I’m a sex worker, and men frequently ask me for this ‘erotic’ roleplay

I enjoy this particular roleplay scenario (Picture: Getty Images) My favourite sound may be the snap of a latex glove against flesh. I genuinely look forward to medical examinations. I’m the only woman I know who delights in her smear test, so much that when there are student nurses at my doctor’s surgery I’m often asked to take the role of a cervixed guinea pig. ‘Lube?’ ‘Oh, no need…’ So I was delighted when Sean, a long-standing, handsome client in his 40s, asked if his next punishment session could involve a medical exam. Together we planned the realisation of his fantasy with the precision of a military operation. I didn’t mind a bit. For a dominatrix, I’m unusually keen on being told what to do. Saves me thinking. I was to play a school matron conducting a hygiene inspection, with an elaborate sequence of examinations and instructions, followed by punishment for a supposed lapse in cleanliness. None of this had anything to do with his actual standards of personal hygiene, which are scrupulous. He was getting off on being inspected, scrutinised and told what to do, while my outrage would be faked. An examination can be very erotic (Picture: Getty Images) I did as I was bid, for £250 an hour, and added a few embellishments of my own. At one point I made him stick out his tongue while I examined his teeth with a gloved finger to check they squeaked with cleanliness, because if you are going to invent a world in which an authoritarian woman is obsessively checking your personal hygiene, you may as well do it thoroughly. Ask Metro Use AI to go deeper into the stories you care about – powered by Metro and trusted publications. Medical fetishism, or medfet, takes an experience that most of us associate with anxiety, embarrassment or simple inconvenience, and turns the emotional meaning of it upside down. The NHS examination room is hardly designed as an erotic environment: there’s usually a plastic chair, a box of tissues, a poster about bowel cancer, a two-hour wait before you’re asked whether you’ve remembered your urine sample. Yet, for some people the examination itself is intensely erotic. It’s a sufficiently common fantasy that a request for a medical scenario doesn’t surprise me a lot. I get about eight a month, and the imagery is familiar enough from porn and online fetish communities to be considerably less obscure than people might imagine. The obvious question is why. Whenever somebody has an unusual fetish, there seems to be an assumption that there must be a story behind it: perhaps a formative childhood experience, an inappropriate encounter, an attractive teacher, a sexy nurse, or some mysterious psychological event which has left its fingerprints on the adult imagination. Sometimes there may indeed be such a story, but often the person with the fetish has no idea where it came from, or simply has no particular interest in finding out. From my experience, the attraction of medical play often seems to lie in the combination of vulnerability and control. A medical professional is permitted to do things to your body that would be unacceptable in almost any other environment: they can instruct you to undress, examine parts of you that are normally private, tell you where to sit and how to position yourself, and scrutinise you closely while you simply comply. For someone who enjoys submission, that temporary surrender of responsibility can be extraordinarily powerful. Most of us spend our days making decisions, solving problems and trying to remain in control; there can be considerable relief in handing that responsibility to somebody else, particularly when the surrender is deliberate and entirely consensual. The examination itself has another quality that makes it potent: attention. Somebody is looking at you closely, concentrating on your body and noticing details that other people would politely ignore. There’s a lot of pleasure in being the centre of attention, even if you’re paying for it (Picture: Getty Images/iStockphoto) In real medicine that attention is generally accompanied by the fear that something might be wrong, whereas in medfet the uncertainty has been removed. The examination isn’t happening because there’s a medical problem; the examination is the fantasy. The NHS examination room can be cold, embarrassing and frightening, whereas the fantasy allows all those sensations to be rearranged into something chosen and controlled. The person surrendering control retains the most important control of all: the decision to participate. This is the magnificent alchemy that underpins my working week. We can take something that once scared us and deliberately approach it again under circumstances of our own choosing. We don’t need to know exactly when or why the transformation happened; it’s enough to recognise that the erotic imagination is capable of taking the raw materials of human experience and transmogrifying them into something entirely different. Deals of the Day I tried L'Oréal Paris's new PDRN serum and my skin looked glossier after one use This new Cricut gadget turns your favourite photos into stickers in minutes From kitchen hatches to burgundy walls – the biggest home trends for 2027 Oodie’s cosy blanket sale has arrived just in time for Christmas shopping Save over £700 on Simba's top-rated mattresses in this limited-time sale And thank goodness it does. I’ve another smear coming up. Do you have a story you’d like to share? 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