Perverts 'R' Us

The Pediatrician

By NotAPeep ( M/g, M/b, voy, mast )

This story is a work of fiction. That said, it's based on a conversation I had online with a man who claimed it was true, and that he was the doctor in question. I wasn't sure whether to believe him or not, but he told the story in a very matter-of-fact way. You'll have to judge for yourself whether you think it's real, or just a fantasy. I wonder.

There are a few moments that really matter. These moments make me glad that I invested the 10 years necessary to become a pediatrician and build my practice. The moments play out in a few different ways, but it's sort of remarkable how consistent they are.

The parents who bring their children in for exams make a huge difference, of course. The main question is whether they choose to stay in the room with their child during the exam. And, if they stay, why they stay. More on that later.

Regardless of whether the parent is there or not, there's always the initial conversation. I get on the child's level, so I can look them right in the eyes as I ask them how they're feeling, and if there's anything that's bothering them. I can usually make them laugh, which relaxes things. I know most of them are nervous and unsure. I don't really want to start the exam until they're feeling much more at ease. The child's first laugh is definitely one of the moments that matter.

Once we've had the chat, it's time to get down to business. It's important to be both casual and professional at this point. "OK, Scott (or Sarah or Troy or Kate), go ahead and get undressed."

They usually hesitate. Some don't, which is cute. I think it's cuter if they do, though. If they blush and look down, and pause for a good few seconds. If the parent is in the room, the child almost always glances their way. The parents just nod, as if to say, "I know it's embarrassing, Honey, but you have to do as the doctor tells you."

I let them wonder a little bit about exactly what "undressed" means. I wait until the shirt is off, and they're starting to take off the bottom bits. Then I add, "You can leave your underpants on." Most kids are visibly relieved by this. If there's no parent in the room, I also say "for now." Some pick up on the implications of this, and some don't. It's OK either way. There's something nice if they understand it, though - that sometime soon, the underpants are coming off, too. You can see it running through their minds.

With the parent there, I can't really watch them strip. Unless the parent is there to see them strip, of course. That's what I meant earlier about why the parent might stay. If it's an opposite-gender parent, especially a father with his daughter, I can usually tell. I ask them if they want to stay for the exam, and I can sometimes see that look in their eyes as they answer. Yes, I want to stay, because I want to see my little girl naked. Since she turned 7, she's gotten shy around the house, and I haven't been able to look at her little bare pussy. So yes, please doctor - let me stay and watch you expose her.

It would be refreshing if they actually said it out loud. They never do, of course. And don't be fooled - some of the moms are the same way, with their sons or daughters. Dads and sons usually don't have the same issues. They tend to be more used to casual nudity together, but there are also quite a few shy boys. These are the kids who dread gym class because of the locker room. Seeing them struggle with their embarrassment as they strip is just delicious. It's even better if mom or dad is there watching.

I always ask the parent if there's something particular they're concerned with regarding the child's health. It's amazing how often I get the embarrassed look, and then, "Well, (he or she) seems to have some sort of irritation…" "Why do you think so?" I innocently ask. "Ummm. (He or She) is doing a lot of touching… you know…" I nod knowingly, and relieve them of their burden to explain further. "I understand. I'll take a look then." That's another one of the moments that matter.

It's incredibly rare that a child touching their genitals is a sign of any medical problem. It's just difficult for some parents to get their arms around the notion that their 8-year-old angel is masturbating. Or sometimes, they know very well that their baby is masturbating… but they want to look at them naked, and see me touch them as I examine their privates. I've gotten so I can pretty much tell up front which way it is.

You see, it's all about staying so close to the boundaries of professional conduct that my actions can't really be questioned. I don't want to end up on "60 Minutes", and in jail. So I really don't take chances. I act within the permission I have implicitly through my role as a doctor, and explicitly through the statements and actions of the parents.

Anyway, back to the child undressing. If the parent is there, and hasn't given me implicit permission to watch their child strip, I turn my back on the child and speak in professional tones to the parent. Otherwise, I talk to the child as they take things off. We chat about school, and sports, and other normal things. The underpants, when revealed, are always clean. If they're a little bit too small for the child, that's another important sign from the parent.

I'm sorry, but I just can't help it. An 8-year-old in just their underpants, boy or girl, is such a beautiful sight. I almost prefer it to seeing them naked. Almost.

We do the height, weight, and blood pressure with the child in their underpants. It would be nice to have them naked for this part (and it would be slightly more accurate for the weight), but it would raise undue questions.

By the way, I'm a very good doctor. I don't skimp on anything to get to the fun parts sooner. I'm very thorough with the eyes, and ears, and nose, and throat, and heart, and tummy, and all the rest. I take my time in the first parts. This makes it more consistent to take my time on the next parts.

With the child lying on their back on the table, I fully explore the abdomen. "Does this hurt? Any pain here?" as I gently prod them. A subtle tickle elicits a giggle as I work lower, towards the pelvis. To check for swelling in the appendix and bladder area, my fingers slide just under the waistband of the underpants, sliding them down just enough to see the cleft between the upper thigh and the pubis. I don't adjust them back up when I'm done.

The situation dictates what happens next. If the child is a girl, the parent is in the room, and there haven't been any obvious signals… well, that's it. Done with the exam, everything seems fine; see you in six months or a year. You can get dressed. Take a lollipop on our way out.

If it's a boy, there's always the hernia check. With the parent in the room, I'm very professional and crisp. I sit in a chair, and have the boy stand in front of me, positioned so the parent can see their front. "OK, Scott, I need to check you for a hernia. Do you know what that is?" They usually shake their heads no. I explain it. "Sometimes part of your tummy gets a tear in it, and that makes things move around to where they shouldn't be. If it's not taken care of, you can get very sick." They nod. "It usually happens down next to your penis." They look down and sometimes blush. "I need to touch you there to see if there are any bumps. OK?" They nod.

"OK, Scott. Pull down your underpants for me." I always use the child's name, never "buddy" or "scout". The parents perceive it as more professional, but saying the name is actually more intimate.

I always try to see out of the corner of my eye how the parent is reacting. Usually they're looking intently, unless they think I'm watching them look. Sometimes they look away. The boys themselves almost always look down, studying their own penis as though they've never seen it before. I like that, because they also see everything I do to them.

It's a rare bonus if the boy slides his underpants down to reveal a hairless erection, poking straight out or even up at the ceiling. I can usually see that in advance, since the miniature hardon develops as I explore their tummy on the table. I've even had a few boys in boxers pop a tiny boner through the fly while they're lying down. If they're hard, sometimes they don't want to expose it. They get very red. "It's alright, Scott. I need to see your penis. Go ahead."

At any rate, I take my time. I put three fingers firmly next to the boy's scrotum, and tell him to cough. I move my fingers two or three times to be sure. It's inevitable that my palm brushes his penis. If the parent and child seem reasonably comfortable at this point, I proceed with a more thorough genital exam. It's strictly by the book. Well, maybe not "strictly" - but it would be very difficult to contend I'd done anything irregular. The standard procedure for a male genital exam includes:

Note if circumcised. If not, is the foreskin easy to retract? Check the external meatus of the urethra, note any discharge. Palpate the shaft for tenderness or lesions.

Check the testes by palpating using the thumb and first two fingers. They should feel smooth, rubbery, but free of nodules.

Verify that the epididymis is should be smooth, discrete, and non-tender. (This is the vessel that connects the testes to the vans deferens.)

I'm not making this up - you can check the references. It's quite surprising that so few doctors actually do these things in a regular exam. They should, to be thorough. So I'm just being a good doctor. Really.

The current research findings on genital examination for girls are even more interesting. The knee-chest position has been found to be superior in allowing visibility into the vagina overall. In this pose, the girl lies on her back, raises her knees and holds them against her chest with her arms. Traditional spreading of the legs gives better horizontal spans, though - so as one study puts it, "A multi-method approach to the examination of the child is recommended to take advantage of the strengths of each technique."

If the parent decides not to stay in the room, or if they've suggested that I need to have a look "down there", then I choose the right moment to get the child completely naked. This is often when I'm done with the stethoscope. The child is sitting on the table in their underpants. If the parent is there, I'll have the child remove them themselves. "I need to check the rest of you, Scott, so please take off your underpants, hop back up on the table and lie down."

If I'm alone with the child, I like to remove their underpants myself. I have them lie back on the table, with their underpants still on. I begin prodding their abdomen, working my way lower. When I get to the waistband, I tell them "These will need to come off for the rest of the exam." Then I just peel them quickly down and off, not waiting for permission. By saying "for the rest of the exam," they know that they'll be naked with me for a while. It helps them to get used to the idea.

Some of the kids I see regularly have gotten with the program. They smile when I say "Time to get undressed." My very favorites are those that don't bother to keep their underpants on, even at the start. They know what's coming, and they're looking forward to it. They get completely naked as fast as they can, and are up on the table in a flash.

With the child lying naked, face up on the table, I'm really in my element. I take the time to talk to them, distracting them from their exposed state. I don't want to touch them until they're calm and relaxed after the initial embarrassment. This makes it easier to achieve my goal, which is to simulate their genitals enough to elicit an unambiguous sexual response. In other words, I want to make them hot. I want them to connect the touching with the good feelings, and create a desire in their minds to have those feelings again.

As you might expect, it's somewhat easier with the boys. I've never had a case where I couldn't produce an erection. When the parent isn't present, I can pretty much just masturbate them openly. If the parent is there, but has asked me to check out the boy's plumbing for any reason, I'm not as obvious but can still get them hard with the right prodding and manipulation.

For boys 10 and older, I always cover the testicular self-exam. This is a bit younger than many recommend (the standard age is more like 14), but I've never had a question or complaint. First I show the boy how to gently explore their tender sacks, rolling each ball between my fingers and explaining the procedure. Then I have them do it and watch carefully, to make sure they know how. This is important, as it's by far the best way to detect testicular cancer early. The fact that I'm molesting them and teaching them how to masturbate at the same time is just a bonus.

For almost all of the girls, it's an external exam only. While they're clutching their knees, I gently spread the vulva, using a headlamp to get a look into the vagina. With a typical parent in the room, this lasts about 10 seconds, and is done very crisply. When I have more freedom, I'll spread the child's lips with my thumb and middle finger. This leaves my index finger free to rest squarely on her exposed clitoris. In this position, I take my time, and ask her lots of questions to draw things out. I subtly and slowly vary the pressure and position of my index finger - essentially masturbating her, but in a way that's never obvious. Depending on her response, and comfort level, I can make this last for several minutes.

I can often see the girl's hymen. If it's not intact, this leads to a new set of questions. The parents are often interested for obvious reasons, but it might surprise you to know that a missing or torn hymen is very seldom a sign of abuse. Many girls have little or no hymeneal tissue to begin with, and any number of things can disrupt it, including various approaches to masturbation. When I ask the child what's been "going up there", "Nothing" is the most common answer, but quite a few have said "my fingers". I've never had one say "Daddy's penis" - but one can hope for the future.

It's great when Mom or Dad shares the painful secret that little Tommy is playing with himself, and asks me to be sure he's not "hurting anything." If the parent doesn't suggest it, I'll hint that it may be easier for the child if I see them in private. This allows me to have a very direct conversation with the patient about masturbation.

I bring up the topic when I'm already touching their genitals, and hopefully have elicited a sexual response. For the boys, I like them to be fully erect. With a girl, I have my finger massaging her clitoris, and she's begun to wiggle or lift her hips to press against me.

"Your mom tells me you've been rubbing yourself down here." Pause while they blush.

"It's OK, everyone does it. How often do you do it?" I don't give them the option to deny it. The universal answer is "just sometimes".

"Does it ever get sore?" Sometimes they nod, but mostly they shake their head no.

"Do you do it every day? It's ok to tell me, I won't tell your parents." Building trust. If they're really into it, they'll nod yes.

"Do you do it more than once a day?" Most say no, but some shyly nod. I love the nodders.

I try to put them at ease. "Sara, it's perfectly OK for you to touch yourself there. Pretty much everybody does, even if they won't tell you. People do it because it feels nice, and there's nothing wrong with feeling nice." I give them a warm smile, and they usually return it.

Now the fun part. "I need to make sure that you're not touching in a way that could cause any damage. So, could you show me how you do it?" The looks I get in response are precious, ranging from horror to resigned embarrassment. Very occasionally I'll get a smile - this means that they've been watched before, usually by a sibling, and that I'm probably in for a good show.

I intentionally don't qualify my request by saying "just a little", or "for a second." I let them interpret this for themselves. Remember, they're already aroused. About 20% of the time, the child actually thinks I want to see the entire act, which is just fine with me. Watching the little darlings get themselves off is about as good as it gets.

Many people don't realize that children of any age can have orgasms, even intense ones. It's well known in some cultures, where mothers routinely masturbate their children to relax them. In Japan and some Muslim countries, mothers masturbate their very young sons to help them to "become a man". Pre-pubescent boys don't ejaculate, and girls don't lubricate heavily, but otherwise the process is physiologically identical to the adult orgasm. Seeing it happen is the best of the moments that matter.

Unless they do it themselves, the question of orgasm is tricky. I love it when it happens, but I don't take undue risks to get there. Some kids are more naturally prone to it, and some are already masturbating anyways, so it's easy with them. But I never cross the line to anything that will cause problems just to get the little darling to cum for me. I'm happy if I've just taught them that their privates can be a source of pleasure.

In the course of the exam, bringing girls to climax is actually easier than with the boys. I can usually get them to cum by prolonging the external genital exam with my finger firmly but subtly massaging their clitoris. With boys, it's more difficult to jerk them off without raising undue questions. Some have cum while I'm palpating their penis, after getting them very aroused during the testicular exam. A few of the little cuties start pumping their smooth cocks into my hand at this point. If they do this, I usually accommodate them by stroking them off - it typically takes only a few seconds for them to have a nice dry orgasm. As they spasm, I tell them "That's great, everything is working fine down there." This confirms to them that it's all a normal part of the exam.

I haven't yet had a parent in the room when I ask the child to show me how they masturbate. This would require a specific up-front conversation with the parent to be sure they were comfortable with it. I've had signals from a few that they'd like nothing better than to see their little ones playing with themselves, but I've never been sufficiently sure to actually go ahead with it. Someday, perhaps.

That's pretty much it. We talk more as the child gets dressed. I actually love watching the clothes go back on almost as much as watching them come off. Most of them are feeling relaxed and relieved, so they're chatty. I want them to look forward to the next visit. Lots of lollipops, of course. I have an unlimited supply.

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