Professor To The Rescue

This is pure fantasy and 100 % fiction. All characters are over 18. None of them has any connection with any known medical practitioner or other living person. None of the scenes or descriptions are remotely authentic from a medical perspective.

The Consultation

My name is Professor Michael Spencer. I specialise in the treatment of Marital & Pre-Marital Dysfunctions (vaginismus, dyspareunia, premature ejaculation, erectile dysfunction, undersized penises and many other conditions). My clinics are busy.

As a consequence of the Government's strict laws on who can and cannot procreate, every couple wanting to have sex is required to undergo pre-assessment. Having sex without a Permit is unlawful; anyone convicted of doing so risks a procedure known as de-libidinisation, resulting the complete loss of libido or sex drive. Very few people risk that.

My clinics are full of couples wanting to marry or cohabit, have sex, and have children. They usually attend as a couple and I see them together in my surgery.

Helga and Johan are typical of many of the young patients who are referred to me for pre-assessment.

I begin my consultations by asking the couple why they've come to see me. This may seem obvious but it's revealing who answers and how they answer. Helga tells me they've been seeing each other for six months, which is the minimum time for a referral. They desperately want to have sex. They've done some petting and are fearful that one day things might get out of control. Even petting could land them in big trouble if the authorities were to find out. That isn't as remote as it might sound; females - and any man they are with - can be arrested by what are known as IROs (Illicit Relations Officers) and taken to Inspection Centres where they're stripped and examined for signs of having had sexual intercourse.

Helga and Johan look like a healthy young couple. After scanning their medical histories there doesn't appear to be anything that would make them ineligible for a Permit, if that is what they want.

I explain that I will need to examine them both and ask who would like to be first. Helga says she would and I ask her to undress down to just her panties. I check her pulse, blood-pressure, glands, oral health, abdomen and general appearance. Then I take her measurements; height, weight, bust, waist and hips. I palpate her breasts, and check for any irregularity of shape or discharge from her nipples. All is as it should be.

Once I'm satisfied that she is in generally good health I lower her panties and ask her to step out of them. Like so many of my young female patients Helga is a little shy at being seen naked by an older man. I help her up into my examination chair, and lift her ankles into the stirrups.

"I want you to see this," I say to Johan, beckoning him to stand by my side. "If you're to have an intimate relations with one another there should be no secrets".

With Helga settled in the chair, I begin my examination. I'm pleased with what I see. A normal, healthy young vulva, a light growth of pubic hair, and nicely pigmented, moist, labia majora.

At this point in any of my examinations with a partner present, things can become interesting. It may or may not be the first time Johan has seen Helga's vulva, but it's obvious he's aroused by it.

I begin with an anatomy lesson, pointing out the typical female shape of Helga's pubic hair, an inverted triangle with pubic hair on both labia. The density is about average, neither thick nor sparse. Then, using a specially designed caliper, I measure what gynaecologists call the AGD (the distance between the anus and the posterior fourchette) and the AGDAF (between the anus and anterior fourchette or clitoris). Helga's AGDAF is on the small side, an indication that she may have a smaller than average vagina.

I record all my findings on tape and give a commentary as I go along. I carefully separate the folds of her vulva, and point out to Johan the prepuce (clitoral hood), the clitoris itself, the labia majora and labia minora, the urethra and the vaginal introitus (opening). Then, for his later benefit, I explain how premature contact with the clitoris can be painful for a woman and that he should wait for Helga to tell him when she's ready for that. "You'll be best able to gauge her arousal by how moist her vulva feels. Good sex requires you to communicate with one another."

For the next stage of my examination I require the correct sized vaginal speculum. This is an instrument that can cause great discomfort to a woman if used clumsily. In the hands of a skilled clinician she should hardly feel its insertion; in unskilled hands it can be excruciating for her.

Based on the measurements I took earlier I select one of my smaller speculums, turn it so the duck-like beak is in a vertical plane, and gently prise the vulva apart to expose Helga's introitus. I can see that even the smaller speculum is going to be uncomfortable for her and select a cone-shaped instrument that will enable me to gauge the best size. Having done that, hoping it will be deep enough, I decide on a paediatric speculum specially designed for virgins, and used mostly by paediatricians; Helga has an extremely tight opening that is obstructed by her hymenal membrane.

For anyone who hasn't seen a vaginal speculum, they're used by clinicians to examine the inside of the vagina and the cervix, through which sperm have to pass if they are to reach the uterus and be able to fertilise an egg.

Once the speculum has been inserted, the clinician turns a small screw, causing the blades to open and reveal the walls of the vagina.

In Helga's case the membrane made it difficult to insert even a mid-range paediatric speculum. Experienced clinicians watch their patients face for any reaction as they proceed. I could see Helga was experiencing pain, but in her case this was unavoidable. "The worst will soon be over," I told her as I one of my smallest instrument through her tiny opening.

Even with the lubricant I'd applied before starting the procedure it was difficult to pass the it through the introitus, but once I'd done that it slipped in smoothly.

"There...," I remarked. "It's in... now I'll gently open you up and take a look inside. Tell me if it's uncomfortable for you and I'll stop immediately."

Throughout the procedure Johan stood at my side, watching intently. Several times he surreptitiously adjusted his trousers at the front, a sure sign he was growing an erection.

One of the things I always have to do is what I call 'the fragrance test'. In Helga's case I observed that she smelled fresh, a little briny, with a hint of pepper. This is a common way of describing the scent of a healthy young vagina, although it can vary a lot depending on where a patient is in her monthly cycle. Helga had already told me she was twelve days past the end of her last period. This was confirmed by her slippery vaginal discharge, resembling egg-white. She was ovulating. Her vaginal temperature was 37.0 degrees centigrade.

With the speculum fully inserted into Helga's vagina I began to open the blades. Proceeding very slowly to a diameter of 2.0 cms I felt resistance and noticed her wince. "Is it too much," I asked.

"No... carry on Professor... it is a little uncomfortable but I'm okay."

I continued. Watching her face I knew it was hurting, but she said nothing until at a little over 2.8 cms she asked me to stop; which of course I did, immediately.

It was tight but just enough for me to see what I needed to see. I find it easiest to use a LED head-worn vaginal illuminator for my work, and switched it on. Adjusting my position slightly I was able to see inside Helga's vagina and continued my commentary:

"A healthy, moist, young vagina (accessed using a 17mm x 65mm paediatric 'virgin's' speculum) made difficult to examine due to the patient having thick strands of hymenal tissue across a child-like introitus. Good pigmentation and well formed rugae throughout.

The speculum used was of insufficient length to reveal the cervix, which could only be examined using an endoscopic probe. Vaginal depth 8.5 cms. Cervix healthy and Os plainly visible. Bartholins and Skenes glands present and active. "

I explained to Johan that the vaginal rugae are tiny corrugations along the vaginal walls which help retain moisture and allow the circumference and length of the vagina to stretch to accommodate a penis. The Bartholins and Skenes glands are activated when the female becomes sexually aroused. They produce the lubrication needed before intercourse can take place. The corrugated rugae also add to the sensations felt by the male, as the head of his penis slides in and out of his partner's vagina.

'How would it be if Johan could see for himself Helga?"

'Of course Professor... we should have no secrets."

I stood up and handed Johan my head-lamp. After he'd donned a pair of surgical gloves he took my place.

"One of the many wonderful things about the vagina Johan, is how it keeps itself healthy. It's designed not just for pleasure, but as a means of receiving and transporting sperms to where they're needed and, as if that weren't wonderful enough, it acts as the passageway for the as yet unborn infant to emerge into the world.

Now, if you insert your finger inside for a moment and then take it out, you'll be able to feel the slipperiness of Helga's vaginal fluids. Amazingly they're at their slipperiest when she's most likely to conceive; when she's ovulating, as she is now. It's as if the vagina is readying itself for sexual intercourse, by making itself easier for the man to penetrate. It's also the time of the month when the female is most likely to conceive; and when her libido is at its peak.

Now, my examination has revealed things that we'll need to do something about before you marry. I haven't examined you yet Johan but the average erect male penis is a fraction over 15 cms and the average diameter of an erect penis is approximately 4 cms. Helga's vaginal measurements are a mere 2.8 cms in diameter and 9 cms deep. Those are a very big disparities, that we'll need to do something about. It's almost certain that if the two of you were to have intercourse now you would damage her.

I closed the blades and gently removed the instrument from Helga's vagina. After wiping it dry I put it aside to be sterilised, ready for when I next needed it; although it was rare to have to use a paediatric speculum on an adult female.

"You can get down from the chair now," I told her "but I don't want you to get dressed yet. Just wear this gown please." I handed her a disposable gown and showed her how to put it on, with the ties at the front.

"Now it's your turn to undress Johan," I told him. Johan undressed hesitantly. "Don't worry...it's perfectly normal for you to feel aroused. In fact it would be unusual if you weren't. I'm sure Helga will understand."

As he removed his underwear I saw immediately that Johan's partially erect penis was well above average in size. Once he was on the examination couch his erection subsided and I was able to proceed with all the usual health checks and measurements, before declaring him fully fit.

"Now then.. there are two more things before we all sit down and decide the best way forward. I need to test a semen sample, and I need your penile measurements Johan: taken when your penis is fully erect. I'm hoping Helga will be able to help with all of that! Oh... and Helga, if you're able to have an orgasm as well that would be helpful to me."

I went on, "You won't want me watching you both so I'll pull the curtains around and leave you to it. Take as long as you like. You can produce the specimen however you want so long as you don't have full intercourse. Oh... and it's best if the semen isn't contaminated with saliva or vaginal secretions.

Here's a tape measure for Johan's penis. Helga, you must measure the penile circumference and its length, from here to here I said, picking up a model of the erect male organ and showing her."

"Now I'll leave you to it. I'll be in the next room. " I pointed to a bell on the wall beside the examination couch and said, "Ring the Bell as soon as you're finished please. I need to make further observations on both of you, post-coitus, though you won't actually be having coitus of course."

Helga and Johan looked delighted by the task I'd set them.

I left the room, closed the door, and turned over the sign that read 'Do Not Enter - Sexual Activity in Progress'.

Before each consultation my patients sign a consent to video-recording. I watch from the adjoining room. This isn't voyeuristic. Some couples finish quickly and some can take quite a time. It helps to know the reason for this before deciding on any ongoing treatment. In Helga and Johan's case, this could be important.

Watching on the video screen I saw Helga remove the gown and approach Johan, who was still on his back on the examination couch. I saw immediately that although he had a near full erection, of impressive proportions, his prepuce (foreskin) still covered most of the glans penis.

Helga and Johan were very ill matched size-wise. They would make an interesting case study for my students. I might even submit an article to one of the medical publications; perhaps the Journal of Sexual Health, where most of my other papers had appeared. It would depend how much I could help them achieve normal sexual relations, and that remained to be seen.

While I updated my notes on the consultation I watched them on the screen and was pleased to observe very little hesitation or embarrassment. After stroking Johan's penis until the head was fully exposed Helga reached for the tape and called out the measurements. " 19.5 and 14.2, " she said to Johan (approximately 7.5 inches and 5.6 inches). I jotted the measurements down. Johan's penis wasn't the biggest I'd encountered, but it was impressive all the same. It was thick and long. The discrepancy between the size of his penis and the capacity of Helga's vagina was much greater than I was expecting, and they would need help with that. I'd also noted that the Glans Penis - the strawberry-like tip of his organ - was particularly protuberant.

I settled down to watch them perform. Helga had climbed onto the couch and was straddling Johan with her vulva poised over his face and her hands on his erection. She'd placed the tray to one side, ready to collect his semen when the time came to do so.

Johan was holding her by the hips, pulling her down so he could use his tongue between her folds. I doubted it was the first time they'd done that.

Listening to them they had a good rapport; he telling her what he wanted and she responding, eagerly I thought. At one point her nipples were in contact with the hair on his chest and she remarked on how horny that made her feel. He lifted his hips and I heard him say, "Kiss my cock."

They took their time but I sensed no difficulty between them; each giving and receiving pleasure as they played together. When Johan made direct contact with Helga's clitoris she asked him to stop. "It's too much... " she gasped. "I want you to come first... then I'll have collected your semen and can concentrate on myself."

Soon after that I heard Johan moan and watched Helga grab for the tray. A moment later he began to ejaculate. Helga, having little or no experience of such things, missed the first two spurts, which hit her face and breasts, but the rest she managed to catch. With her tasks successfully completed, and semen running down her front, she settled down to enjoy herself, leaning forward and tasting the ejaculate that was still oozing from the head of Johan's softening penis.

Arching her back and sticking out her chest she massaged some of the semen into her nipples. That seemed to do it. She cried out as her orgasm came on, wave after wave by the look of things. I continued watching as they recovered their composure and Helga got down from the examination table. Then they rang for me to rejoin them.

Back in my surgery I found them standing side by side, still naked, and holding hands. Helga passed me the tray with Johan's semen and I prepared a slide for viewing under the microscope so that I could check its potency.

I checked Helga's raised post-coital vaginal temperature and took a swab of her vaginal secretions.

Helga and Johan cleaned themselves up and got dressed while I examined the samples I'd just collected.

I was pleased to confirm a high semen count with excellent motility. Both Helga and Johan expressed delight at this and were fascinated by how active the sperm were when they looked at them under my microscope. The sample of vaginal secretions showed no abnormalities and had an optimal pH reading of 4.5. Both my young patients were in peak health. There was no evidence of vaginismus or any of the other problems I sometimes encounter. They were a lusty couple, eager for sex, but mismatched. I could help with that.

With the examinations and tests all completed we sat down together to discuss my findings and how best to proceed. I find it's often best to give bad news first and to follow it with positive suggestions for management.

"There's very good news and there's less good news," I told them. "You're a healthy young couple and should have no difficulty starting a family when you're ready for that. I shall have no hesitation issuing the necessary Permit, but there is one thing we need to address before I can do that.

As a couple you have a condition we clinicians call genital disparity or(GD); and it's quite marked. Measured in clinical terms you have a GD ratio of 2.5 : 1; in other words the volume of Johan's erect penis is two and a half times greater than your vagina can presently accommodate without tearing, Helga. That's a problem but it shouldn't be insurmountable. There are ways I can help.

To start with there's the option of a hymenectomy; that's the surgical removal of Helga's hymen (the membrane that occludes the vaginal introitus). That's a very simple procedure, carried out under local anaesthetic, that I can do any time you choose. I want you to think about it Helga, and talk it through with Johan when you've heard all I have to say. It's not essential, but it will make penetration less painful. On the other hand, I find some couples favour what I can describe as a 'leaving it to nature' approach, if you follow me. It's very much a personal choice, and I don't need you to make a decision yet. Some young women feel the pain of having the hymen broken or stretched during intercourse is a pain worth bearing; it's normal and they see it as a mark of their commitment.

Dispensing with the hymen won't address your genital disparity. For that I recommend Helga has a course of specially formulated hormone injections; these are given at weekly intervals for three months. The downside is that the injections have to be administered to the labia, clitoris, around the vaginal openings and inside the vagina itself. They can be painful; especially the ones to the clitoris. But they are highly successful and within six months, with the other treatments I shall recommend, I'm hopeful your problem will have been fully resolved.

It isn't all bad news though. The hormone injections work best if the recipient is sexually aroused. While the course is ongoing you can pet and play together as often as you wish. The more sex you have, or the more Helga masturbates, the more the injections will help her. The only thing you mustn't do is attempt penetrative sex.

I'd also recommend adjuvant treatment using a graded set of vaginal dilators. I can make a referral to a specialist in Dilation Therapy and he'll instruct you both in their use; Johan will be able to help with that if you want him to Helga. How does that sound?"