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Ext. genitilia slightly inflamed. Pelvic exam shows 2cm superficial laceration running laterally parallel to the vaginal canal. Significant trauma to hymenal folds shows recent tearing, probably secondary to sexual penetration. The hymen appears lacerated at the 10, 3, 5, and 7 o'clock positions. The tear at the 10 o'clock position extends into the vaginal wall past the mucosa and appears to be the primary contributor for bleeding. Some signs of early granulation present, bleeding appears to be moderate oozing without any arterial or serious venous component.A: Primary dx: Ruptured hymen secondary to intercourse.Secondary dx: Soft tissue inflammation extending to vaginal introitus.P: Reassurance.Warnings for S&S of infection.Recommend sexual abstention x1 week.RTC PRN.And now, here is the rest of the story...I introduced myself to the young girl as Dr. Sterling. She told me her name was Emily. Emily was a plain girl, not ugly, but not especially beautiful. Just one of millions of. I offered them beers (as they had been stopping by after basketball and I always had cold beers for the underage drinkers) and was scared to make a move to get to the cock I craved as I knew what a stigma being “gay” was to most high school boys. The three drank their beers and chatted normally and left when they were through with the beer. About fifteen minutes later, Jason returned and told me to suck his cock. As I sunk to my knees at his feet I caught his shorts and pulled them down his muscled legs and took his cock into my mouth.“Why didn’t you suck my friend’s cocks faggot?” he said as he sat satisfied on my couch.“I didn’t know if you wanted them to know you were getting sucked off by a femboi.” I apologized thinking they were only here for the beers.“Fuck yeah they know and they wanted some of it.” he sneered. “When I bring guys here they want their cocks serviced, understand faggot?”“Yes sir, I understand.” I replied automatically. From that point on, each boy arrived alone.
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