The Case Files of Dr. Randall Herringwick
The Case of the Lactating Virgin
Chapter Two - My Most Emphatically Subservient Subject
CASE FILES - PERSONAL NOTES - PATIENT 20 - DAY 1 (CONTINUED)
I put a gentle hand on her chest, just above her small breasts, and looked down into her eyes. "It will be alright, I promise. I won't hurt you. Please try to remain calm, okay?" Again, she hesitated before nodding. "I'm going to start with a breast examination. Alright?" Another nod.
I really DID have to determine if she was healthy, especially considering her previous environment, and so I performed a normal B.E., using the flats of the fingers on both hands, first on the left breast, then on the right. They were, as I've already mentioned, small, but fluid and elastic. There were no lumps. Her breath deepened, and her nipples became engorged, growing in length and girth to more than twice their flaccid dimensions, while the breasts themselves increased in size by almost a third.
"How are you doing, Ann?"
She swallowed heavily. "Okay."
I pressed my palms into her shoulders, her arms, her sides and waist (discovering she was ticklish), and finally her legs. She couldn't hear me breathe a determined sigh as I prepared myself to look at what I really wanted to see, seating myself on a small stool. Her pubic hair was thick and, as I soon discovered, matted with sexual secretions. She jerked slightly as I used my fingertips to smooth it aside and spread her vaginal lips wide. And there it was. No doubt about it. A healthy, intact, 19-year-old annular hymen. I wouldn't have called it perfect, but it would most certainly do for my purposes.
I went back to her left side and stood where she could see me. "I need to draw some blood now, okay, Ann?"
Again, she swallowed heavily, then nodded silently. I prepared the syringe and vials, swabbed her inner arm, which I had twisted toward me in its cuff, warned her to hold still, and carefully slid the needle into a prominent vein. She didn't react, only stared up at the ceiling; and I drew five vials quickly before withdrawing the syringe. "Just one more," I warned her quietly, and I injected her with a moderate dose of diazepam in the same vein.
She took a ragged breath. "Am I okay?" she asked plaintively. "Am I going to be able to help the babies?"
I laid a gentle hand on her shoulders and smiled down at her. "Yes, I think so. I just have to analyze one or two samples. Just in case, I need to leave you on the table. Will you be okay here for awhile?"
She had broken into a huge smile when I answered yes to her question, but it slipped a little as she said: "Um ... ub ... yesss." I used a thumb and forefinger to pull her left eye open. The pupil was dilated and wavering.
"You seem very tired, Ann. You've had a traumatic day. I think you're going to fall asleep when I leave you here, but that's perfectly alright. Just go to sleep, okay?"
"Um ... okaaay."
I put the vials of blood into a small refrigerator, then I walked back to my apartment and picked up my cell phone before returning to her. Her head had lolled to the left, her eyes closed, her breathing deep and even, and saliva had pooled slightly in the corner of her open mouth. Back between her legs, I used a pair of medical scissors to trim her pubic hair. Carefully, I used a small, shallow speculum to spread only her vaginal lips, and I examined her more carefully. Her vagina was smaller than normal, and shiny with excretion, which exuded the odor of her excitement. The clitoral shaft was deep and pronounced, the hood short, and the clitoris itself fat and extended. It was also low-set ... or at least, it was lower than most women I had had the opportunity to examine. Keep in mind that I am a psychiatrist, and while I am an interned MD, this was definitely NOT my field of expertise. Still, I realized she was very fortunate in this regard. The odds are about 70% that a woman will go a lifetime failing to reach orgasm during coitus because her clitoris is too far removed from her vaginal opening. Young Ann here was built for pleasure during intercourse. I took great care in lining up my shot before snapping the picture with my phone. I texted it to Ardly.
Thirty seconds later, my cell rang. "What exactly am I looking at here?" he asked, excitement coloring his voice. "Is it what I THINK it is?"
"What you are looking at, Ardly, is the only picture of your future wife that I will send you before I deliver her to you in twelve weeks. It is also a picture of a female hymen ... one of the most misunderstood parts of the human anatomy, even though it is also one the most revered. Most men don't know where it is ... or even what it is, for that matter. For as long as there have been doctors, there have been men like you who have asked them to guarantee a woman's virginity. Well, hang onto your hat, old boy, as I reveal a one-thousand-year-old secret. It can't be done. Not with total certainty, medically speaking.
"The hymen is literally the entrance to the vagina. And it's always there ... even after a woman has sex. In fact, following the birth of a first child, there are, at the very least, remnants of it visible; and it's the best way for gynecologists to make reference to all things around and in the vaginal cavity. Measurements, for various types of prolapse and other things, are always taken from the hymen.
"Normally, it's about one and a half centimeters below the outer vaginal lips, but that varies quite a bit. Most of them are 'annular,' like the one in the picture I sent you. That is, there is a single opening in the center of a flexible membrane. The diameter of the hole varies among women, and the opening actually increases in size as a woman gets older ... even after she stops physically growing. On average, it's about one millimeter for each year of age; and that follows here, as well. Ann's opening is almost exactly two centimeters."
"Her name is Ann?" Ardly interrupted. "And she's twenty years old?"
"Shut up, man. I'm waxing eloquent, here. The hymen is often very flexible. And so, if a man's erect penis is particularly thin, no matter how long it is, it might simply stretch the hymen without breaking it. That can lead to a lot of pain during intercourse, by the way. And, it doesn't actually break, of course. It tears. Sometimes, depending on the capillary network in the tissue, there might be excessive bleeding when that occurs ... or there may be no bleeding at all. In point of fact, the majority of cases of bleeding in 'first time' sex are due to abrasion from lack of lubrication.
"The REAL problem with the hymen comes into play during childbirth. Most women's hymens are still pretty much intact prior to first births, with the exception of one or two tears. Doctors frequently have to perform a hymenotomy, and cut the hymen to more easily allow the child to pass.
"And so, let me sum it all up. A virgin can tear her hymen without having sex because the tissue is delicate and very close to the surface. The old adage about the girl and the bicycle seat is not only true, it happens quite often. She could tear the tissue due to the sloppy insertion of a tampon, or during masturbation. But, even without an intact hymen, such a girl is still technically a virgin ... that is, she has never had sexual relations before. And, like I said previously, a woman can experience sexual penetration without significantly damaging the hymen ... though there is no way she can know beforehand that it will NOT tear. And, believe it or not, there are plastic surgeons that specialize in repairing the hymen so that devious women can fool prospective husbands.
"Can I give you my advice concerning the determination of whether or not a woman is a virgin? Just ask her. If you trust her enough to marry her, then that's probably the most effective way to tell. However, you wanted my medical expertise in the matter, and so I've provided it, the same way doctors have done for centuries. Now, go online and type 'pictures of the female hymen' into your browser. You will find pictures just like the one I sent you under 'annular' and 'intact.' Ann has irritated hers in the past, probably with tampons, and she has confessed to frequent masturbation. However, the tissue itself is whole and untorn. And ... most importantly in my book ... she SAYS that she has never been with a man; and I believe her. I am confident that I will have her ready according to your specifications in three months. Will you be able to obtain the title to the building by then?"
"Already in progress," he answered. "In fact, if you'd like, you can start renovating the place." He paused. "Can't you send me a picture of her face?"
"No. I am sure that a man of your means could easily hire someone who would get you a clandestine photograph of the girl, but if you did that, I would be greatly disappointed in you. It's only three months. Let me do my job. Good afternoon." And I disconnected the call.
Feeling rather pleased with myself, I removed the speculum, leg straps and stirrups, then extended the table so that she could stretch out full length. Finally, I removed the rest of the straps and gently shook her awake. Though groggy, she allowed me to sit her up on the edge of the table. "Here, take these," I told her, and put three pills in her open palm while handing her a bottle of water.
She was still weak from the drug I had administered, and it took her a few seconds to focus. "Um ... What are they?"
