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2) can anyone see the downside?
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The downside is if the doctor is ethical your approach probably won't matter.
But that doesn't mean you shouldn't do it if it really turns you on.
And actually, have a fetish for being humiliated is not uncommon. I've met many men that did and have written stories about some that I've dominated, even though I'm just a tiny little thing. I'll tell them their weiner is small too at the drop of a hat. I told one guy his cock was so small I couldn't see how he'd even father children. He loved it and jacked to orgasm while I was insulting him.
