Medical Fetish and Play: Services Not Covered by Any Insurance

Be an Unaccredited Medical Provider or Just Trust One!

At the risk of going all TMI on you, I had an appointment for a “well-woman” exam today. Basically, that’s a pelvic exam with pap smear, breast exam, and STI panel. Many women dread them. Some women eroticize them. As someone who has spent an annoying amount of time dealing with medical health providers in what we work-at-home writer-type-persons call the “Real World,” I have not yet been able to fetishize the experience, its professionals, or its implements. Except for that one embarrassing time when the topic was hemorrhoids, and the doctor was gorgeous. Other than that, I’ve mostly admired the patterns on people’s scrubs and whether they could find one of my disappearing veins with a needle.

My personal disinterest in medical cosplay, or “medfet,” aside, it’s a fascinating way to engage in a wide variety of power play scenarios, push personal boundaries, and, depending on what we do, freak out the vanilla party guests and some not-so-vanilla ones, too.

For instance, anyone who’s spent any time studying porn knows that nurses are hot, hot, hot, especially when their uniforms are made of skintight latex or the like. If the nurse’s boobs are big and her cleavage is prominent, it’s all the better medicine. In straight porn, the sexy doctor is less common since it tends, as we know, to focus on the heterosexual cis male’s voyeuristic preferences. But once you step away from the streaming services and interact with flesh-and-blood humans that you can touch up close and personal, the vistas expand considerably. In fact, the only limit is our imagination and, occasionally, the law.

Let’s start slow and ease into the multitude of medical play options by learning some basics. If you’re going to dabble in medical hijinks you will want to be safe, especially if the hijinks involve body fluids, particularly blood, semen, or fecal material. Medical fetishes and play can get intense, so it’s important to have at least some idea of what we are interested in and want to get out of the scene we are about to watch or participate in. We are talking about eroticizing a multitude of fears and, in many cases, usually introducing a consensually explored unequal power structure. It can be sexual, or it can be sensual. It can be spiritual, or it can be entirely endorphin-driven. Like all forms of fetish and kink, it is infinitely customizable. You do you. I’ll do me. If we play together, we’ll do us.

Depending on what our particular medical-related kink is, the ideal play bag almost always contains non-latex gloves and condoms, lube, a minimal First Aid kit in case someone genuinely gets injured, medical garments including a hospital gown, and any items that are unique to our kink. This can mean catheters, sounding rods, speculum, stethoscopes, blood pressure cuffs, thermometers (oral or rectal), gags, enema solutions, ABDL diapers, anesthesia masks, wet wipes, dental instruments, IV stands, electrical toys, posture collars, leather restraints, nipple suckers, urethral dilators, cock cages, chastity cages, Wartenberg pinwheels, and so much more.

Many personal and professional dungeons have medical tables complete with stirrups, so it’s super easy to recreate an intimate exam. If we plan to engage in anal douches/enemas, or prostate exams, we need to think ahead about cleanup, especially if we do it in a party setting. Make sure there’s a drain available in case we aren’t able or don’t plan to use a conventional toilet. And, of course, we need to clean up after ourselves with an appropriate, medical-grade sanitizer. If we indulge in blood play or use a hypodermic for any reason, it’s vital to dispose of our needles in a “sharps” container to keep ourselves and others safe from accidental punctures.

Whether we pretend to be a medical provider or a patient, it’s important that we talk things through before we undertake any scene, especially if there is any risk involved or either of the partners is inexperienced. If there’s a needle, a knife, a metal probe, anything that enters an orifice, or a phobia that hasn’t been confessed yet, now is the time to discuss or reveal them. Of course, the option of a safeword during a scene is always there, but it’s also always a bummer to need to use one, especially if it's for something that could have been prevented with some education, self-knowledge, and clear communication. It’s okay to go slow. It's okay to not know things. It’s not okay to risk someone else’s mental or physical health by proving it.

Classic nurse and patient scenes are common, in my experience. But some scenes are uniquely creative. I knew someone who was dating a dental hygienist. At every party, he got his teeth cleaned. I’ve seen “adult babies” who needed diaper changes and full-grown men with their testicles swollen to three times their normal size after being injected with saline. Most shiver-inducing to this admitted coward are the labia I’ve seen surgically stapled together.

Fortunately for those of us with a tamer version of a medical fetish or enjoyment of its kink potential, we don’t have to let a depraved nurse shove a stainless-steel rod up our urethra or have a horny doctor bind us to a gynecological table and ravish us to have a jolly good time. We can’t bill our insurance providers, assuming we have one, but our sessions can last as long as we can. No more 15-minute rush sessions with an HMO provider who can’t remember our names. Instead, we can schedule time with our PCP and stay as long as it takes for us to be the ones who forget our names.