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Karen began to breathe a fraction heavier, not in anxiety now, but in totally illicit pleasure. Those amazingly expert, experienced doctor's fingers moved so lightly, so erotically around her rosebud. It seemed to go on and on, her vaginal excitement increasing by the second. She wanted to reach for her vibrator and plunge it hard into her juice dripping pussy. Or grab Larry and assault him. Or grab the doctor and pull him down onto her – anything. Such was the elation, the passion rising in her body.

Suddenly, Karen felt something touch her clitoris. It must have been, surely must have been, an accident. Her lower body jumped as a sharp surge of pleasure went through her, a mini-orgasm. Letting out a breathy gasp, her head came up from the pillow, to look straight into Doctor Lorenzo's smiling blue eyes, his brows slightly furrowed.

"Oh, excuse me" said the doctor, and stopped spreading the lube for a moment. "Sorry if that hurt."

Doctor Lorenzo knew exactly what he had done. He knew precisely what this pretty new patient with a sopping pussy and a stunning ass needed, and he knew what he needed too. 

"N...no" gasped Karen. "It's alright...it just took me by surprise. It didn't hurt...I just wasn't expecting it."

"I didn't hurt you? Oh good...I'm really glad about that...perhaps it was pleasant even?" 

"Uhuh...yes, pleasant...I wasn't expecting it, that's all," breathed Karen. 

Her head went back onto the pillow again, and she relaxed into the feel of the cool slippery lube and Doctor Lorenzo's experienced fingers slipping and smoothing over and around her now ultra-sensitive anal zone, until at last, at long last, what Karen had been waiting for: his rigid finger pressed against her tiny back passage once again, paused for a moment and slipped, this time more easily into her secret hole. Bliss, thought Karen, loving the return of this once feared invasion of her anus. 

Immediately, her anal muscles relaxed without her having to think about it, and she waited for those delicate, rhythmic finger-thrusts into her welcoming hole. Her excitement began to mount again, almost back to its former level; her secretions began to flow and she just knew that the paper towel would soon be flooded with her intimate juices. She was beyond caring. She wanted it to go on and on.

Doctor Lorenzo, meanwhile, was having fun too, enjoying the feel of his rigid tumescence inside his pants, the silk slip caressing his balls, enjoying the liberties of intimacy he was taking with this fabulous female ass and pussy, totally opened up to his gaze and his penetrating finger. He too was leaking intimate juices from the end of his aching cock. Something would have to be done about that. And soon.

Then Karen was aware that the finger stopped moving, then slipped out with the same sloppy plop sound as before. She looked up again, to see Doctor Lorenzo reaching for the end of the enema tube. Pulling it again towards and between her knees, then down in towards her crotch. He held it there for a moment, as he explained the next steps.

"Your sweet little...pretty little ass...is now very nicely lubricated once more, Mrs Shepard...I shall introduce the little nozzle on the end of the tube very gently, so as to cause you the minimum of discomfort, then insert it further before allowing the liquid in this bag to flow down into your anus. You will have noted that the nozzle is somewhat smaller than my finger, so it shouldn't be any worse a sensation than before. Are you ready?"

Karen nodded; oh yes, she was more than ready for the unknown experience of her first enema, and allowed her head to relax back once more onto the soft pillow. She wanted to feel this, appreciate every aspect of this sensation, not necessarily to look, but to feel, and much more importantly enjoy.

Was that a finger again touching her little brown hole? One of her bum cheeks was pressed to one side by latex covered, firm but gentle fingers. A second's hesitation, and she felt a tiny nudge of the nozzle end beginning to penetrate her ass. It was smaller than the doctor's finger, somehow sharper, not so agreeable. But once the nozzle was in, it felt better. But now that oh so soft sensation of caressing fingers was missing. Karen couldn't help feeling just a bit disappointed, somehow deprived of something special, though the level of her excitement didn't diminish one iota.

Doctor Lorenzo: "Now, I shall open this little valve and allow the liquid to flow into your anus. You should have a warm, not unpleasant sensation of liquid filling your bowels for a while. In due course, if you should feel cramps at any moment, you must tell me straight away. Otherwise, we'll just let the bag empty itself into you; it should only take a few minutes. Once that's done, you will soon have a strong urge to go to the toilet, but try to hold back as long as possible. When it gets impossible to hold back, tell me and I'll help you to the cabinet."

Karen listened to all of this and nodded to confirm that she had understood the procedure, relaxed and waited, head back, totally compliant, totally and erotically comfortable in her mind and body.

Very soon, there was a delicious awareness of warm flowing liquid inside her ass, gurgling and and swirling up to Karen's innards, just as Doctor Lorenzo had predicted. It was wonderful, thought Karen, almost refusing to believe how such a procedure, intended to cure an embarrassing health problem, could be so sensual and sexually stimulating at the same time. Her pussy tingled even more. She had the impression her cunt lips were wide open and swollen and leaking her juices everywhere; and the knowledge that the doctor had a full view of her stimulated genitals excited her even more. She knew that if she had been alone and able to just rub her clit a little with her plastic toy, she would have exploded into orgasm in very short time. At that instant, Karen Shepard was more than halfway to paradise.

Doctor Lorenzo was excited also. He too wanted to rub himself to climax inside his pants. Or better, fish out his swollen, rigid cock and thrust it into the delightfully open and dripping wet cunt of his newest and prettiest patient, Karen Shepard. He kept himself under control, it was his job. A job he loved.

And Karen didn't forget that Doctor Lorenzo was there; he became the object of her desires now. This excitement in her cunt reminded her how much better everything would be if she could have her love box filled right now with Larry's hard, stiff and throbbing cock. But the only cock anywhere near was that of the doctor, and she wanted very badly to see it, touch it, have it rammed inside her vagina, poke up to fill her other orifice whilst this warm feeling swirled around inside her anus and bowels. She focused on this, as her sexual agitation mounted.

Then suddenly the cramps came. She cried out in painful discomfort, and the doctor knew straight away what was wrong.

"Hold on, Mrs Shepard, it's cramps....relax as much as you can, don't move."

With that, he lifted her skirt higher over her waist, began to rub her belly very gently with his lubricated latex gloved hands, round and round, up and down, pressing lightly now and again. Karen thought how nice that was, and despite the pain, thought how much better it ought to be without the gloves. It was as though the doctor had read her mind. She heard the snap of latex, knowing that he had ripped the gloves off, then felt his warm hands back on her belly, moist with lube. He rubbed gently in circles, he smoothed her belly flesh, he caressed. Karen forgot about the cramps pain, relaxed into the marvellous feel of the strong hands of her new, dark, handsome, sensual doctor.

The cramps went away slowly, leaving only the gentle and agreeable swirling of warm liquid inside her bowels. Doctor Lorenzo carried on his ministrations to Karen's belly, enjoying his power. Karen carried on enjoying the caresses, the warm liquid from the enema still running down the tube into her body.

Doctor Lorenzo was enjoying too his caresses on Karen's belly, as he looked closely at her neatly trimmed sex and labia, reddened, open and leaking profusely her pre-orgasmic juices onto the paper towell. He imagined how it would be rip off the rest of Karen's clothing, place his body close up between her raised open thighs, ram his hardness inside her and pump his urgent seminal fluid violently into her vagina. He couldn't do that, but he knew what he was going to do next.

Perceptibly, Karen's excitement began to build even more, as Doctor Lorenzo's caresses moved just a little lower, towards her close cropped pubic area. Each time one of his hands went up and round, it descended a little lower, until she was aching for his hand to continue its journey to her swollen, dripping pussy lips. She now wanted those fingers on her clitoris, to rub her to her first climax in several weeks, such was the intensity of her build-up. She was ready to come, and come hard. She just needed someone to touch the trigger and she would go off like a bomb, she just knew it.

Doctor Lorenzo knew this too; he was an experienced practitioner, but a man first. He knew all the signs of a woman close to orgasm: the heavy breathing, the rise and fall of her heaving breasts under her blouse, which he hadn't yet seen or touched. The movements of Karen's belly, lower body and thighs. No words were necessary. The palm of one hand slid down onto her upper thigh, then thumb first into the shadow of Karen's thighs and pressed against the opening of her pussy, rubbed lightly at first on her cunt lips, then up and onto her clitoris. His other hand carried on soothing her belly. He moved around the couch to her side. Pressing his lower body forward towards the couch, his cloth covered hardness came into delicious contact with the bare softness of Karen's outer raised thigh. Twisting his hand so that his palm was covering her now swollen clit, he crooked his finger and in an instant it had breached her hot cunt lips and was inside her. 

Karen exploded. Nothing else was needed. She felt the pressure of something hard against her thigh, but this lovely, lovely doctor's finger inside her hot moistness and his palm pressing on her clit were all that were necessary to bring her over the edge, to shuddering pleasure. She convulsed, shook violently as she came, gasped, cried out something, she didn't know what. Eyes closed, her head thumped, her hips raised themselves off the couch and quaked; as her hips dropped, she felt the sharp nudge of the enema nozzle inside her ass. She pressed down hard, as though to force the nozzle even deeper, amplifying the surge of pleasure. Her back arched, pushing out her heaving breasts against her crisp white blouse and she kept on coming and coming. She lost count of the orgasmic contractions in her cunt.

Doctor Lorenzo was ecstatic; now blatantly humping his hard, itching cock against Karen's thigh, he was ravaging her sopping cunt with his finger and stroking her belly, his eyed glued to this delicious point where his digit was penetrating her body, feeling the soft flesh inside her vagina, the point where his palm pressed down on her enlarged clit. As Karen's chest heaved, his eyes scanned the stunning fullness of her erect nipples outlined through her blouse. He longed to rip open that blouse and suck them hard into his mouth, bite into her flesh. 

The quaking went on and on throughout Karen's body, and Doctor Lorenzo's finger moved more forcefully inside her, squishing, bending back and forth to eke the last shudder out of her orgasm. 

Karen had come faster, harder and more completely than she could remember it ever happening before.

Doctor Lorenzo wanted to come with Karen. He was on the edge too, feeling the friction of the compliant softness of her thigh against his turgid cock, longing to share this precious moment of outrageous pleasure that he knew Karen was enjoying right then. He wanted the same release, to feel his seed spitting out into the world, or deep into Karen's body, from his sperm-full balls and his rigid tool, but he knew he would have to wait a while.

As the intensity of her orgasm began to recede and her loud gasping slowed down, Karen perceived a different kind of feeling. A sudden but certain build up of liquid pressure in her stomach and anus made her panic again. She clenched her ass muscles. She needed a toilet, and fast! 

She opened her eyes wide, looked up to the stand with the dangling bag. The nozzle of the enema was still in her ass, but the bag was empty of its soapy liquid. She thought she was going explode, in a different sense of the word; her mind and her ass and the rest of her breathless, shaking body were in level ten panic state.

Doctor Lorenzo saw at once her of fear, recognised her immediate need. Despite being himself very close to drenching his silk slip with a much needed ejaculation against Karen's thigh, he snapped into urgent medical practitioner action. His own pleasure had to wait a while. He slipped his finger out of Karen's vagina, gave a last caress of fingers to her pussy lips. He eased the pressure of his penis against Karen's leg, reached around to slip the nozzle of the enema out of her anus. Karen felt moist blips, tiny hints of regret as first Doctor Lorenzo's finger abandoned her, then as the nozzle slipped out of her rosebud. But there was something much more important going on right now. She was ready to evacuate, and how!

Doctor Lorenzo took Karen by her upper arms, firmly but gently pulling her into a sitting position. Their eyes met for the first time in several minutes, sparkling, but there was professional concern in those of Doctor Lorenzo. No words were spoken. Karen looked down, smoothing her skirt down over her thighs, belatedly and uselessly covering her modesty. She was still panting from the orgasm she had just enjoyed, and her face was flushed and slightly contorted with the effort of self control; she was terrified of having a very unpleasant, messy accident right there in the consulting room. So totally preoccupied had she been with the amazing pleasure generated by the enema and Doctor Lorenzo's soothing, caressing hands that she had been taken quite by surprise at the sudden peak of pressure in her innards. 

The doctor led her, clenching her ass muscles, quickly towards the toilet cabinet. He pushed the door inwards and stepped aside to enable Karen to rush in and throw her bum cheeks onto the cold toilet seat, gathering her skirt around her waist - just as the pressure became too much to hold back. He switched on the light and closed the door without a word.

Karen, now a little breathless again as a result of the sprint from couch to toilet cabinet, relaxed her anal muscles completely, and let it all go. 

The relief was almost beyond her immediate comprehension. After all those weeks of tension and failure to assuage the painful need to empty her bowels, it simply poured out of her. Head back, she sighed and sighed and just let it gush into the w.c. pot, for what seemed like several minutes. Then as the pressure reduced and the spewing slowed down, she twisted around and pressed on the button of the w.c. cistern. As the water gushed into the pot with almost as much volume as her insides had just spewed forth, she clenched and unclenched her anal muscles, as though to try and force more to exit, to ensure that her innards were fully evacuated again, at long last. As she did that, a tiny orgasm twitched inside her vagina, causing her to jump, surprised inwardly at the sudden, delightful return of the momentarily forgotten pleasure in her pussy.

She sighed again, and as her breathing began to slow back to normal, paused to realise the enormity of what had just happened in the privacy of Doctor Lorenzo's consulting room.

Was it all a dream? Had she really gone there today, against her will but expecting a simple prescription remedy? And had she really ended up, not only undergoing an anal examination for the very first time - and by a stranger - but also submitting herself deliriously to a full enema conducted by her new, sensual doctor? And had all this eventually led her to a pitch of sexual excitement quite unknown in her previous life, brought on by the enema and the manual attentions of this same doctor? 

Her head was spinning. As she took a wad of toilet paper and began to clean herself up, she began to think about what she should say when she left the cabinet, when she had to face this adorable doctor again. She flushed the cistern one last time, finally stood up and in doing so, realised she had left her panty on the chair by the couch. Quick beat of the heart again, she pulled down and smoothed her skirt. 

Head clearing, concerned about her cleanliness, she went to the small wash bowl in the cabinet, and as best she could, washed her hands with soap and water, her ass and thighs the same. When this was done, she scrubbed her hands once more and started on her vaginal area, lingering a while over her pussy lips, enjoying the gentle stimulus as she rubbed soap and then water over her genital lips. 

Doctor Lorenzo's handsome face and expert hands, that absolutely certain bulge in his pants, its friction against her thigh and the memory of his lovely caresses were uppermost in Karen's mind as she rubbed her pussy lips lightly at first, then more firmly, thinking even now of a second orgasm. 

Meanwhile, during these few minutes of long overdue bowel relief for Karen, Doctor Lorenzo was masturbating furiously next door, working himself up to his very own, selfish, long overdue relief. 

The respectable Doctor Lorenzo was sitting behind his wide oak desk, his chair pushed back slightly, and looking across the room at the closed toilet cabinet door behind which Karen was emptying her guts. The photo of his wife and adolescent kids was flat on the desk. His zipper was open and he had fished his incredibly hard, blue veined, long but thin cock with its bulbous head out of his silk slip; he was fist fucking himself furiously, there in his own consulting room, with Karen’s panty wrapped around his cock. He needed to get off very soon, before Karen came out of the toilet; he knew it wouldn't do for a new patient – and a shy one too, despite her submission at his hands – to walk in and catch him with cock in hand in panty. If things turned badly, his career could soon be in jeopardy. He knew, too, he had to be careful not to soil Karen's already wet panty. He pumped hard.

He heard the first flushing of the cistern, knew Karen now had to clean herself up, imagined her ass and thighs as she wiped everywhere with soft toilet paper. He continued to rub, squeezing hard on the swollen end of his knob. The eye of his cock leaked profusely, and he smoothed the gleaming pre-cum over it with his thumb as he rubbed. His head was full of images of Karen's swollen cunt lips, her beautiful ass and thighs. He wondered about her breasts, which he hadn't yet dared uncover, but had seen in outline under her blouse, nipples hard. With his free hand he reached into his desk drawer for a thick wad of kleenex, knowing he would be coming soon into the paper softness, wishing it could be into Karen's panty, or even better into her female softness instead.

Hearing the water running into the wash bowl behind the cabinet door, Doctor Lorenzo called out with a professional, concerned tone: "Are you alright, Mrs Shepard?" and continued pumping his erection.

For Karen, the sound of the running water almost covered his question. The doctor's voice trembled a little, from the sexual excitement he was feeling as he got closer to climax, but Karen didn't notice. If only he knew, thought Karen, then called out to affirm that she was fine. 

Doctor Lorenzo now had Karen's panty against his nostrils; he was getting near. 

At that instant, an enormous gush of seminal fluid ejected from Doctor Lorenzo's penis, into his fistful of kleenex. His legs jerked, and his ass left his leather seat, his eyes closed tight onto images of ass and vagina and crispy white blouse covered breasts. His head went back, mouth open, as the pleasure of his climax ripped through his balls and his cock. The throbbing was as intense as it had ever been in this situation. His reputation may have been at risk, but that didn't stop Doctor Lorenzo from taking risks, carefully calculated, of course, when he found himself excited to such a degree by a female patient. Especially when she was pretty, and when she needed an enema, which was his speciality, which he loved. 

The doctor celebrated his ejaculation soundlessly, before his breathing began to calm down. The kleenex were soaking wet, and some of the seminal fluid began to seep through into his hand, as he squeezed the knob end hard, to drain out the last few tears of come from his penis, and the last few jerks of pleasure. Breathing hard and flushed, he quickly rolled the kleenex into a ball and threw it into his waste paper bin; he would get rid of that later, ensure that his assistant wouldn't see the disgusting evidence of his evening sexual habits when she cleaned up his room tomorrow.

His shrinking pecker rearranged inside his slip, his zipper pulled up in seconds, and the panty returned to the chair by the examination couch, Doctor Lorenzo, the highly respectable, reputable but over-sexed medical practitioner went quickly over to his own personal washbasin to make sure that he would have scrubbed his hands clean of all traces of cunt, cock, ass and lube, before Karen, also scrubbed clean, could re-enter his consulting room.

Inside the cabinet, Karen hurriedly rinsed and dried her hands again, checked her overall appearance in the mirror above the wash basin, straightened her clothing as best she could. Aware that she was still flushed and over-excited, feeling naked under her skirt, her heart had started beating fast again. She grasped the door handle and pulled, thus returning to the brightness of Doctor Lorenzo's consulting room, where Doctor Lorenzo was seated behind his oak desk. She was greeted by the same winning smile. Doctor Lorenzo was calm again and had reverted to character. "I sincerely hope you are feeling a lot better now, Mrs Shepard."

Not struggling to find her words at all now, Karen replied: "Oh yes Doctor Lorenzo, much much better. I can't tell you how much."

Doctor Lorenzo understood. "I can guess...I said it would be alright, didn't I? Not at all painful...even pleasurable...do you agree, finally?"

"Absolutely," replied Karen, a little breathlessly. "I have to admit, I was very nervous about coming to see you...or any doctor, about this...but finally, well, it was just fine...pleasurable....dare I say: exciting." 

Then: "I do hope that none of it has caused you any discomfort...gives you cause for complaint...distress...doubts about the whole thing..." His dark eye brows were slightly furrowed. Doctor Lorenzo still had to be careful about his professional position and his career.

"Not at all," replied Karen. "It was...really...very nice...and a great relief."

Approaching the doctor's desk, she bent down to recover her handbag on the floor by the leather chair where this adventure had all started. She thought again about her panty, still on the chair beside the couch, but decided not to make a show of getting it back; she wanted to leave as quickly as possible, and with whatever was left of her dignity. Ideas were taking shape in her mind.

Doctor Lorenzo stood up, and they both looked at each other with smiling eyes. But neither of them was to broach the subject of the doctor's caresses on Karen's belly, his manipulation of her clitoris, the invasion of his expert rigid finger into her wet vagina and the obviously pure pleasure she had enjoyed throughout her first enema experience, as she surrendered herself to it all, and finished with probably the most intense climax she had ever felt in her life. 

And Karen had no idea of what the doctor had been doing all the time she had been preoccupied with her bowel evacuation and her intimate cleansing. She did however, glance down at Doctor Lorenzo's crotch as he stood up; was that a moist patch she saw on the front of his pants?

Doctor Lorenzo: "I'll tell you something else, Mrs Shepard...Karen: enemas are not simply a means of relieving physical problems...bowel inactivity, blockages such as yours. They are often used as a means of enhancing sexual gratification. Between couples in the intimacy of their own homes and so on...if you'd like to know more, you can find plenty of information on the internet...or you are welcome to come and see me again...anytime."

Karen's furrowed brows must have indicated the surprise and doubt she was feeling about what the doctor was saying.

"Really...look at a few websites...you'll see what I mean," he said finally, smiling as ever, with his bedside manner smile. Then, handing her a card which Karen noticed had a mobile telephone number as well as that of his consultancy: "Either way, call me for an appointment, should you have any cause for concern in the future – this problem or any other. If my consultancy happens to be closed, feel free to use my mobile number. It won't be a problem for me to call and see you at home."

A thought flashed through Karen's head as she gazed into those blue eyes: "I'd really like to see that bedside manner smile alongside my own bed one of these days. Or better still – in it." But of course it was just fantasy.

Doctor Lorenzo moved around from behind his desk, broke what seemed to have been a long silence: "My secretary will deal with the paperwork tomorrow. In the meantime, Karen, relax and enjoy your new found freedom. You should be able to get back to normal...bowel activity from now on."

As Doctor Lorenzo walked her out of his consulting room, to the exit, Karen had many other thoughts spinning around in her head - not least of which that she still wore no panty. But first things first. The panty could wait; she had plenty of others at home. She accepted the doctor's cool, squeaky clean hand firmly into hers, felt his squeeze, bringing back memories of erotic slippery caresses on her belly again. They smiled knowingly at each other and parted at the top of the stairs leading down to the street.

Doctor Lorenzo watched Karen's attractive, shapely figure descend, thinking to himself: "She left her panty. She'll be back. What a fabulous ass. I must call Sandie and thank her for the recommendation," before turning quickly back to his consulting room to do a little important housekeeping at the end of the working day.

Karen skipped down the stairs to the street, ran as fast as she could to her car, feeling the cool evening air wafting onto her nakedness under her skirt and calming the burning in her face. She just knew she was moist again down there. Fumbling for the key in her handbag and unlocking the car door, she plopped into the driver's seat, felt the soft cloth against her bare ass. She grabbed her own mobile phone from her handbag and began to dial Larry's number, fingers trembling. 

"First things first," she spoke aloud, with a warm glow of intense and relieved anticipation as she waited for Larry to reply.

THE END

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