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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 other nondescript young girls that live in this country. If you met her, you would probably think, "She's a nice girl." And that would be the end of it. But Emily had a secret. And in the 1970s, as well as today, Emily's secret would by many be considered sick and demented."Well young lady," I said,. Letting her legs down from his shoulders he took her by the waist and without pulling out her rolled over and pulled her on top of him. With his hands on her waist he moved her back and forth on his lap."Rub your titties for me!"She reached up to her breasts and started to rub them, with how worked up her body was it felt amazing. She felt herself pinching her nipples as he roughly moved her body."Now bounce up and down like a good little toy."Shifting her legs to get a better perch she pushed herself up and then let herself fall down on him. Bouncing up and down on him and playing with her nipples she was again lost in the sensation of the moment. Looking up at her bouncing away as told, playing with her nipples, he could see her pinching them working her body like he had. He smiled, turned his head and took another hit from the bottle before offering to her. He watched her face closely studying it for the signs. He noticed she had started shifting her hips to better pleasure.
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