julie's roommate, nearly panicked. She said she had awakened with painless swelling of her lips. On questioning, she had a mild case of angioneurotic edema. Since she had no difficulty breathing, swallowing or speaking, coupled with the fact that her symptoms were abating, I concluded she was in no danger. I reassured her but told her to call me at once should the symptoms recur. Since I was going to have dinner with the girls at their flat the next evening, I offered to examine Mira to rule out any physical signs of trouble.

After dinner Mira and I went into a small sitting room for privacy. Mira lay down on the couch and I went over her superficially, looking for swelling, rashes, enlarged lymph nodes, enlarged liver or spleen. All were normal. There was no residual of what had panicked her. She appeared fine. I asked if there was anything unusual going on.

"Well, I've been constipated for a while" she said.

"Lie down again, Mira. I want to palpate your abdomen more thoroughly."

I carefully felt her abdomen through her thin dress. There no masses or local tenderness, but the area of her left colon seemed quite firm. Mira seemed to be enjoying the experience. She was blushing and appeared excited. On the hunch that her call might have had another purpose, I asked her to spread her legs a bit and pressed my palm firmly over her mound. Her breathing quickened. I asked if I could examine her further down. She nodded, and my fingers went to her swollen labia. I pressed and she strained upward to meet my fingers. Clearly she was aroused, and so was I. But, Julie was in the next room and I felt that what had begun as a legitimate medical exam should stay that way. At least for now.

Mira got up.

"When did you last have a bowel movement?"

"Oh, four or five days ago. And I'm really uncomfortable."

" Since this has gone on for several days, a laxative would not give you prompt relief. The best method of dealing with your constipation would be to replace the water that's been reabsorbed by your colon and distend the colon to stimulate peristalsis and let you have a normal bowel movement."

"Pardon me, but are you referring to an enema?"

"Yes. An enema would be the best and safest way to treat you."

"Oh, but I couldn't do it to myself. I just couldn't."

"Well, what about Julie? Couldn't she give it to you?"

"I couldn't ask her, really I couldn't"

"Well, if you like, I'd be happy to........"

"Oh, that's very kind of you! I'd be very grateful."

And so we arranged to go over to my apartment the next evening. Mira was to get a fountain syringe. I'd supply the vaseline, KY jelly, and ivory soap.

The next evening I appeared at the girl's flat. We sat around the table and chatted for a while. Mira looked freshly scrubbed and had on a pretty yellow dress. Julie clearly was not pleased that Mira and I were about to go off together for purposes unknown to her, beyond completing the examination. She was upset that this might include a pelvic exam. I told her I'd do what I felt was medically necessary, and this quieted her down. Julie's mood was not helped when Mira placed her foot on her chair, giving me a clear view of her white panties between her legs.

Julie stared daggers at her, and Mira lowered her leg.

It was time to proceed. Mira, carrying some books and a bag with the flat box containing the fountain syringe followed me to my car. We drove the mile or so to my building. When we arrived, Mira walked around inspecting my modest print collection. At that time I was completing a fellowship in medicine, and collecting art was a luxury.

Then we headed to my bedroom. To my surprise, Mira threw herself onto my bed, and blushing, lifted her pretty yellow dress, pulled off her panties and spread her legs wide. She had a lovely light brown bush of pubic hair---women were not yet shaving to look like pre-adolescents -- and pretty pink labia, already glistening from arousal.

Meantime, I'd opened the box and assembled the enema syringe. I put on a pair of exam gloves, squirted on them some KY jelly and, parting her pretty vaginal lips, inserted my forefinger and middle finger deep into her vagina. Mira clearly was enjoying this experience. She showed no sign of discomfort of embarrassment. I had her raise her knees. With my thumb I started to massage her clitoris. She responded by gyrating her pelvis. I removed my fingers from her vagina and inserted my middle finger into her rectum. She squeezed her sphincter tightly, gripping my finger and holding it in her.

Then I had her turn over and get up on her knees, head down on the pillow. I inserted my finger again into her rectum as deep as it would go, and moved it in and out, rotating it. Her breathing quickened. I removed the glove and inserted my forefinger and middle finger into her vagina, which was now very wet. With my other hand I caressed her clitoris until she came, whimpering with pleasure and release. She claimed it was her first orgasm.

"Time for your enema, Mira!"

We went into the bathroom. I filled the enema bag with warm water and hung it on a coat hook. Mira stood at the sink. I bent her over and applied a gob of Vaseline to her anus and into her rectum. Then I inserted the enema tip and started the flow of water. After half the bag had emptied into Mira, I had her sit on the toilet and expel it. She emerged saying, "Oh, that felt wonderful. I feel so much better. Now, aren't you going to do it with soap?"

Together we filled the bag with warm water, sloshing the bar of ivory soap until copious suds overflowed the rim.

I placed Mira on her knees and inserted the enema tip. Opening the clamp, I told her that this time I wanted her to take as much as she could and to hold it until the urge to expel was irresistible.

As the enema filled her, I caressed her labia and her clitoris until she cried out, "Please stick your penis in me, please!!" By this time my erection was at maximum, and I entered her vagina easily and as deeply as I could go. We both came explosively, but remained coupled until Mira could hold the enema no longer.

Afterwards we lay on the bed fondling each other. I kissed her lips and her lovely breasts and we pleasured each other orally.

Then I brought her home, to a very upset Julie. I had realized for some time that my affair with Julie was not going anywhere, and so we stopped seeing each other.

Several weeks later I ran into Mira at the supermarket. After some awkward chit-chat, Mira said, blushing, " You know, I'm getting constipated again. Don't you think I could use a large warm soapsuds enema?"