Maria gathered her things from her desk at work. She looked out the window to see the end of another fall day. She could hardly believe it was the end of September already.

On her way out to the car she thought about what she wanted to fix for dinner later that night. Going over the items she knew she had in her house, Maria decided to stop at the grocery store.

She really had no clue what she was hungry for at this point so she stopped to look at all of the daily specials the store had advertised.

"Maria, how are you? It has been so long since I have seen you?" Paola said with excitement.

Maria was shocked to hear the voice of one of her close friends calling to her. Maria turned to greet Paola and their eyes met.

"Oh my gosh, it has been forever. I am great, how the heck are you?" Paola asked Maria..

"I am great too, I thought you had moved away or something, especially since it has been so long since I have seen you. What have you been up too anyway?" Maria asked.

"Well you know I work in the hospital in the mornings and I have my own clinic that I run and is open in the evenings. Both keep me very busy." Paola answered.

Paola has been a nurse in the OB/GYN department of the hospital since day one, that was her first job. She continued to take special classes over the year until she finally graduated with honors as an esteemed midwife.

Over the years at the hospital, Paola noticed a few issues that concerned her. She noticed that not all pregnant women sought the medical attention needed to insure a healthy pregnancy, and some others just did not have the money required to see the doctor for the little issues that often popped up in a woman's daily life. Paola thought that she could change some of this for the better and decided to open her own clinic in her house. Having the clinic in her house would allow her to see more patients, and she could charge the fee that would be acceptable to her patients, that might not otherwise be seen. All in all, a great plan.

Another group of people she hoped to attract to her clinic were girls who needed to be seen for their first gyne appointment. Paola had seen many times the panic and fear in the young girls eyes as they entered for their first exam. She knew that as a woman herself, she might be able to make it more enjoyable for them, and less frightening so in the long run, they would return year after year like they should, instead of shying away from the yearly exams.

During the conversation with Maria, Paola remembered that she had a daughter whom she treated years ago, when she was about four years old for a bronchial infection. Paola had to give her several antibiotic injections that were very painful. Paola remembered the little girl crying in pain. A pain Paola was sure she had never forgotten.

"How is your daughter? I bet she is about all grown up now, right?"

"Susy is doing great. As a matter of fact, she just turned 18 and will be leaving for college here in a few weeks.

Boy, how time flies." Maria said rolling her eyes in disbelief.

Paola concerned for Maria's daughter did what came naturally to her and progressed her questions into medical concerns.

"So, I am assuming that you have already taken Susy to the gynecologist for her first appointment? That is very important especially if she is going to go off to college. Things happen in places like that, it's always good to get a baseline."

"Actually, no, I have not taken her yet. I understand that things happen at college. I guess I can't being myself to think about that kind of stuff." Maria laughed nervously. "You remember me telling you how traumatic my first trip to the gyno was, I guess I was trying to protect her from the same ordeal. Plus, she absolutely hates the doctors office. I have tried a few times to talk to her about it, but she wants no part of it".

Paola thought for a minute or two, trying to figure out a way around this.

"Hey, why don't you make up an excuse some evening, make it a good one so that Susy will come, then swing by my house and I will give her an exam. She won't have the time or the thought to back out of it."

"You know, thats sounds like a great idea." Maria said after pondering that for a minute. "Well, are you doing anything later tonight? I know that we don't have any plans."

Paola pulled out her appointment book and gave it a quick going over. After writing something in, she returned it to her purse and looked back up at Maria. "I am free too. How about nine o'clock? Does that work for you?"

"Sounds good, nine o'clock it is. No promises, but I will do my best to get her there.

Um, you do understand that I will not be able to prepare her in anyway, right?" Maria asked timidly.

Paola placed her hand up on Maria's shoulder reassuring her. " No problem. I completely understand. By the way, my address and phone number have not changed. Give me a call if you run into any problems. Other than that, I guess I will see the both of you tonight."

Maria smiled at her old friend and waved good -bye.

Returning home, Maria yelled into her daughter whom she had not seen all day. "Susy, I'm home. Where are you?"

"Hi Mom, I'm in my room."

"I had the best day today. While I was at the store after work, I ran into my old friend Paola. Gosh, you know, it has been years since I have seen her. That was so nice."

"Cool Mom. It’s nice to see old friends again. I imagine thats how I feel when I come home from college."

"Yep, I guess it would be about the same. As a matter of fact, she invited us over to her house later this evening to talk about the old times. She asked if you were going to come along, but I told her I wasn't sure. You know, your dad is working tonight, if you don't want to be alone tonight, why don't you come with me.

Come on, it will be fun." Maria said nudging her daughter and laughing.

"Mom, I am not a child, if you want me to come, then I will, all you have to do is ask."

Paola returned home as well. She walked into her empty house and set the groceries down so she could put them away. She sighed. Her husband worked at a job that took him over seas for long periods at a time, and her son was still on vacation with friends before he too would be off to college for the rest of the year.

Paola's thoughts once again returned to Maria and her daughter coming over later. She wondered how she would be able to convince Susy to go through with the exam. She hoped everything would go smoothly, and Susy would not be combative, overly sensitive, or problematic.

Paola's clinic rested in her ample size house. She had it decorated to her taste. There was a desk and chair, two other chairs for guests or family members, bookshelves that held all of Paola's medical books, patient charts, and there was a dressing screen so the patients could get dressed and undressed in private.

Along the wall there was a scale to reveal the weight and height of her patients, and a side couch for a preliminary exam. That was where Paola took the patients blood pressure, eyes, nose, palpation of the abdomen, and breasts, and to practice injections.

On the other wall there were two doors, the first one opened into a bathroom including a shower, and the other door opened into a smaller room for the real gynecological examination. The gyno table had adjustable supports for the legs, as well as straps to immobolize the patient when necessary, but also had restraints for the wrists and chest.

Also in that room was a small sink sitting at an angle, a well furnished closet containing medications, disinfectants, lubrication, creams, and all required gyneocology equipment, which included but was not limited to, speculums of every type and size and shape, pliers, scissors, anoscopes, urethral sounds and dialators, sutures and needles, and everything else she might need. In another cupboard she had her stock of exam gloves. She had a gyno stool on wheels, as well as a powerful lamp to illuminate between the legs of her patients.

On the counter, and before each patient, Paola would prepare her tray of items she would need for the exam. For first timers, she would often cover the tray with a towel so as not to alarm them. The velcro straps on the legs of the table were hidden and tucked up underneith for this same reason. Often on her tray she would also have an injection of a tranquilizer, but only for the most difficult cases.

Time passed quickly, Maria and Susy, after eating dinner freashened themselves up to get ready to go out for the evening. Susy hopped in the shower, her normal routine whenever she leaves the house. She changed her clothes after her shower and picked a pair of tight fitting jeans, and a silk embroidered shirt.

After Maria changed her clothes, they headed out to the car and off to Paola's house. Maria took a nervous deep breath as she pulled into Paola's drive.

Once up to the outter door, Maria pressed the doorbell. They heard the door unlatch and entered. Maria remembered that Paola had told her to take the elevator up to the second floor. Maria got nervous again as she noticed the OB/GYN insignia, she looked at her daughter, afraid she might too, but Susy kept walking.

'That was close she thought, Paola and her well thought out plan could have fallen to pieces right before it even got started.'

They made it to Paola's door and rang her personal doorbell.

Paola opened the door and through a huge smile on her face. She looked Susy up and down a few times and smiled even bigger. She stuck out her hand to Susy and welcomed her in.

"Boy, have you grown. My gosh, just look at you. The last time I saw you, you were just a child, and now, well now you are a very beautiful young woman.

Paola was right about Susy being beautiful, she was very much so. Susy was not too skinny, nor too heavy, she was about a meter and seventy, sensuous curves all in the correct places, and had firm and well developed breasts.

She also had long blond hair, and a cute face with refined expressions.

Susy was embarrassed by all of the nice things her mom's friend was saying about her. Her face blushed. Susy, still embarrassed looked over at her mom, then back at Paola, and thanked her for all the nice things she said.

Paola made them feel at home and comfortable.

She offered them a drink and a nice place to sit.

Paola was not going to mention to Susy that she had already been in that house a long time ago to receive her painful injections, that might tip her off as to the real reason her mom at brought her there.

Maria, seeing as the time was passing, decided to cautiously open the subject up for discussion. "So, Paola, do you still work at the hospital?"

"Well, since you asked, yes I still do, and I love my job."

"Really, well, I hate to impose, but can I ask a huge favor of you then?" Maria asked.

"Sure, anything for an old friend, you know that." Paola replied, knowing full well where she was going with that question.

"Well, I have been so busy lately, with work and everything, I have neglected to have my blood pressure checked by the doctor. Do you think you could do it while I was here? I would really appreciate it a lot."

"Are you kidding? Sure, no problem. Follow me." Paola said pointing in the direction of the office.

All three got up and crossed a long and narrow corridor until they reached the door to Paola's office. She opened the door and ushered them in having Maria sit so she could get her blood pressure.

Susy looked around the room, taking note of everything around her. She was still oblivious to what was about to happen to her.

Paola continued to take Maria's blood pressure, noting that for her age, her pressure was fine. Paola turned to Susy and asked, "have you ever had your blood pressure taken?"

"No, not really, not that I can remember. Am I old enough to have that done?" Susy asked.

"Well since you are going off to college here in a few weeks, it might be a good idea." Paola replied.

"That's okay, I'll pass, thanks anyway." Susy replied quickly.

"Susy, don't be ungrateful, let Paola take your blood pressure. It won't hurt, and it will only take a minute or two."

"Mom, you know how I hate doctors and medicine period." Susy said looking at her mom suddenly starting to realize that there might be more to this evening than she had bargined for.

"Alright Susy, give me your arm." Said Paola in a somewhat stern voice.

Susy reluctantly gave Paola her arm and allowed her to take her blood pressure. When she was done, Susy stood up and looked at her mother crossly and asked, "Can we go home now?"

"It's not late Susy, tomorrow is the holiday, you don't have school, and I don't have to work. We have all the time in the world." Maria said. Susy became more and more nervous.

Paola encouraged by Maria's words and glances looked back at Susy and said, "Susy, since you are here, why not let me give you a quick physical?"

"But you are not a doctor, and I feel just fine. I don't want to be examined." Susy said bluntly.

"Well, I am a nurse, and as part of my job in the hospital, I have to give complete physicals and check-ups. You are not a child anymore, this is very important at your age, it is something you are going to have to get used to. Now go behind the screen, get undressed, and put on this gown."

"Mom, I don't want to, please don't make me. I want to go home." Susy said sternly.

"Stop being rude. You are giving Paola a bad impression. Do what Paola has asked. Do I make myself clear?" Maria said in an even more stern voice than her daughter.

Susy realizing she was defeated, went behind the screen and reluctantly undressed. She slid the gown on and put the slippers on she found behind the screen. Susy gathered her thoughts and headed back out to the desk where she found her mother and Paola impatiently waiting for her.

"Was that so difficult? Paola asked. Now have a seat on the table while I listen to your heart and lungs."

Paola listened to her lungs making Susy take a few deep breaths and cough a few times, then moved to the front of her to listen to her heart. Carefully Paola felt her lymph nodes, and did a complete HEENT exam. After completing this, she asked Susy to get up on the scales to get her weight and height.

Paola continued to write all of her findings down in Susy's chart.

"So far so good".

Paola said looking at Maria "Now it's time for your breast exam Susy, please remove your bra and lay down on the table for me."

Susy knew there was no fighting it now, gave up and did as she was told. Paola lifted her gown up off of Susy's shoulders and pulled it down exposing her breasts.

She palpated each breast ending in the center at each nipple, squeezing each one looking for discharge.

Susy winced with each one.

This exam was done twice, once with her arms down to her side, and once with them over her head.

After Paola was done the second time, she palpated the lymph nodes under her armpits.

Paola moved on to Susy's abdomen. She palpated her stomach, liver, ovaries, bladder, appendix, and asked each time if anyplace was sore, or painful under her touch.

Paola then listened for bowel sounds in all four quadrants of her belly.

"Well, everything seems fine here too.

I would say your daughter is in good health for a girl her age." Paola said looking to Maria.

"So, can I get dressed now?" Susy asked.

"Susy, it is important for a girl your age to have a gynecology exam too.

You have never had one, is that correct?" Paola said asking, knowing the correct answer.

"No." Susy said shaking her head, mouth now open and eyes wide too. "Actually, I just started my period, so why don't I come back when I am done?"

"No, you just ended your period last week Susy. I remember you telling me that" Maria said looking at her daughter.

Susy looked back at her mom, in disbelief. She was hoping that her mom could bail her out of the situation, not help her into it.

"Don't be silly, Paola is one of the most experienced mid-wife's around, here we are in her office, and here she is willing to take a good look at you.

So let's just be a good girl and do this".

"Beside that Susy, even if you were having your period, I would still examine you anyway. It really is not a problem for me".

Grasping at her last hope, Susy said, "Well, I don't see any equipment here for that anyway".

Paola then walked over to the other door and opened it, revealing to Susy the gyno chair and all the necessary equipment for a full gynecological exam.

Susy sat there petrified. She collected her nerves and started shouting. "I don't want to do this, I am afraid, You can't make me do this."

"Susy, stop acting like a baby. Stop making a scene" Paola said taking her by the hand. "I will be so quick, you won't even realize it".

Susy didn't budge from where she was at. Maria quickly went in behind Susy and pushed her forward making her stand and pulled her panties down to the floor. Susy was still confused. Maria and Paola were able to forcably walk her into the other room and put her on the gyno table.

Susy started to fight the two women. Maria and Paola argued with her and in very stern voices talked her through what they were doing to her. Both women were able to finally get Susy's legs up in to the leg supports.

Quickly, Paola fixed the leg straps down tightening them so Susy could not get out of them. Paola then wispered to Maria, "I think that is all the restraint we will need for this examination.

Maria returned to her daughters side and held her hand while Paola grabbed Susy's legs and pulled her into the correct position for the pelvic exam. Susy's bottom was now to the edge of the table, and her legs were spread wide apart.

Susy starting to recover from the trama of the whole ordeal, started to realize that her mother was all part of the big plan. Uncomfortable, and unable to move, Susy realized that any effort she now made to get away was useless.

Paola removed the towel from on top of the tray and quickly doned a pair of gloves. She sat down on the stool, turned on the light, adjusting it so that it lit the area between Susy's legs and positioned herself between Susy's legs.

Susy looked at the instruments on the tray and started shouting, "No, I don't want that, stop, I said I don't want that." The other two did not pay any attention to her cries. After a while, Susy stopped shouting, and resided to a wimper.

"Are your periods normal, and when did they start, Susy?" Paola asked in a calm mannor.

"She started just after her twelth birthday. At first they were not regular, but after about a year, they became very regular." Maria answered for her daughter.

Paola nodded her head, satisfied with that answer, and started the exam on the outter pubic area. She noted the blond curly pubic hair mixed with red, it was regularly distributed, well developed and thinned out on the lips.

Paola then took two fingers on each hand and palpated Susy's outter lips. She widened them out slightly to have a quick look inside to view the inner lips and further still to look at the vulva.

She noted under the urethra, it was slightly reddened, and the clitoris was completely covered by the hood.

Under the urethra, Paola observed the vaginal opening. She examined it closly noting that Susy's hymen was no longer intact.

"Did you know that your daughter is no longer a virgin?" Paola asked Maria.

"Well a few months back, Susy was in a bicycle accident, she came down very hard on the seat. Susy told me that she had a lot of pain there and then we found some blood in her panties."

"Oh, I see, yes that makes sense, that's why it is not completely broken. Well I can sew it back up for her, or we can leave it as is. I don't really see any reason to sew it up. But it's up to you.?"

Maria shook her head no.

Paola continued on spreading her bottom a little further noting Susy's rectum and looking for any external hemorrhoids.

Susy slightly jumped at this invasion. She remembered hearing horror stories in church and by her friends of such things. She was scared. "What are you doing?" She asked in a panic.

"Don't worry Susy, I am just looking at your bottom for any abnormalities. All looks fine, not to worry." Paola stated.

Paola reached over to the tray and picked up the smallest speculum. She got up and went to the sink where she ran it under warm water making it more comfortable for Susy. She returned and again sat between Susy's legs. With her other hand she spread her outter lips and positioned the speculum at Susy's vaginal opening. Turning it 90 degrees, she slid the speculum into the vaginal canal.

Susy flinched as the speculum entered her vagina. Because the hymen was not completely broken, she felt that burning pain.

"Relax Susy." Paola said in a calming voice.

"Ouch, take it out, it burns, you are killing me. Enough already." Susy screamed.

"I'm almost done Susy, just try and relax, Shhh Susy, almost there." Paola again said in a calming voice.

Susy layed her head back down on the table. Something was familure to her, that voice, this room. Suddenly it all returned to her, the painful injections she had endured as a child. Now she remembered clear as day. It was Paola who had injected her. She found herself again at Paola's mercy.

Susy found herself angry. Angry at Paola for putting her through this torture again. She was mercy less last time with the injections, and had a feeling she would be again this time around. She was finally able to forget about that session as a child, but she would never forget about this one as an adult.

In the meantime, Paola had fully inserted the speculum into Susy's vaginal canal and had it turned and ready to open. She slowly opened the speculum and as she did produced more protest from Susy.

Paola was now able to view inside Susy's vaginal canal. She slid the spatula with the little brush inside to obtain a specimen to which she applied a stabilizing fixative, sealed it up where it could be shipped off to the lab for a routine pap test.

Susy was starting to settle a bit now.

Paola returned her attention back to the speculum and closed the blades and slowly withdrew it from Susy's vagina. She was careful not to pinch her. Withdrawing the speculum provoked a cry from Susy, but the pain only lasted a brief moment and then was over.

"Well," said Paola, "I would say everything was in place except for the light inflamination of the urethra. Do you have any burning when you pee?" Paola asked Susy.

"No, I don't." Stated Susy bluntly still annoyed by the whole evening.

Paola was not too convinced of her answer. "I am going to do an internal manual examination." She reached over to the tray again, doned another pair of gloves and spread some lubricant on her gloved right hand. She moved into Susy's vaginal opening and spread some lube on there as well, trying to make the next entry a little easier for Susy.

Before she went inside, Paola remembered she wanted to examine the clitoris since it was completely covered by the hood, she began to massage it.

Paola went on to explain to Susy and Maria that in order to examine it correctly, a massage was needed to excite the clitoris so it could be examined in it's full state of arousal. Paola looked up to Susy and again told her to relax, this would not hurt a bit.

Paola began her massage. "No, no, please stop. I don't want this, I don't want this." Susy shouted.

Susy started to get red in the face. Under Paola's experienced fingers Susy was quickly coming to a climax. A feeling that was not all that unfamiliar to her. Having an orgasm had become a nightly ritual for her, but Susy was unable to make herself climax so quickly. Susy was soon able to feel her vaginal secretions flow from her vagina.

Paola with her experience stopped Susy just short of full climax, leaving Susy dissatisfied and frustrated. She pushed back the hood of her clitoris for the examination. Still unable to retract the clitoral hood, Paola repeated the process again and again, causing intense pain for Susy. During the last and final massage, Susy cried out and Paola was able to push back the clitoral hood revealing for the first time the engorged clitoris.

Paola explained to Maria this situation was probably caused by a phimosis of the hood of the clitoris, and it was not serious, but could easily be corrected,

Paola continued on with her exam. She once again massaged Susy's now fully erect clitoris quickly noting her reaction. Susy cried out in pain and then fainted for a minute. She was exhausted after her first full orgasm.

Maria hugged her daughter until she became fully awake and Paola could continue with the exam.

Paola inserted one finger followed by a second into the vaginal canal. She pushed her fingers to the top of her belly to meet the other fingers pressing in from outside her belly. She also tried to massage the walls of the vaginal canal by the urethra, provoking strange but pleasant feelings for Susy. Paola's purpose she went on to explain to Maria, was to check the apparently inflamed urethra. As she did this, a slight discharge for fluid, probably from an infection, came to the surface.

Satisfied with the results, Paola removed her fingers from Susy's vagina. Susy looked up to see stringy mucous on Paola's fingers and she wanted to die of embarrassment. Seeing her state, Paola quickly explained that due to all the massaging and manipulation that was done to her, it was all perfectly normal. Susy wanted to die, and she wished she could have just curled up and died. Paola quickly and gently wiped Susy with a damp cloth cleaning her up slightly.

"Now, let's get a temperature." Paola stated.

Paola reached over to the tray again, put on another pair of gloves and this time applied some vaseline to her index finger. She placed her index finger on the opening of Susy's rectum and applied gentle pressure. "Susy, relax and bear down." She continued to press until Susy relaxed enough and Paola's finger slid inside her rectum.

Paola met with slight resistance as she penetrated further into Susy's virgin rectum.

"Stop, stop, thats enough, you are hurting me." Susy exclaimed, as Paola continued on with her exam.

With her finger up completely in Susy's rectum, Paola took the opportunity to once again palpate Susy's belly from the inside out. Paola inserted another finger into her vagina and moved both fingers back and forth checking the thin layer of skin between both orifices. When satisified, she removed both fingers and replaced the one with the rectal thermometer.

About a minute later, the digital thermometer signalled the measurement was ready. Paola extracted it and read it's reading which read, 37.5 degrees. "I see that you have a slight fever, probably from the urinary tract infection, but I don't think it's anything to be worried about." Paola explained.

Paola next decided to give Susy a vagina douche, in hope of helping to clean out some of the discharge and maybe some of the infection Susy had. She inserted the douche into the opening of her vagina and gently squeezed the solution into her vagina. She held the basin underneith her bottom so that the douche water could be collected and examined. Paola noticed a slight red tinge and quickly let Maria know it was a little blood from the previous pap smear, and there was no need to worry.

Paola again cleaned Susy up slightly, unlocked her legs from the supports, handed her a pad to place in her panties, and told her she could go and get dressed. She explained to Susy that over the next few hours she may have a slight bloody discharge from the pap, but it was nothing to worry about, and to not be alarmed.

Susy slid off the exam table exhausted, tired and aching. Her head hung low in embarrassment of all that she had gone through. She stepped into the bathroom to urinate and place her pad in her panties.

Paola removed her gloves, gathered the other trash and through it away. She then washed her hands and returned to her desk to finish writing all of her findings in Susy's chart.

"Well, over all, she is in great health. The slight fever and the urethral discharge indicate a slight infection, and I will give you medications for that as well." Paola said looking at Maria. "Here," She said handing the medications to Maria. "Have her take these twice a day after meals for the inflammation of her urinary tract, and call me in a week."

"When your daughter calms down, talk to her about her experiences here. You will see, she will be more accepting of coming here.

Why don't you bring her back in a week, by that time I will have the results of her pap test. I really don't see that there will be a problem though." Paola said to her friend Maria.

Maria stood up and looked at Paola. They smiled at each other.

"So, how much do I owe you?" Maria asked Paola.

"Oh please, nothing, we are old friends, that's what friends are for. It has been my pleasure to see you and your daughter again."

Maria thanked her again and gave her a big hug. She gathered Susy who was still sulking and they returned home.