"Uh...there must be some mistake," I croaked uncertainly as the door opened and the doctor stepped into the room with my records under his arm.
I had been expecting my regular GP, a no-nonsense 50-something woman I'd been seeing for the last five years. The man who closed the door behind him was much closer to my age, perhaps even a bit younger. Dark hair, dark eyes, with handsome clean-cut features and an easy smile, which he turned warmly on me now, extending his hand.
"I'm Dr. Walsh. Your regular physician is assisting with a delivery this afternoon, and I'm taking her appointments." He narrowed his eyes good-naturedly, holding my hand at arm's length to look at me, and continued, "I think I may have seen you once before."
I remembered now, as he dropped my hand and sat down to open my file. I'd come to the clinic one evening last winter with a painful bladder infection, and Dr. Walsh had been the doctor on duty. I remember being marginally aware of the humiliation of being so vulnerable and dependent on the assistance of a cute guy so close to my own age, and I had moaned as I let him touch me. But the urgent pain was so intense that I could not focus on anything, except making it stop.
I remembered his kind smile, and his gentle hands. I never thought I'd have to see him again.
He took a pair of glasses from his pocket and leafed through my records, and I was glad that for the moment, he paid no attention to me. I might have blushed under his gaze if he'd looked up. "So..." he mused, putting the papers back in order and looking again at the first sheet, "We're here for a quick exam after your first three months on the Depo Provera injection - aaaand, if everything looks good, we'll give you the next dose today. Sound good?" He closed the folder with a light slap, to show his enthusiasm.
I swallowed and avoided his eyes. "Um..." I was being silly, of course. If I cancelled now, who knew when I'd get another appointment, and it would throw off the timing of the birth control. I looked up at him -- he was still smiling. I attempted a small, brave smirk in return, and nodded. "Sure."
He clapped his hands and stood up, whisking a curtain across to divide the room, and gestured for me to step behind it. I set my purse on a chair and glanced at the high exam table, crisply papered and stirruped and waiting. The doctor's voice interrupted my thoughts. "If you'd like to get undressed, please, and get up on the table -- just give me a shout when you're ready."
I nodded, though he couldn't see it through the curtain, and began unbuttoning my blouse. I was thinking suddenly about the state of my pubic area -- I had only done a peripheral trim in the shower that morning, and was mildly concerned about making a bad impression. I scolded myself silently for my immaturity as I slipped my skirt down and draped it over the back of the chair. I paused as I looked down at my bra. "All the way?" I asked hesitantly through the curtain.
There was a pause, and some humor in his voice as he replied, "Yes, please." I wrinkled my nose as I unhooked my bra and let my breasts fall loose. The sooner this was over with, the better.
I tiptoed in bare feet over to the table and climbed up carefully, the crackle of the paper betraying me before I called out, "Okay -- ready." I tucked my elbows in and clasped my hands over my stomach, resisting the urge to cover my sex. But I dug my heels into the edge of the table and kept my knees pressed together. I couldn't deal with the stirrups yet.
He brushed the curtain aside nonchalantly and smiled at me, keeping his gaze locked on my face, as if that made me any less conscious of my nakedness. "How're we doing?" He had pulled a tray of instruments to the foot of the table, just out of my range of sight. It was more difficult to smile again, his handsome face was a shock all over again, and my body shivered slightly in anticipation.
He stepped over to the table to look down at me, and explained matter-of-factly that he was going to examine my breasts for lumps, first, and then follow directly with a pelvic exam and Pap smear. I squeaked an acknowledgement, trying to slow my increasingly panicked breathing as he took one wrist in his hand and moved it behind my head. I could feel my cheeks growing hot as he palpated my breast with fingers from both hands, pressing firmly into the plump fresh around the nipple.
"Any history of breast cancer in your family?" he asked, his face neutral and slightly averted, his focus on my body, not my face. I replied that there was not. My voice sounded all right to me, and I breathed cautiously in relief.
His fingers closed gently on the nipple, plucking at it delicately. "Have you noticed any increased tenderness, since your last shot?" He squeezed gently, and I gasped as my nipple tingled.
"Uh -- no," I replied uneasily.
He adjusted my arms and moved to examine the other breast in the same manner. I found myself chewing my lower lip, and made myself stop. I held my breath as he took the nipple between his fingers and applied slow pressure. "Any discharge from the nipples?"
"No."
"All right, thank you," he said lightly, walking a few steps to the instrument tray near my ankles. I heard the clink of metal on the tray as he pulled a pair of latex gloves from a box and stretched them over his fingers. My stomach clenched in trepidation, and I looked away, catching sight of my nipples, still stiffly erect and pointing at the ceiling. I curled an arm over my chest and shifted uneasily as Dr. Walsh moved to the foot of the table.
I swallowed hard as he touched an ankle and instructed me to put my feet in the stirrups, guiding one of my legs himself. He did not have the relative luxury of little quilted pads on the stirrups, and I was suddenly aware, and perturbed by the small discomfort of the cold steel biting into my insteps.
I tried to keep my knees together, but with a reproachful smile he pushed them apart and I let them fall to the sides, my thighs trembling slightly. He shook his head slightly and chided me, "I have back-to-back appointments for the next six hours. We can't waste time."
As I watched between my spread thighs, the doctor reached behind him to snap on and adjust a lamp awkwardly, so that it shined first in my eyes and then fully illuminated my perineum. He slid a low stool between his legs and leaned in. His gloved hand rested on my thigh and he murmured, "Wider, please." My legs twitched under his touch -- it would be intimate, inappropriate, if it weren't for the gloves. When I had widened the angle of my legs to his satisfaction, he removed his hand and returned his attention to my exposed sex.
He paused, frowning at my crotch, and then reached again for something on his tray. I flinched as I felt the cold wet strokes of a sanitary towelette, and my cheeks burned. He was cleaning me before he examined me. If he noticed my complete mortification, he didn't comment on it.
"You're going to feel my fingers," he informed me evenly, and a moment later his cool fingertips were tugging at my labia, pinching down one side, then the other, checking for abnormalities. His fingers moved slickly along my lips, as if lubricated, and I realized in horror that I must have been moist for some time.