(continued from Pt. 01)
Her foot jiggling nervously, Lisa waited in the doctor's office for her scheduled appointment. She'd worked hard for months to scrape together the funds necessary for her breast augmentation surgery. But she'd done it! She now had more than the $12,000 in her savings account. The surgeon she'd chosen, Dr. Amanda Langdon, wanted to perform one more examination prior to scheduling the procedure. The reason for Lisa's nervousness was due to the further research she'd done about the surgery.
First of all, Dr. Langdon used a general anesthetic, so Lisa would be unconscious during this. She'd fall asleep, and hopefully wake up... wake up with new fullness to her breasts. But the implants would be saline, since she was young. That meant she might have to have another surgery years from now, and maybe get them replaced with silicone. More surgery meant even more expense, and maybe the scarring of a second procedure might be a lot more evident. "I hope my voice doesn't crack when I blurt out my concerns to the doctor," Lisa thought. She was almost weeping with indecision -- she'd been dreaming about and working toward this breast enhancement -- but now she was having some doubts about it.
A nurse escorted her to the examination room, took her vital signs, and went over her current information. "OK, Lisa. You can get ready by removing your clothing and putting on that examination gown," she stated, indicating the cloth garment. "Then hop up on the examination table. The doctor will be with you shortly." She left the room. The air in the room smelled clinical -- moreover, it was quite cool, Lisa discovered as she removed her clothing. Shrugging into the gown, she learned its layer of cloth didn't offer very much warmth either. And, since it was open backed, her bare butt cheeks pressed directly onto the paper covering the table as she sat at its edge. She hummed a nervous tune, and tried to keep her hands from shaking. Even though the air was cool, she found herself sweating from anxiety.
As cool as the room was, Dr. Langdon was a sharp contrast as she entered. She greeted Lisa warmly, and shook hands. Her hand was warm, her smile was warm, even her eyes seemed warm. "So, Lisa, tell me how you are. Any new thoughts or questions for me?"
Lisa's voice quavered a little as she explained the concerns and worries that had cropped up about her surgery. Subconsciously, she'd wrapped her arms around herself protectively as she spoke. She managed to convey not only the words, but also her emotions behind them.
"I can see you've done your homework," Dr. Langdon said, smiling. "It's true that some people have an adverse reaction to general anesthetic, but those occurrences are extremely rare. I myself have never encountered such a problem. And yes, later on you might need to have the saline implants replaced with silicone. Only time will tell. When I've performed those procedures, I've been able to carefully use the previous incisions, so extra scarring doesn't occur. But yes, another operation does involve further expenses." Having addressed all Lisa's concerns honestly, the doctor continued, "Let's have a look at you, Lisa. Please undo the top of that gown."
Unsnapping the front shoulder areas of the examination gown, Lisa lowered the top, exposing her breasts. She turned her head to the left, embarrassed about displaying her chest, and not wanting to see the doctor's expression, in case it displayed dismay or ridicule. This expectation was automatic, given the catty, unkind things that other coeds at the college had been saying about her body. The sudden silence in the room seemed to drag on for an eternity.
After that long pause, the doctor said, "My, my, Lisa. Have you looked at yourself lately?"
Lisa still avoided eye contact, her heart sinking. "Here it comes again. More comments about how boyish I look -- how flat chested I am," she thought, trying not to burst into tears. "No, doctor. Every time I looked at my chest in the mirror, I just started sobbing. So I stopped. Even when I shower I never look."
Strangely enough, the doctor next asked, "Have you been doing a lot of physical labor this summer?"
Lisa thought back to all the odd jobs she'd been doing to earn money. She'd started out mowing lawns, washing cars, walking dogs, and so on. That was before she'd done Tom's laundry and learned about the possibility of adding 'pipe-cleaning' sexual acts to her repertoire. She blushed a little, thinking about all those hand jobs she'd given Tom and his friends. "Yes, I guess so," was all she commented in answer.
"I thought as much. Let me explain. The muscle deep to your breasts is called the pectoralis major. That physical labor has obviously strengthened and enlarged that muscle. That gives a firmer base to the breast tissue and makes it stand out more prominently."
She palpated the tissue of Lisa's breasts. "But that's not the entire story. That would increase your bra size, but not necessarily your cup size. But there's definitely been an increase in volume, or cup size, as well." She paused, pondering. "I'd like to ask you a very personal question. Have you become sexually active recently?"
Lisa was glad she was avoiding eye contact as she blushed. "Ummm... Yes and no?" she answered tentatively, making her response almost sound like a question. Since the doctor made no comment, obviously expecting her to explain such an ambiguous answer, Lisa's blush deepened to a scarlet color as she stammered, "I... I... I've discovered I like giving... I don't know the technical term... but they're called hand jobs." She felt so embarrassed that she wanted to hide underneath the examination table.
"Lucky boyfriend," the doctor commented, smiling so her voice would not convey any sound of censure. She continued her palpatory examination of Lisa's tissues. "And are you a virgin?" she asked, keeping her voice carefully professional.
Lisa gasped almost silently, wondering how to answer that question. "Errr... Yes and no?" She took a deep breath and continued. "You see, in college, I learned about vibrators, so I bought one. When I shoved it inside myself, there was some resistance, which I pushed through. It hurt and bled a little, and I discovered I'd broken my apparently fairly weak hymen. So... I'm not a virgin in that sense. But I've never had sex with a man, so I am definitely a virgin in the strictest sense of the word." She finally looked at the doctor's face. "Why do you ask?"
Dr. Langdon felt this was an appropriate teaching moment. "Because there are some myths out there about semen having magical properties for breast growth, if the woman ingests it, or rubs it on her breasts. None of that has been proven by a controlled experiment. However, there is growing evidence that some components of the semen, like estrone, prolactin, and oxytocin can be absorbed by the vaginal tissues. It's thought that this property allows some animals to be more likely to ovulate when they have sex."
Lisa's eyes dilated in surprise, hearing this, especially the latter part. The doctor went on, "Many studies have shown that some components also act as mood enhancers and antidepressants. That's probably why women having regular sex are happier." She favored Lisa with a soft grin.
"Moreover, there's some fascinating recent research that indicates that the NGF (neural growth factor) in semen actually travels through the female bloodstream to her brain, causing her hypothalamus and pituitary gland to release the hormones required for pregnancy. As the body prepares for pregnancy, breast tissue responds with growth, in preparation for nursing the newborn." She held up a cautionary hand. "I'm not advocating that you run out and have lots of unprotected sex. There are the consequences of pregnancy and sexually transmitted diseases to consider. But I can at least arrange for you to get on birth control pills, if you think you'll be requiring them."
Lisa didn't answer right away, since her brain was absorbing and processing the information the doctor was providing. She even asked the doctor to repeat certain sections, to make sure she was understanding. When she thought she had it all clear, she nodded. She took a deep breath and said, "Thank you for explaining all that, Doctor. I appreciate you sharing all that with me."
Dr. Langdon noted that during all this talk, Lisa had never once looked down at her chest. "Lisa, I want you to look at yourself in that mirror over there."
The young woman moved off the examination table, holding the gown down around her waist as she moved. When she was close to the mirror, she was so programmed to not look at herself that her eyes darted everywhere except on her image in the looking glass. Finally, she forced herself to look. Her jaw literally dropped in surprise.