Chapter Text
Izzy put his socked feet into the stirrups and scooted his butt down, thinking he would surely fall right off the edge of the exam table soon.
“Just a titch more… there you are.” The doctor patted his shin familiarly as Izzy settled into place, legs held open, eyes to the clinic ceiling. He reminded himself that everyone feels weird as hell during a pelvic exam and that this would be over soon. As a recently out trans man, he wasn’t sure if it felt better or worse that the doctor was a man. He’d never had a gynecological exam done by a man--but then again, wasn’t he being a little ungenerous? This male doctor could be a trans man himself! And even if he wasn’t trans himself, he’s a medical professional, Izzy mentally chided. It’s not like this was fun for anyone, this guy was just doing his job. Izzy twitched his head, not a full shake but enough to refocus on his current surroundings.
“Sorry, I know this isn’t anyone’s favorite thing. I’ll be quick about it,” the doctor said. He was pretty, in a blond sort of way. Izzy very firmly put thoughts of his doctor’s relative attractiveness out of his mind. This is a professional encounter he repeated.
“No worries!” Izzy said, then mentally facepalmed.
“I’m sure you’ve had these exams before, but I know it’s uncomfortable,” the doctor continued. “I’m going to start with an external examination just to make sure everything’s on the up and up and then I’ll have to touch you to check out the internal parts.” Izzy took a breath. “Yep, sounds right. I’ll be here,” he said, making a kind of weak joke. To the nice doctor’s credit, he chuckled.
“I’m going to touch you now,” the doctor said gently. The doctor placed one hand on his mound and seemed to be pulling his folds apart, presumably to see better. Izzy felt the doctor’s other hand then… on his dick. His dick? This wasn’t part of any exam before. But then again, he hadn’t had a dick before to inspect. Whatever, the doctor knew what he was doing. Presumably. Izzy felt the doctor’s fingers… no that was definitely stroking his little dick. Izzy hadn’t had an enormous amount of growth yet on T, but he was proud of what he had so far. He knew from experience there was enough there to become rigid, and Izzy felt a spiraling embarrassment threaten to suck him under when he realized he was getting hard because of this. This was a medical exam! What the fuck was wrong with him? It’s a totally clinical situation, he reminded himself. He tried to even out his breathing, which he hadn’t realized had become shallow and a bit ragged. The man was still touching his dick, and--no that was definitely stroking. He’d taken it between his thumb and first two fingers and was definitely rubbing up and down in a not-strictly-clinical way.
“How long have you been on hormone replacement therapy?” the doctor asked.
“Uhh, five months,” Izzy said. The doctor’s hand kept moving and Izzy felt himself starting to get wet. What the fuck, this was not how this was supposed to go.
“You’ve got good rigidity here. Have you considered whether you’re interested in pursuing surgical options in the future?”
Are they really having this conversation while the man is slowly jacking him off? Is this a different thing that happens with trans exams? Izzy couldn’t believe that was true. But… he’d always been on the horny side and T only multiplied that expotentially, so maybe he felt a little guilty that this was clearly overtly sexual and he wasn’t putting an end to it. The doctor stopped moving his hand but kept it on Izzy’s dick, while the other hand moved to touch his lips near his hole. The change startled Izzy back into the conversation.
“Oh, I’m sorry, uh, what was the question?” The doctor was now massaging Izzy’s lips, in what could generously be considered a more clinical way.
“I was asking if you’d considered surgical options as part of your transition. You don’t need to commit to anything right now, but it’s important to document these things so you have a medical history of dysphoria if you decide surgery is part of your transition.” Izzy was listening, he would swear, but the man hadn’t stopped moving his fingers around Izzy’s lips, using his thumb and first finger to pinch at the fold and pull it out slightly from his body. It was firm but not uncomfortable. Izzy had a mad thought that this was how you’d hold labia you were going to pierce. But the doctor kept doing it, adding a kind of massage as he went. Over and over. Izzy squirmed a bit, involuntarily.
“I know, I know, it’s weird, I’m sorry, just checking for lumps. It’s not something most people think about but it’s critical to your sexual and reproductive health.” Izzy wasn’t sure what that meant, but it sounded valid. He wondered if anything a man in a white coat said sounded valid. At least he wasn’t touching Izzy’s dick anymore, though Izzy kind of missed it. What the fuck, how sick was he that he missed being sexually assaulted? The man continued gently pinching and rubbing Izzy’s lips all the way around.
“Sorry, this is likely to be cold.” Izzy heard the squirt of a tube and a moment later felt a cold but very smooth press directly into his hole. That medical-grade lube sure made inserting things easy, he thought with a crazy kind of mania. He had to suppress a wild giggle.
The doctor put his other hand on Izzy’s abdomen and pressed. Izzy knew this part, this was normal. The doctor was feeling his, Izzy didn’t know, ovaries or some shit. The doctor moved his hand on Izzy’s abdomen and pressed from deep inside a few more times, checking whatever it is that doctors check when they do that. Izzy tried to relax around the man’s fingers, knowing it would be over soon. The man started to withdraw his fingers from Izzy’s hole but stopped partway. Before Izzy fully realized what was happening, he pushed them back in, curled his fingers, and drug them down along Izzy’s inner wall, stimulating exactly the right spot. Izzy gave a little gasp. What the FUCK was wrong with him that he was getting off on this? It felt so good, and something about the clinical situation made it so much worse, or possibly better. He’d never seen this doctor before today, wouldn’t necessarily ever see him again, and this was literally the definition of sexual assault.
So why was it so hot?
While he was spiraling, the doctor did it again, crooking his fingers and gently massaging that spot inside Izzy. If Izzy had started to get wet with the dick-stroking, he was positively dripping now around the doctor’s fingers. Not that it made a difference, with the lube. Izzy felt the doctor move his other hand from where it had still been resting on his stomach to touch his dick again. This was sexual assault. There was no other explanation. He was being taken advantage of by a medical professional who could (and should!) lose his license for this behavior, but Izzy knew that no matter what happened in this appointment he wasn’t going to say anything. He was too embarrassed by how much he liked it. The man continued to stroke his dick for another moment, then the touch on his cock vanished and a moment later Izzy heard the unmistakable sound of a belt being unbuckled. Really? He was going to pull his cock out in an exam? This was like a porno, Izzy thought, trying to suppress that mad giggle again. He wondered if it would be better or worse for the moment if he offered to suck the doctor’s dick as part of the exam.
Izzy could hear the doctor shifting as he stood up from the low stool he’d been using for the exam (exam, ha!). Izzy didn’t dare look down, keeping his eyes glued on the same replaceable ceiling tiles. He heard the man undo his button and zipper. He heard the rustling as he clearly pushed his pants down just enough to pull his dick out, never removing his hand from Izzy’s hole. Izzy heard him start to stroke himself, fingers still sliding in and out of Izzy, crooking against that spot. Izzy couldn’t believe how hot he found it, to be legitimately medically abused. This dude, white coat pushed up to his elbows, was fingering Izzy nearly to orgasm and jacking off about it. Izzy thought about the doctor stroking himself, watching his fingers disappear into his dripping cunt. Holy shit that was… wrong. But hot. But wrong.
He had a wild thought, and before he could stop himself, he blurted--
“You can stick it in. If you want.”
He heard the doctor make a small, choked noise and stop moving immediately. A moment later, Izzy felt the doctor’s fingers withdraw. Izzy closed his eyes tightly. You idiot, he thought to himself, you had plausible deniability until then, this was just a thing happening to you that you could report and feel like you were doing a good thing and never think again about how you liked it. Inviting him to sexually assault you more? What the fuck are you doing.
After a brief eternity of stillness where Izzy didn’t think either of them were even breathing, he heard the cap pop again on what he guessed to be the tube of clinical lubricant and his heart leapt. Holy shit, was he really going to do it?
Without a word from the doctor, standing over him in his white coat, Izzy could see out of his peripheral vision as he kept his eyes glued to the ceiling, he felt a different pressure at his entrance, blunt, but just as slick as the fingers had been. Oh god, he thought, this is really happening, I really just invited my own assault. As he was thinking it, the blunt pressure at his entrance relented as the doctor’s cock slipped smoothly right into Izzy’s lubed, soaking cunt. The doctor was bigger than Izzy’s normal dildo, he could tell that much, and it felt amazing as he sunk easily to the hilt and their hips were flush. Izzy kept his eyes glued to the ceiling, as if looking down the would make doctor vanish in a puff of smoke. He felt more than heard the doctor take a deep breath, shuddering. So he was affected too, that was good to know. The doctor put a hand on each of Izzy’s thighs, still held apart by the stirrups, and slowly pulled back. God, the feeling was amazing. The doctor thrust in again and Izzy felt himself almost whimper. This was insane, this was assault, this was a complete stranger in a position of power fucking him in an exam room and FUCK that was hot. In for a penny, Izzy thought, and he moved his hand down to touch his own dick. He heard the doctor shudder when he saw what Izzy was doing and start to move faster, in and out. The medical lube was amazing, though Izzy privately wondered if he would have provided enough slick on his own, with how turned on he was. There was no friction at all, just the sweet slide of a thick cock filling him over and over again. He heard something make an obscene smacking noise as the doctor thrust forward. Fuck, that was the doctor's balls slapping against his ass. Izzy let out a low moan he couldn’t help. The doctor gasped at that and pumped several times very fast before burying himself deep and panting hard. Izzy couldn’t help himself, he was annoyed that the doctor came before he could get even one orgasm in. the doctor, he repeated to himself, the one who had just... well. His mother had always said you can't rape the willing. The doctor slowly pulled out, did something Izzy couldn’t see, and audibly tucked himself back in his pants. He took his seat again on the low stool and Izzy felt his fingers again at his hole. What the fuck, were they still going? Holy shit.
Izzy couldn’t tell exactly what was happening down there, but Jesus Christ, did the doctor really just come in him without a condom? Holy shit. Holy fuck! The doctor’s finger movements were clearly scooping something up from the outside and pushing it back in. Izzy whined when he realized what was happening. His whine caught in his throat when he felt what was unmistakably breath over his cock. He felt a hand close over his where he’d still been holding his cock and gently move it to the side. The doctor pushed his fingers in again, crooking them immediately, while he put his mouth over Izzy’s hard dick. Izzy came almost immediately from the insane sensation of being blown by a doctor in an exam, combined with pressure on his sweet spot. Izzy tried to avoid slamming his legs together on the poor man’s head and narrowly succeeded as his orgasm ripped through his entire body. He was left panting on the table as the man gradually removed his fingers and sat back up on the stool. Izzy was trying and fundamentally failing to regulate his breathing. What the hell happened now?
The doctor stood up and took off his gloves, then got a squirt of hand sanitizer. He rubbed his hands together and seemed to busy himself with something else. Izzy kept his eyes locked on the ceiling as if he were being paid. The doctor said, in a remarkably calm voice, “Everything looks good down there, Mr. Hands. You won’t need to come back until your next annual exam. See you next year!” and then he walked out the door like nothing had happened at all out of the ordinary. Izzy slowly sat up, still completely dazed. His gaze caught on something white on his neatly folded jeans on the chair by the wall. He stood and retrieved it. It was a business card with the hospital’s information. Stede Bonnet, MD, OB/GYN Fellow. Izzy turned it over and saw a few words hastily scrawled in pen—next week. Say PAP smear.
Well. That was one thing they hadn’t done today…