My First Gynecological Exam as a Trans Man

Ernesto had been practicing gynecology longer than he had been alive when he started. He was an older man, with reading glasses always perched halfway down his nose, skin weathered by time, and a thick shock of white hair combed back. In the consulting room he was impeccable, all professionalism and steady hands, but he was no statue either. There were days when spending the whole day examining bodies left him with a warm heaviness between his legs that coffee couldn’t shake off.

His wife had left him years ago, and since then he took care of his needs by paying, with both men and women. Sometimes he thought, with a certain irony, that the only thing saving him from losing his composure at work was that most of the people who passed through his exam table were cranky women who came in with one complaint on their lips and left with another.

That afternoon he was especially restless. He had seen a couple of young women, very self-possessed, who spoke to him as equals and whom he treated with complete respect. But he couldn’t help it: something about the heat of those appointments had stuck to his body, throbbing under his trousers for the rest of the day.

He had only one name left on the list. He had to read it twice to convince himself it wasn’t an administrative mistake: Mateo Ríos. Gynecology. He pressed the call button, intrigued, and a few seconds later he saw a young man come in through the door, short and slim, with sparse beard growth that barely shaded his jaw and a flustered face that was almost endearing.

—Good afternoon, Mateo. Sit down and tell me —said Ernesto, who already had an idea where this was going.

—Hi, hello. Well… look. I’m a trans man, I’ve been on testosterone for just over a year, and I’ve been referred so I can have a checkup, to see if everything’s okay down there… there.

Mateo spoke quickly, in a rush, without looking up from the floor, his ears burning. Ernesto found him charming right away. He knew perfectly well what a trans man was; being old didn’t mean being closed-minded, and more than one night he had ended up masturbating to videos of bodies that didn’t fit the usual boxes. The boy was handsome, and although at first glance you might not have noticed, there was something sweet in his face beneath the beard: big eyes, a voice a touch high, full lips. And yet everything about him said “man.” Ernesto discreetly adjusted his crotch in the chair, because things had stirred again.

—Very good. We need to check that the hormones aren’t giving you trouble. I can see you’re a responsible young man, I like that —he said with a smile, and saw Mateo relax his shoulders a little—. Undress from the waist down and lie on the exam table, and I’ll take a look in a moment.

The boy nodded and disappeared behind the curtain. When Ernesto came around the fabric a minute later, he found him lying on his back, staring at the ceiling, legs apart and fists clenched at his sides. The doctor had to bite his lip before clearing his throat and sitting on the examination stool.

***

He settled himself between Mateo’s knees, with his sex parted a couple of handspans from his face. Be professional. Look, palpate, get it over with. But blood was pounding so hard down below he could almost hear it, and the only thing in his head was the image of that nervous bearded face coming apart in pleasure.

—I’m going to ask you a few questions meanwhile. It’s routine; it’s not enough to see the condition of the area, I also need to know your habits —he said.

—Oh, yeah?

—Of course, man. First question: do you have penetrative sex, and how often?

—I… no. Never —Mateo answered in a thread of a voice, red to the roots of his hair again.

—Well, well. I wouldn’t have guessed. So all of this is unused?

Mateo jerked and looked at him, thrown off balance.

—What?

—Don’t take it the wrong way, kid, it’s a joke to break the ice. All right, I’m going to do the preliminary exam. I’m going to insert one finger. Since you don’t use it, I’ll go slow and carefully, all right?

The boy, speechless with embarrassment, nodded. Ernesto leaned forward until his face was a handspan from that sex. The clitoris, enlarged by a year of testosterone, showed itself pink and rounded, almost like a miniature penis. From that close he could smell it, and he felt the first warm stain spread in his underwear.

He put a little lubricant directly on his finger, without a glove, trusting the boy wouldn’t notice, and warmed it with his other hand before placing it at the entrance. He felt it contract at the first touch.

—I’m going in, but you need to relax. You’re not letting me in. If you tense up, I can’t examine you properly.

—Sorry —Mateo whispered, eyes squeezed shut.

—No, no, don’t apologize, it’s fine. It’s normal for it to feel strange at first. And you’re not used to having anything put in there, right? You told me it was all still virgin. Relax. Take a deep breath, and I’ll keep going.

The boy inhaled, and Ernesto pushed a little farther, until the finger sank in almost halfway. It was one of the tightest he had palpated in years, the walls gripping his finger bone with a force that made him suddenly think about what it would be like to come inside there. He had read that testosterone tightened the tissues, but he hadn’t imagined it this much.

—I’m in now, Mateo. Don’t get nervous. Now a little palpation.

Without waiting for an answer, he began to slide the finger in and out, twisting it with difficulty because everything was so tight. The boy kept his eyelids shut, motionless, but Ernesto saw the clitoris swell a little more, standing up. Could it be he’s… too?

At that moment the doctor thought that if he didn’t give in, his balls were going to ache until he got home.

***

—You’re far too tense. I’m going to do something so you loosen up —he said, and before Mateo could process it, he closed his lips around his clitoris and began to suck.

—What are you doing? Let me… ah, fuck!

Mateo half-sat up, but a wave of pleasure forced him back down onto the table. Ernesto’s mouth pressed around that little button while his tongue swept over it without respite, flat and then with the tip, drawing gasps from the boy that he tried to swallow. The finger that had barely gone in before now slid easily in the growing wetness.

—Get ready, now another finger.

—No, that’s too much, stop…

—Trust me, I know what I’m doing. I’m a gynecologist, aren’t I? You need to be opened up a little. Look —he said, pulling out his index finger to go back in together with the middle finger. Mateo looked him in the eyes for the first time, lips parted, holding back a moan as the doctor’s fist reached its limit—. See, you idiot? They go in perfectly.

—This isn’t… this isn’t an exam. I don’t…

—You don’t what? Aren’t you enjoying it, then? Come on, let go.

Ernesto gave him no chance to answer. He devoured him again, licking his clitoris until it was red and hypersensitive, while his saliva mixed with everything the boy couldn’t stop releasing. When Mateo came, he bit his own knuckle so he wouldn’t shout; the table trembled with his spasms and a couple of drops splashed all the way to the doctor’s glasses.

They stayed still for a few seconds, panting. When the boy began to sit up, Ernesto stood between his still-open legs and put a hand on his chest, stopping him.

—Where do you think you’re going, young man? Don’t you think about other people? Look how you’ve left me —he said, grabbing the bulge over his trousers, hard as a wooden handle.

—And what do you want me to do about that? It won’t fit.

—How won’t it? What kind of doctor would I be if I let you go with the area unusable? You came here to be examined, and my diagnosis is that there’s a lack of use here. It’s all closed up, atrophied; you need to be opened properly, to be fucked until you forget your shame. And I know you like it, even if you don’t want to admit it. I’m going to prove it to you.

He pulled down the zipper with one hand and took out his cock, veiny and heavy, the glans shining with fluid.

—Please be careful —Mateo asked, feeling that tip press at the entrance.

—Always, handsome. I’m a gentleman —Ernesto replied.

***

He took him by the nape and kissed him with a mix of tenderness and firmness, tracing his lips with his tongue and stroking his thighs while, very slowly, he sank into him. The boy whimpered softly, a sound halfway between pain and pleasure, clutching the doctor’s back as if he might fall. When Ernesto reached the hilt, he let out the air slowly.

—See? I told you it would fit all the way. You’re very tight, but you’re also soaked. I got you ready well, didn’t I?

—Yes… very well —Mateo answered, legs trembling.

—That’s experience, kid. I’m older than the devil. I’ve been through quite a few, but yours is by far the sweetest.

With a low laugh, he started to move, pumping into that tightness that squeezed him as if it wanted to keep him there. At first he was slow, measuring each thrust so he wouldn’t hurt him, but the boy’s moans soon took away his patience. He went in and out almost completely, with deep strokes, never taking his eyes off that face biting its lips with every thrust.

—Do you like the way I fuck you? Tell me. Tell me you like it.

—Y-yes. I like it.

—Tell me you like being mine.

—I like… I like being yours.

Ernesto laughed, more aroused than he remembered being in years, watching that bearded boy come apart under his body. Mateo’s voice went higher the harder he drove into him.

—That’s how I like it. Enjoy being filled like God intended. I hope you don’t mind, because the way you’ve got me going, there’s going to be a lot of it.

—No! Don’t cum inside…

—Why not? What strange ideas you have.

—I could… I could get…

—Pregnant? With the amount of hormones you’re on? Come on, don’t be silly.

—Wait… —Mateo began, but Ernesto silenced him by bringing his fingers back to his clitoris, rubbing it until he drew out a moan he couldn’t control.

The spasms of the boy’s second orgasm clenched his cock with a new force, waves that trapped him and pulled him deeper in. With one last thrust, the doctor sank all the way to the hilt and, with a muffled groan, emptied himself in long, hot spurts.

***

They stayed like that for almost a minute, still joined, while Ernesto caught his breath. When he pulled out, he cleaned himself with some tissues and handed others to Mateo, who wiped away what was sliding down his thigh. The doctor’s glasses were still spattered; he cleaned them slowly while watching the boy dress in silence.

—Listen, I was thinking —Ernesto said, fastening his trousers—. I had a very good time, and you clearly did too, but in the end I didn’t do the test you came in for. Why don’t you come back tomorrow at the same time? I’ll do it and… we’ll see what happens.

Mateo blushed and walked toward the door. Ernesto had already assumed he was leaving without saying anything when, with his hand on the knob, the boy turned back for a moment.

—Tomorrow at the same time? —he asked.