I searched for this sort of topic today, and I've read the whole thread with interest, but I don't have specifically a MedFet fetish or kink. As I wrote in another thread today, with my background as a real medical/surgical patient, I'm actually surprised I don't have this interest. I would enjoy it as either doctor or patient, and I have a few times, but my real kinks are rubber, anal, enemas, D/s, mild bondage, and a subtype of a shoe fetish.
I was twice invited to (and did) play with a couple a number of years ago who wanted an extensive realistic medical exam for the wife including rectal and pelvic exams. In addition, they clearly wanted me to masturbate her and then have intercourse with her while the (cuckold) husband watched. I also gave her suppositories and an enema as part of it before sex. They were very happy with the whole scenario and we did it twice, only stopping because I'm straight and the (very nice, professional) husband wanted some sexual interactions with me that didn't interest me.
What I'm really interested in asking you here is for the people who either because of doc or patient preference, do not automatically incorporate orgasm or masturbation into a play exam. If not, what is the patient (let's say for now) looking for and how do they get or feel gratification? For example, I'm straight male, so if a woman has an exam with her play doc, and both really enjoy the physical and role dynamics but no sex, she says thank you and goes home. Is it because she'll then go and masturbate or have sex with her partner, or do some people just enjoy the MedFet scenario and have so much gratification from some perspective that they don't expect or plan to have sex afterwards? Most here seem to prefer sex included or right at the end, which I would as well, done in various creative ways, but everyone will appropriately respect a partner not desiring immediate sex. It seems akin to the man with kinks who goes for a couple of hours with a professional Domme but where she does not offer sex as part of it. What I've learned from watching documentaries about that kind of play is that often the man has such intense kinks or fantasies that just revealing them to his Domme and having her indulge his kinks is intensely gratifying to him, and he can have orgasms afterwards elsewhere. I'm very interested in how this works as far as "nonsexual" MedFet enjoyment with people who know each other. Thanks.
Eric