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Now then, just jump up on the bed please. Put your bottom in the air and tell me all about your sexual history? How many boys have you had?.....5? Are you sure you haven't had more? Your vagina looks relatively loose. Do you mind if my medical students each take a look also....? Of course you don't mind. Now class, if you insert two fingers inside the patients anus, you can feel that the sphincter muscles are somewhat relaxed, indicating that the patient has had a number of large penises inside her anal passage.