ONE
Lynn Easton MD was uncomfortable being on this side of the desk. Even if the person on the other side was Fiona Lorimer, a colleague and friend. Fiona had done her psych residency at the same time as Lynn was doing her OB, and now both were full time Attending Staff at the General.
But she was desperate. It had been humiliating to come to Fiona in the first place, and she had struggled ineffectually with the problem for years, before finally admitting defeat, and letting someone else into her most shameful secrets.
Fiona was 30, a tall, rather bony woman with severe rimless demilune glasses which she was taking off now, and tapping reflectively against her teeth.
"Lynn, you have PSAS. Persistent Sexual Arousal Syndrome. Usually, though, women with PSAS do not experience desire for sex along with the arousal. That's unusual."
"Well, I could die of embarrassment, because I start wanting to copulate with the NAM, and I need several orgasms to quieten it down."
"The NAM?"
"The Nearest Available Male."
"There is no consistently successful drug therapy, Lynn. SSRIs are used but there's evidence that they make it worse, and other evidence that they make it better. Same for mood stabilisers. It's discouraging for you because it means that likely nothing works."
"Fi, please try me on something! I like sex but this is ridiculous. Last night I went to club and propositioned a guy. . . We ended up in the sack, and the asshole refused to wear protection."
"Oh, Lynn!"
"I was of course delirious with lust and couldn't stop him from fucking me. . . You have to be able to help me, Fi. I'm almost constantly in a state of arousal, with wet panties and a throbbing clitβ"
Fiona looked interested. "And you say the trigger can be anything?"
"Or nothing. Sometimes a gorgeous man I should want to check out leaves me cold, and then suddenly a plumber fixing a sink in my house turns me into a glob of jelly. So horny I want to just rip off my clothes and throw myself on the floor in front of him."
"Odd that. Is there a pattern?"
"You know, Fiona, I think I've found something out. It has something to do with smell. Certain smells --"
Fiona laughed. "Do you know smell is a short circuit to the limbic system?"
"The what? I've forgotten all that psych stuff."
"The limbic system. The area of the brain that has to do with emotion and libido is the same part that deals with the interpretation of olfactory cues in our environment."
"Oh, Fiona! I don't want why, or how, I just want it to stop."
Fiona scribbled a prescription, handed it to Lynn. "Try these. See me in a month."
It was an indescribable, subtle kind of smell. Always from the bodies of men, and distressingly, most powerfully, from the bodies of men who were not obsessive about the frequency with which they showered. Thus the plumber, and once, in the street, as she passed a gang of men leaning industriously on shovels around some pavement repairs, she'd had to get out the little bottle of nailpolish remover she used to sniff to drown out these odours.
She hoped people didn't notice her furtive hand movements around her face, or think she was doing drugs or something.
It was because of the persistent and distressing sexual arousal she experienced that Lynn had decided to go into OB. That way she was guaranteed all her patients were women. Still, there were frequent enough problems with a husband or boyfriend of a patient, when she had to see the couple together to explain something.
She seemed blind to the faults of the various men she had had relationships with, and it took a lot of will power to turn her back on the sex they gave her.
The pills Fiona gave her were useless, and gave her stomach ache. She threw them out and cancelled her return appointment. When she met Fiona at a social function, she lied, and said the pills had improved the situation. Fiona was pleased.
One summer evening, Lynn got a call from Wendy Archer, a patient, asking her to fill out the guarantor portion of her passport application: "Dr Easton, I'm sorry to ask you this, but it's really urgent. I have to get it done as soon as possible because we're leaving for my Mom's in Oregon in three days."
"I'm not sure I canβ"
"Please, Dr Easton. If I send Bobby round with the form, could you do it tonight? Pleeeease!"
Lynn really liked Wendy, but this made her angry. Typical that Wendy should have left the renewal of her passport to the last minute. She took a deep breath.
"All right, Wendy. I'll do it."
"Oh, thank you! Thank you, Doctor! I'll send him right over."
"You're welcome, Wendy."
But welcome wasn't the word Lynn really had in mind. It sounded more like nuisance.
She sighed. This is what Fiona would have called a Boundary Issue.
Right.
OK, so I let my patients walk all over me. I try too hard to get them to like me. I need to have limits. Be firm.
When it happened, Lynn was totally unprepared. There was Bobby, Wendy's eighteen year-old son, standing at the door of her condo, clutching a sheaf of papers. He looked hot, and out of breath.
"Hey, Bobby! Did you run all the way? Come in."
"No, Doctor Easton. I biked."
"Do you want an ice-cold while I do the form?"
"That works for me!"
So Bobby was sitting on her chesterfield, gulping down a coke from the can. Lynn was at the living room table, angrily signing in the box indicated, scrawling on the back of the photo. It was done.
Then she felt a familiar trembling. She was suddenly very afraid.
She almost ran to the bathroom, where she sat on the seat and viciously rubbed herself to orgasm. This took eleven seconds. But it did partially calm the tingle in her clitoris, the ache in her vulva.
She was furious. She usually was when this happened. She wasn't thinking of having sex with Bobby. The idea was ridiculous. This was just free-floating arousal, triggered by some molecule in the complex of musk and heat that radiated from a young man, who was hot and sweaty from a bike ride. It wasn't her fault. But it wasn't his either. She just had to get him out of the apartment quickly. As soon as he had left, she knew she would go to her bedroom and masturbate again.
"Are you OK, Doctor Easton?"
"Something I ate. I just had to run and heave."