This is a timely post, as I (male) have an appointment this Saturday to be examined by and to examine a young female cardiophile who is on Zity. I won't disclose her identity without her consent. If she wants to chime in and say, "He's talking about me," that's up to her. She is a serious cardiophile who plans to bring to the appointment not only a collection of serious cardio steths, but also recording equipment, ECG equipment, and ultrasound/echo equipment. Each of us will get a thorough bare-chested stething. Both of our chests will be "test chests" for all of the stethoscopes. We will both have our heart sounds recorded, get wired up for an ECG, and we will look inside each other's chests and see our hearts dancing around with the echo.
Over the past 20 years, mostly connections made through Heartbeat Pleasure or Zity, I have met and auscultated the chests of about a dozen different women. Every one told me that I auscultated her heart more thoroughly than any doctor ever had. They all told me that I was either the first one to steth her bare chested or the first to do so since they were little girls before their breasts developed. Three of the women I stethed told me that I was the first man to see or touch her breasts.
Women generally don't get their hearts thoroughly auscultated unless they present symptoms that would cause a doctor to suspect pump trouble. Most tell me about doctors who listen over clothing or at most, slip the steth under the clothing or gown and take a quick listen on the upper chest above the breasts. The woman I'm meeting on Saturday tells me that, with her real doc, she's lucky if the doctor goes under the gown for a three-second listen at Erb's point ("Yep. I can hear your heart. You're alive.").
There is no way to thoroughly auscultate a woman's heart without exposing her breasts. (Obviously it is necessary to expose the breasts for an ECG or echo, but those procedures are usually done by a female technician.) With larger breasts, anything bigger than a firm B cup, it is necessary to lift the left breast to palpate the PMI and get a good listen to the mitral valve. (Guess why asymptomatic mitral valve prolapse in females is so often missed?). The PMI (and best spot to listen to the mitral valve) is in the fifth intercostal space mid-clavicular line. For women with larger breasts, that's right up in the fold under the left breast, due south of the left nipple. If the PMI is displaced further to the left, it indicates an enlarged heart.
Having said that--in play exams, some of my female "patients" have enjoyed it a little too much and displayed indications of arousal. I have heard the lub-dups of a strong healthy female heart coming hard and fast even though she didn't just finish running a 100-yard dash. She just sounded that way. I have seen visible pulsations on a woman's chest (that petite 95 pound 22 year old with little 32A breasts was not the only one!). I have often seen nipples stand at attention (perhaps due to respect for the doctor and his steth?). It is interesting to hear heavy breathing and little happy noises through the stethoscope. I have heard those as I auscultated a woman's chest.
If any of the women of Zity who have been on the patient end of my stethoscope want to weigh in, feel free to do so.