"Hi, I'm Kelly - the AP/NP from NewMan's clinic. I'm here for your in-home exam."
"Sure, come on in." He didn't expect her to be ridiculously hot. Petite, blonde hair, sky blue eyes, insane tits wrestling against captivity in her scrub top.
"Where would you like me to set up? I suggest someplace warm and with privacy."
"Sure, how about in here" he said, motioning to the family room.
She went to work setting up a portable examination table and laid out a fresh gown. "Go ahead and take everything off and change into this very fashion forward gown" she quipped "so that it opens in the front."
Her sense of humor provided a modicum of relaxation and put him at ease. For more than a year he'd been having trouble achieving strong erections and having an orgasm. So he found a service that provided in-home exams to lessen the anxiety of a clinical environment. It wasn't cheap, but so far it was very worth it.
"I'm going to wash up - can you point me to the restroom?"
"Sure, it's just around the corner to the left"
"Great, just holler when you're good to go."
He disrobed and gowned up and had a seat on the table. The gown was doing little to preserve his modesty but he wrapped it tightly around him. "All set" he let her know. And she came back to the family room where he was nervously waiting.
"So" she started "I understand you've been experiencing some challenges."
"Correct."
"Can you tell me a little bit more about that?"
"Well, basically, I have a hard time getting really hard and an even harder time getting off."
"That's got to be frustrating. The good news is, there are a lot of treatment options once we uncover the underlying causes. So I'm going to do a very comprehensive exam to figure out what's going on - whether it's physical, psychological, or a combination of both. The exam is obviously medical in nature, but it is completely normal for you to become sexually aroused and you may even orgasm, depending on what we learn."
"Sounds great to me" he joked, nervously.
"So, I know you've already been to the office for blood and urine samples. I am going to take a sexual history and then do some basic health screenings, blood pressure, pulse ox, vitals, that kind of thing then we'll move on to the exam, which I'll describe in detail before we get started, okay?"
"Yeah, just let me know what you need me to do."
She pulled out a clipboard and started asking a series of standard health questions.
"Do you have any underlying health conditions - hypertension, cardiovascular disease, cancers, mental health concerns? The more honest you are the easier we can identify the root causes."
"Ahh, well, my blood pressure is usually just a little high, I had an acute cardio event with no lingering complications, and I do have major depression."
"Okay, that's good to know. What kind of sexual relationship are you in?"
"I'm married - to a woman - monogamous relationship for 5 years." he answered.
"Great. How long have you been experiencing these challenges?"
"I'd say for about 18 months or so."
"Alright. Were there any traumatic life events or major life changes around the time you started noticing erectile challenges?"
"No, not really, nothing I can think of."
"Okay." she said, scribbling on her clipboard "And what kind of sexual activities to do you engage in?"
"I mean, pretty traditional, I guess. Standard penile/vaginal intercourse, reciprocal oral sex, some anal play."
"Good, okay, and are there any times where it is more or less difficult for you to achieve an erection?"
"Not really - a lot of foreplay can help."
"Great, good to know. Alright, I'm going to start with some vitals. Go ahead and hop on the scale for me."
He compiled, clocking in at just about 200lbs.
"Okay, and what is your height?"