"Private Consultation" Ff cons mast pett oral anal trib 1st inc-implied Disclaimer: This story is just that, a story, and is meant to be taken as nothing other than that. It contains descriptions of sexual acts involving young children, and if such subject matter offends you, please don't read it. The author DOES NOT condone any such activities in real life or fake life - it is meant to be taken only as fantasy. Note: Formatting is hard. Dear Mrs. Manson, Thank you for referring your daughter, Ms. Krista Manson, for private consultation. As you know, she is a pleasant sixteen-year-old girl whom you recently discovered to be masturbating to pornographic material on her computer, specifically videos depicting lesbian acts. When you confronted your daughter about this discovery, she apparently denied having any sexual interest in other women. You attempted to reassure her in expressing herself as a sexual individual, even encouraging her to explore this avenue further, but she refused to acknowledge her apparent interest in members of her own sex. You were concerned and so recommended her for private consultation. Note: The following is a full report of my findings. The examination took place at my private home. The earlier portion of the exam was administered in my study, while the latter took place in my bedroom. Although my summarization below is both accurate and thorough, because of the nature of the exam, there may be occasional deviation from detached description in favor of vivid and colloquial language. All activities were performed with the patient's complete consent, in pursuit of a precise assessment of the patient's concerns. Sexual History: I began the exam by asking Krista questions about her sexual activity. She was very shy in answering, but after a few minutes she seemed to relax, and ultimately answered many of my inquiries without delay or hesitation. She assured me of her complete honesty after all questions were answered. Menses began at age twelve, shortly before Krista entered the eighth grade. She admits to becoming sexually aware a few months before menses began. Krista masturbates regularly, estimating 6-7 times a week, most often in the evenings before sleep. As you know, she does utilize visual aids such as pornography, though not all the time. Masturbation takes place almost exclusively at home and until orgasm is achieved; however, she admits to a single instance of genital manipulation in the locker room showers after tennis practice, without completion. She prefers clitoral stimulation over vaginal, though she performs both, and she has never experimented with anal stimulation during masturbation. She regularly manipulates her breasts and nipples, but her main focus is always her clitoris. She owns no sex toys, and denies experimentation with them. Krista admits to having lost her virginity via consensual sexual intercourse at age fifteen. She has not copulated with anyone in the last four months, since she broke up with her boyfriend, but before that was partaking of coitus at least once a week for about three months. When having sex, the couple regularly utilized condoms, although she admits to at least two occasions without protection, which she defines as more pleasurable. Her preferred position is missionary, and second preference is being on top with the man beneath her. She enjoys being taken from behind, but prefers face-to-face contact during coitus. Krista remarks that while she enjoys vaginal penetration, she prefers and especially enjoys cunnilingus, which she believes stems from her preference for clitoral stimulation. She and her boyfriend attempted cunnilingus only a few times, experiences she defines as "okay." She has only attempted anilingus once, which she remarked as feeling good, although she "couldn't turn [her] head off" during the act, resulting in cessation. She has performed fellatio many times, which she appreciated but did not "love." She makes a point to say that every time resulted in completion for her partner, oftentimes with her swallowing his semen, or allowing it to be deposited on her face or breasts. She admits to enjoying the taste of male ejaculate, and finds the act of consuming it sexually stimulating. Krista has occasionally considered the idea of anal penetration, and finds both the idea and the image sexually stimulating. However, she has never partaken of anal penetration, citing inexperience and fear of pain. She has never included her anus in masturbation, although she has considered it. Upon questioning, Krista notes that copulation with her ex-boyfriend, while pleasurable, rarely resulted in orgasm or sexual satisfaction. She does find the male body and genitalia to be stimulating, but the act of sexual intercourse with a male, especially penetration, does not excite her as much as acts such as masturbation or cunnilingus. Krista has not had sexual relations with any other man besides her ex-boyfriend, nor has she had any sexual experiences either with another female or a transgender individual. She admits to finding the female body and genitalia sexually stimulating. My initial assessment is that Krista is a sexually active teenager with a healthy sex drive, as evidenced by regular masturbation. She has experience with sexual activity including males, and so is comfortable with viewing and participating in such acts; however, she generally finds such acts to be less that satisfying. She has a lack of experience with sexual activity involving other females, although she finds the female anatomy stimulating; however, because of her inexperience with homosexual acts, she is reluctant to identify with or pursue this part of her sexual identity. Thus, I determined that the rest of our session would focus on getting Krista to both accept and express any bisexual and homosexual tendencies that she may be suppressing. After taking down her history and preferences, I began the physical exam. I asked Krista to remove all of her clothing. Obviously, she was initially hesitant to comply, but after being explained the significance of the physical portion of the exam, agreed to cooperate. She subsequently disrobed as instructed, and a physical assessment was recorded. Physical Assessment: Height: 5'4"; Weight: 120 lbs; Build: Thin, athletic; Complexion: Fair; Eye Color: Blue; Hair Length/Color: Long (to shoulder blades)/Brown; Breast size: C-cup; Measurements: 30"/24"/32"; Nipple/Areola color: Red; Breast notes: Normal teat reaction to temperature. Nipples erect throughout exam; Pubic Hair: Minimal, trimmed; Pubic Hair Color: Brown; Labia color: Pink; Genital comments: Pubic hair present but trimmed. Small mons. Inner labia protrude from vulva at resting, even more so when aroused. After the physical assessment, I began asking Krista questions while presenting her with visual stimuli. I disrobed in front of her and then approached her chair, allowing her to view the female form at a close distance. At first, when asked how my nudity made her feel, she was silent, but she soon admitted to finding the sight of my naked body stimulating. With this admission, I asked her to focus on specific areas of my body one at a time, and to rate on a scale of 1-10 how sexually arousing she found the image to be. Also, should she find her own body demanding attention during the test, I encouraged her to give in to that impulse and begin masturbating. Visual Stimuli Test (arousal scale 1-10): Nude form, viewed from the front: 7; Nude form, viewed from the side: 5; Nude form, viewed from behind: 7; Bare chest: 6; Both breasts: 7; Focus on one breast: 7; Areola: 7; Nipple: 7; Cupping one breast in hand: 8; Pinching nipple between thumb and finger: 8; Massage of breast/nipple: 8; Thigh: 4; Buttocks: 7; Hands on buttocks: 7; Anus: 8; Finger massage of anus: 8; Finger inserted in anus: 9; Pubic hair: 5; Legs spread: 7; Mons/outer lips: 8; Mons spread/inner lips: 9; Clitoris: 9; Vaginal opening: 9; Massage of inner labia: 9; Massage of clitoris: 10; Finger inserted in vagina: 10; Rhythmic finger penetration of vagina: 10. The Visual Stimuli Test showed that Krista indeed does draw sexual pleasure from viewing the female form, and even more so when erogenous areas are being manipulated sexually. Her scores rose with increase of contact, and penetration rated highest out of all stimuli. Her reaction to all virtually stimuli was positive. Of note, when I spread my mons to provide view of my labia minora, Krista began to masturbate by touching her own vulva, specifically her clitoris. For the rest of the exam, she continued to express her arousal in this manner, especially when I inserted a finger into my vaginal opening. With this in mind, I felt it prudent to move on to the Physical Contact portion of the exam. Physical Contact Exam: Krista had begun outwardly expressing her arousal to my visual stimuli in the form of masturbation, and so in the next portion of the exam, I allowed her to further explore these urges and impulses via physical contact with my body. Because this would be her first time experiencing anything of the sort, and also because of the tendency to connect feelings of shame and embarrassment with undeveloped or unresolved sexual feelings, I determined that, rather than gauge her arousal via questioning, it would be best simply to allow positive expression. I asked Krista to let me know should she feel discomfort or unease, at which point we would cease testing, but also explained that the exam would otherwise continue unless she dissented vocally. Furthermore, we would allow her physical and vocal expressions of pleasure assure me of her continued consent and enjoyment. I approached Krista, allowing her to remain seated. Placing my knees on the cushion and my hands behind her, I leaned over Krista and began to kiss her on the mouth. Her immediate reaction was hesitant, but within seconds she was reciprocating my attentions. I began with simple kissing, but soon integrated my tongue, which Krista seemed to enjoy, quickly taking hold of it in her own mouth and sucking on it. After a few minutes, I asked Krista to begin fondling my breasts. At this point, she took a moment to examine them closely, her eyes roaming their curves, her attention particularly fixated on my nipples. With a little prodding, she placed one hand over each breast, her palms covering my nipples, which responded to her touch by immediately becoming erect. Her initial attentions consisted of squeezing, but, like her eyes, her fingers became fixated on the nipples, pulling and pinching and even twisting. I briefly resumed kissing her as she caressed my chest, but her divided attention lay mostly on her massaging. Ceasing my oral attention, I then instructed Krista to begin kissing and licking my breasts. Her initial hesitation gone, she immediately brought my right breast to her mouth, sucking the nipple between her lips and lapping at it with her tongue. She cradled my breast in her hands as if she were a nursing infant, bringing her whole face close, her concentration focused on my teat. She began to periodically switch breasts, each time her tongue encircling my nipple, her lips locking around my areola. As she suckled, I explained that I would now begin to intermittently administer a quick assessment of her arousal. I used one hand to spread her legs a bit, then brought my finger against her partially exposed labia. Her inner lips were quite swollen, almost protruding from her vulva, and I sensed a significant dampness as well. I let Krista suck and lick for a few minutes, predominantly so she could relish the experience, and also because my own body was quite aroused from her attentions. She began squeezing one breast while suckling the other, stimulating both my nipples. She grew bolder as she went, eventually involving her teeth a little. Despite my enjoyment, I soon had Krista cease her oral manipulations, then pulled her up from the chair. I led her out of my study and upstairs into my bedroom, an environment which I felt would me more conducive to the rest of the exam. As we walked, I could sense that her visual focus remained at all times on my nude body. Admittedly, I also could not look away from her, taking a moment to closer analyze her curves and movements as we entered the bedroom. I led Krista to the bed, and explained that we would continue the exam in here. I mounted the bed, then on my hands and knees, bringing my head down so as to keep my rear elevated. I had Krista climb onto the bed behind me, and then told her to begin using her fingers to massage my buttocks. Watching from between my legs, Krista's hands began rubbing my behind, smoothing over the skin and offering an occasional squeeze. As she did so, I found her eyes constantly moving to my vulva, which my physical position left rather exposed. Next, I instructed Krista to massage my anus with her finger. She expressed initial trepidation, but consented upon further prompting, placing one finger against my opening. She rubbed back and forth across my hole, circling it with one finger, occasionally applying pressure. One push from her allowed her finger to submerge itself in my anus, an action that caused her to quickly withdraw. Within a second, however, the finger had slipped back in my rectum. For a few moments, she simply held her finger inside me, but soon proceeded to begin thrusting and withdrawing, rhythmically penetrating my anus while venturing deeper inside each time. Of note, Krista initiated this act of "finger-fucking" without any prompting or suggestion. I took this as a sign that she was beginning to actively accept the idea of sexual activity between women; furthermore, it became clear that she was wholly enjoying our same-sex intercourse, giving in to the natural inclinations of lust generated by our situation. With this in mind, I deferred further suggestion, instead allowing Krista to express her bodily needs as they manifested. Krista continued to penetrate my anus with one finger, soon bringing the entirety of its length into me. Her movements became more forceful, with the interval between thrusts rapidly decreasing. Reaching underneath me, she simultaneously resumed massaging my breasts with her other hand, squeezing and pulling at my nipples. As she penetrated my rectum, Krista began vocalizing her arousal by speaking to me, using almost exclusively profanity or sexually explicit language. She would issue me commands, such as "take it all" and "moan for me," as well as ask questions, including "do you like taking it in the ass?" and "you want it deeper, don't you?" I responded generally with moans and small words, as the intensity of Krista's attentions, mixing with my own sexual excitement, prevented me from saying much more. Shortly after Krista added another finger to my rectum, I too began to give into my lustful urges, and requested she now direct her attention to my genitalia. Krista assented, withdrawing her fingers from my anus, allowing me a moment to move into a position on my back. She then began using her fingers to massage my labia, which my body had thoroughly lubricated over the course of the exam. Those fingers then moved up to concentrate on my clitoris, which at this point was swollen and expecting stimulation, while her other hand began inserting two fingers into my vaginal opening. Without delay, Krista's massage became furtive and insistent. She caressed my clitoris with fervor bordering on ferocity, while her thrusts into my vagina were rapid and vigorous. She penetrated my body as deeply as her fingers would reach, spreading me open to fit another finger inside of me. However, her enthusiasm for finger-fucking my genitals paled against her rigorous contact with my clitoris. I continued to respond naturally, spreading my legs to allow her complete access to my womanhood whilst expressing my enjoyment and approval with monosyllabic and wordless utterances. I admit that Krista's enthusiastic attentions towards my sex quickly pushed me out of the realm of reason and into a lust-driven mindset. As you are surely aware, Mrs. Manson, your daughter is extremely attractive, and the sight of her kneeling before me, her bare breast heaving with her excited breaths, red nipples erect with arousal, not to mention the tiny V of pubic hair peeking from between her closed thighs, all created a very enticing image. Furthermore, this very beautiful girl was currently engaged in bringing me towards orgasm, a situation almost impossible to ignore. I found it very difficult to continue the exam with a detached and scientific attitude. However, because of Krista's obvious passion for our copulation, I also felt that a natural attitude of wanton desire would make the experience more pleasurable for her, and so I allowed myself to wholly partake of the sexual atmosphere. Upon temporarily relinquishing my scientific inspection, I implored her to "eat my pussy," at which point Krista withdrew her hands. She immediately consented to my request, lowering her head and dragging her tongue across my vulva. She lapped at my labia, apparently sampling the flavor of my sex, before placing her mouth over my clitoris. Her tongue teased and poked my engorged bud, occasionally encircling it before resuming direct stimulation. Although this was Krista's first time administering cunnilingus, I found her oral manipulation of my genitalia to be extremely pleasurable. Her fervent licking of my clit incited such passion in my body that I began to grab at my own breasts to heighten the experience. Her tongue and lips stimulated me such that I could not help but moan and scream in approval and encouragement. As I felt myself quickly approaching climax, I found Krista's fingers again penetrating my body, now simultaneously thrusting into my vagina and my anus. I pushed my pelvis closer to her face and hands to heighten my pleasure. Within seconds of her initial penetration and immediately following a vigorous thrust into my holes, I began to orgasm. Krista responded to my climax by fervently attacking my sex with both hands and tongue, causing me to writhe and scream in ecstasy. Her attentions drew my orgasm out to almost thirty seconds, and it was only after repeated insistence that she withdrew from my genitalia. Upon cessation of my orgasm, I required a moment to collect myself, after which I asked for permission to partake of Krista's body in the same way she had mine. She agreed without any trepidation or pause, lying down on her back. I now assumed a kneeling position above her, taking a moment to survey her nudity, which, despite my extremely recent satisfaction, immediately excited me. The image of her wet pussy lips, protruding from her vulva due to her arousal, caused my own genitalia to again swell. Leaning forward, I began immediately to massage her breasts, cupping a hand over each and pressing her nipples into my palms. Leaning down, I started to suck on one breast, pulling the nipple between my lips and flicking it with my tongue. The teat reacted to my attention by hardening in my mouth, the other reacting similarly to my fingers as I pulled and twisted the nub. Though Krista's vocal reactions consisted mostly of non-verbal expressions of pleasure, she did repeatedly affirm my actions with the word "yes." I continued to suckle, switching to her other breast, now bringing my hand down between her legs. I cupped her vulva in my hand, and found her inner labia swollen and extremely moist. I began to manipulate her engorged clitoris with my thumb, gently massaging it with a circular motion, while inserting the tip of my middle finger into her vaginal opening. Krista's vocalizations became immediately more vulgar, encouraging me to "fuck her little pussy" while regularly urging me to go "deeper" and harder." Lapping at her small but hard teats, I obliged every request she made, adding another finger to my penetration while working her clit furiously with my thumb. Krista's body squirmed beneath me, and her breathing grew very rapid. At this point, I attempted to insert a finger into Krista's anus. She reacted positively to a gentle massage of her rear opening, and even accepted my initial penetration; however, as I drew up to the second knuckle, she reached down with a hand and stopped me. I relinquished my attempt at penetration, but because of her wholly positive response to fingering my anus, I resolved to attempt it again later, perhaps when she was closer to orgasm. My attempt to include anal stimulation seemed to create a slight slack in Krista's physical and vocal responses, so rather than continue with penetration, I decided to move onto cunnilingus, Krista's preferred type of sexual intercourse. Slowly removing my fingers from her vagina, I kissed my way down her belly and abdomen. To heighten her excitement, I used my tongue and lips to tease her pubic patch and thighs, avoiding contact with her actual genitalia. I then began licking her small outer lips, doing my best to touch every inch of her except her moist and swollen inner labia. Her sighs and moans assured me that I was having the desired effect of tantalization. Although I enjoyed teasing Krista in this manner, she was obviously eager to experience a woman's mouth on her sex, and my own desire to taste her body was rapidly becoming overwhelming. I let my tongue graze one of her labia, finding the pink flesh to be both extremely soft and damp. Krista pulled her legs upwards, allowing me complete access to her genitalia, and I began to kiss and lick the soft folds now fully protruding from her body. Her vaginal secretions were abundant and delightfully pungent, and I found that her flavor enhanced my own excitement, causing my vagina to moisten itself as well. Initially, I concentrated my attentions on her inner labia, spreading the folds with my tongue and prodding the opening of her vagina, but soon was drawn to the swollen, fleshy clitoris at the apex of her slit. I attempted to remain light in my contact, but the volume of Krista's vocal expressions rose sharply with each movement of my mouth, and I could hardly resist my own urges. Thus, within seconds I was latched onto Krista's clitoris, lapping at it with my tongue and sucking on it. Krista's reaction to this was wild, her body writhing beneath me, her hands pulling at her breasts, her hips thrusting her womanhood into my face. As I tasted Krista's clitoris, I decided to add stimulation via my hands, which roamed her body, running over her smooth hips and across her stomach up to her breasts before heading back down. My mouth remained fixed on her genitalia, focusing all attention on her most sensitive nub. Though I occasionally licked the fleshy lips beneath, Krista's clitoris was obviously the focal point, and I felt obligated to make her first oral experience from a woman as pleasurable as possible. I soon decided my fingers could better be utilized in a different way, and brought them down between her legs. I slipped a finger between Krista's soaking wet labia and into her vagina, mimicking the thrusting motions I had employed earlier. Krista's vagina contracted around my finger with each thrust, prompting me to quickly add another. At this point, she resumed using vocal encouragements such as "fuck yes" and "fuck me hard." With these responses, I frantically began to lick her clitoris, flicking the bud with my tongue and pulling it between my lips, doing so in rhythm with my penetrating fingers. Krista's moans and screams took on an insistent pitch at this point, assuring me that she was beginning to ascend towards climax. I decided this was the best moment to again attempt anal stimulation, and brought my other hand down to her buttocks. I found her rear opening to be slick with both her vaginal secretions and my saliva, and as I thrust my finger into her rectum, I encountered no resistance whatsoever. The sudden insertion of this latest finger caused Krista to yelp in surprise, but she did not push it away as she had earlier. Rather, she brought her knees closer to her chest, raising her buttocks and giving me more access, while simultaneously pressing her aroused sex organs into my mouth. I added rhythmic thrusting to my other hand in time with my vaginal penetrations. Krista's orifices gripped my fingers, pulling me inside, and so I obliged her needs by thrusting as deeply as I could. I continued to attack her clitoris furiously with my tongue, pulling the fleshy nub into my mouth and sucking on it in time with my thrusts. With this much sexual input, it was only a matter of seconds until Krista's hips began bucking wildly as she climaxed. While Krista attained orgasm, I maintained my intensity and rhythm against her erogenous zones. I clamped my mouth firmly on her pussy, lapping at her hard clit, while my hands pushed my fingers into her up to my last knuckle, filling her tight body. Krista screamed in ecstasy as I did so, her whole frame shuddering as she climaxed. Krista later told me that my actions allowed her to sustain her sexual bliss for almost an entire minute. I begrudgingly began to relinquish contact as Krista's orgasm began to recede. I withdrew my fingers from her body, slowly removing them from both her vagina and her anus. I continued to prod her clitoris with my tongue, until Krista's hands gently pushed me away, signifying that the nub was now extremely sensitive. Post-climax, Krista spent the next few minutes catching her breath, during which time she made a point to tell me she had "never cum that hard before." Although Krista was still recovering from her orgasm, the act of performing cunnilingus on her, not to mention the knowledge that I was the first woman to ever do so with her, had reignited my own lust. Furthermore, I found my attention repeatedly focusing on Krista's sex, specifically the pink flesh of her inner labia, which still jutted outwards from her body. The size difference between her inner and outer labia was something I found to be both remarkable and arousing, both of which prompted me to suggest one more type of sexual contact. When Krista was no longer breathing hard, I asked her if she felt able to perform one final act with me before ending the physical exam. At first, Krista seemed to be unwilling, until I mentioned that this activity was generally specific to lesbian intercourse, something only two women could truly share. This seemed to peak her interest, and she agreed. I asked her to sit upwards and spread her legs for me. Assuming a sitting position across from Krista, I began to intertwine our legs, effectively lining up our genitals with one another. This positioning quickly clued Krista into my attentions, and she began to move her body towards mine. I allowed myself a second to get comfortable, and then brought my pelvis towards hers, pressing my vulva against her clitoris. Our sexes made initial contact, and I found hers to be as moist as my own. My positioning allowed my clitoris, again swollen with excitement, to protrude somewhat from my labia, and thus make contact with Krista's clit, erect and engorged with her arousal. As our clitorises touched one another, we simultaneously let out a sigh of pleasure, which affirmed for me both Krista's excitement and enjoyment. As one, we began to thrust at one another, our vulvae and clitorises massaging each other. Her genitals were slick with her secretions and my own, and her subsequent moans and profanities let me know she was enjoying her first attempt at tribadism - not surprising, as her small mons leaves her entire inner labia revealed for stimulation. Krista's movements began to increase in intensity, her hips pressing her genitals hard against mine. As we rubbed our clits together, I moved my upper body forwards, my arms inviting Krista to do the same. We embraced and I began to kiss her, using my tongue to massage hers. Our pussies massaged one another with fervor, creating a pleasant heat between us that spurred me to begin fondling her breasts. I pulled at her nipples, again stimulated and erect, while moving my hips in an almost circular motion, to maximize clitoral contact for both of us. Krista's vocalizations quickly became insistent, her tongue moving rapidly around mine, her fingers also finding my breasts and pinching my hard nipples. She thrust her hips at me with abandon, her clitoris and labia rubbing furiously against my own. I reciprocated all of her attentions, allowing both our bodies to sink into a state of unadulterated lust. Our vigorous tribbing had me rushing towards a second orgasm, and Krista's constant gasping and moaning assured me I was not alone. I began to focus my mind on Krista's pussy then, on her pink labia, soaking wet, crashing against my own. I felt Krista pull hard at my nipples, and opening my eyes, discovered that she was reaching her climax. She again began to scream, pressing her pelvis hard against mine, her clit grinding against my own. My own movements became more persistent as I too worked towards orgasm. To my dismay, Krista's shuddering and moaning quickly regressed with her orgasm. To satisfy my own lustful needs, I politely but insistently asked that she continue out genital massage for a bit longer. She kindly obliged, and I was quickly immersed into my own orgasm, the duration of which Krista rubbed my clitoris with her own while continuing to massage my breasts with her hands and, briefly, her tongue as well. Assessments and Recommendations Post-tribadism, I allowed both Krista and myself five minutes to return to a state of calm. Krista opted to spend this time with me, and intertwined herself in my embrace for the majority of it. Once we both had regained our faculties, I began to assess Krista's opinion of her first homosexual experience, summed up as follows: Krista found the experience of sexual intercourse with another woman to be "wholly enjoyable." Her favorite activities included cunnilingus and tribadism. She especially enjoyed receiving oral sex from a woman, finding both the idea and the experience to be very arousing. She further remarked that she quite enjoyed administering cunnilingus for me, finding the flavor of my vaginal secretions to be "tasty and sexy" and greatly appreciating the feeling of a clitoris against her tongue. Krista did not find any activity to be unpleasant, and had no response when asked what her least favorite part of the exam was. She admitted to finding the whole anal portion of the exam to be initially frightening, specifically being penetrated; however, after experiencing anal stimulation, she commented that she "would be open to trying it again." She found the experience of penetrating and "fucking" my rectum to be exciting, calling it something she would "absolutely" attempt again. After participating in intercourse with another woman, Krista showed no hesitation in admitting that she liked the idea of being sexual with another woman. When asked if she would have sexual intercourse with me again, she responded that she would "absolutely" do so. When asked if she would have sexual intercourse with someone else of the female sex, given the opportunity, she responded that she "really liked the idea," although she was worried she might "chicken out." I then asked if having the other party be someone close to her would make her more likely to participate, to which she responded positively. Upon review of the entire of the exam, I feel that Krista absolutely has bisexual tendencies, given her positive responses to the idea of and participation in coitus with both males and females. Whereas she was reluctant to acknowledge her homosexual urges at the beginning of the exam, being given an outlet to express and experience those urges has made her more comfortable with the idea of sexual intercourse with another woman. After participating in same-sex relations, she is more likely to do so again, and less likely to suppress any lust for the female body. I am very happy with Krista's progress today, and to maintain it, I have prescribed the following: 1. Daily masturbation. Krista may continue to use visual stimuli during this. I recommend a healthy balance between heterosexual and homosexual stimuli. 2. Regular sexual intercourse. To stimulate all of her sexual needs, I feel that Krista would benefit from intercourse with both males and females. I recommend finding a ready partner of each sex with whom she can regularly couple. 3. A follow-up exam with me, scheduled one month from now. I also recommend a group session with you, her mother, sometime in the near future. Obviously, Krista may naturally still feel some trepidation towards same-sex intercourse; thus, I recommend that she begin by experimenting with someone around whom she is comfortable, such as a close friend, a sister or cousin, or even her mother. Krista initially expressed dislike of the idea of incestuous intercourse, but after a little explanation, told me she "wouldn't rule it out." Mrs. Manson, Thank you so much for allowing me to share in the care of your daughter. I will see her in approximately a month for follow-up, at which time we will repeat testing as well as consider experimentation with anilingus, anal penetration, the integration of sex toys, and multiple partners. I would appreciate it if you could make sure Krista sticks to her recommended regimen of sexual activity. Should you have any questions or concerns in the interim, please do not hesitate to contact me. Best wishes, Yana Averin, M.D. THE ENDPrivate Consultation - Ff cons mast pett oral anal trib 1st inc-implied