HIS PRESCRIBED PLEASURE
A shy, anxious patient finds himself caught in a web of forbidden desire when a seductive nurse and kinky doctor offer him more than just a routine check-up.
© Josiah B Vale
Josiah B Vale
josiahbvale.com
⚠️ Content Warning ⚠️
This story is a work of fiction and fantasy intended exclusively for readers 18+. It contains explicit sexual gay male on male content, exaggerated power dynamics, and taboo scenarios that are not meant to reflect real-world ethics, behavior, or medical practices. Please do not take anything depicted here as a model for real-life relationships, healthcare, or mental health treatment.
In real life, consent, ethics, and patient safety come first. Sex is not a cure for anxiety. I say that as someone who takes medication for anxiety and depression — and believes in getting real help when you need it.
If you’re struggling with mental health, I encourage you to talk to a professional and seek support. You deserve it.
This story exists solely in the realm of kinky, erotic fantasy. It is meant to titillate, not to teach. If that’s not your thing, feel free to skip. If it is your thing — welcome, and enjoy responsibly. 💉🩺🍆
— Josiah B Vale
Prologue
Anxiety wasn’t a sudden storm; it was the steady drizzle that had soaked Jarik’s life. Jarik had always felt like he was carrying a weight no one could see. At 28, with his fiery ginger hair, pale skin dusted with freckles, and a short, stocky build, he’d learned to hide behind quick smiles and nervous laughs. But inside, the anxiety gnawed at him relentlessly: a beast born from years of growing up in a family that spat venom at anything they didn’t understand. Being gay in a house full of homophobic slurs and rigid expectations had left him always second-guessing himself, always waiting for the other shoe to drop. Every fleeting glance at a man, every secret fantasy, came with a wave of shame that drowned him. Nearly every match, every late-night chat, ended the same way: him ghosting at the last second, heart pounding, unable to follow through.
He’d tried to escape it — moved out at 22, got a job as a barista, small apartment in a quieter part of town, and started piecing himself together. But the anxiety clung to him like a shadow. Panic attacks struck at random: at work, in the grocery store line, even in the safety of his own bed.
Finally, he’d had enough. Sitting on his couch one rainy evening, hands trembling, Jarik made the appointment. A doctor. Medication. Something — anything — to dull the constant buzz of fear in his head. He didn’t know if it would fix everything, but it was a start.
Chapter One
Jarik’s stomach churned as he sat in the sterile waiting room of the clinic, the fluorescent lights buzzing overhead. The clinic smelled faintly of antiseptic and cheap air freshener, the kind of sterile neutrality meant to calm patients … but that only made Jarik’s palms sweat more. He sat stiffly on the padded chair by the door, papers half-completed on his lap, bouncing his leg like a jackhammer, fingers fidgeting with the edge of his hoodie, pulling at a loose thread. When the door swung open and a nurse called his name, he nearly jumped out of his skin.
“Jarik Renlow?”
The voice was calm, smooth … and when Jarik looked up, his breath caught.
“I’m Nurse Williamson. Follow me, please.”
Nurse Williamson was tall, slim, and toned. His blonde hair neatly styled, green eyes sharp and piercing. Even through the loose fit of his scrubs … Jarik couldn’t help but notice the outline of a large bulge at his center, a detail that sent a flush creeping up his freckled cheeks. He stood quickly, hoping to hide the way his own jeans suddenly felt tighter, his thick, round ass — a feature he’d always been self-conscious about — straining against the denim as he followed the nurse down the hall.
Williamson glanced back, his gaze lingering just a moment too long on Jarik’s physique. The patient was shorter, stocky in all the right ways, and that ass — damn, it was impossible to ignore — even under the layers of clothing, it was dramatically round and large compared to his small frame. He cleared his throat, pushing the thought aside as they entered the small exam room.
“Take a seat on the table there,” Williamson said, gesturing to the padded exam table covered in crinkly paper. Jarik hoisted himself up, the paper rustling under him, his nerves making his hands clammy.
“All right, Jarik,” Williamson started, pulling up a clipboard and a pen, standing close enough that Jarik could smell the faint hint of clean soap on him. And man.
“Let’s go through the basics. How’ve you been feeling? Any physical issues?”
Jarik swallowed hard, his eyes darting to the nurse’s hands, then back up to those green eyes. “Uh, physically, I’m … fine, I guess. Just … I’m actually here ‘cause I think I need something for anxiety.”
Williamson nodded, scribbling a note, his tone gentle but professional. “Got it. Can you tell me a bit more about what’s been going on? Triggers, symptoms, anything like that?”
Jarik hesitated, his fingers gripping the edge of the table. “It’s … it’s been bad for a while. Panic attacks … mostly. Sometime I’m immobile for days. I can’t really … turn it off. I think it’s ‘cause of … family stuff. Growing up, they weren’t … accepting. Of who I am.” His voice dropped lower, barely a whisper. “I’m gay. They didn’t take it well.”
Williamson paused, his pen stilling. He looked at Jarik with a flicker of something — empathy, maybe, or recognition. “I’m sorry to hear that, man. I get it. More than you might think.” His voice softened, a hint of personal weight behind it. “You wanna talk about it a bit more? Sometimes getting it out helps.”
Jarik shifted, uncomfortable but oddly relieved to hear the understanding in Williamson’s tone. “I … I’ve tried to move past it. But it sticks with me. I’ve never even…” He stopped, face burning, unsure if he should say it.
“Never even what?” Williamson pressed, stepping a little closer, his voice low, encouraging.
“I’ve never been with a guy,” Jarik blurted out, his pale skin turning crimson. “I’ve tried apps, bars, all that. But I get too nervous. Can’t even … y’know, keep it together when I try to meet up.”
Williamson’s breath hitched just slightly, a heat stirring in him at the thought of this shy, eager man craving something he’d never had. He forced himself to stay professional, though his mind was racing with images of giving Jarik exactly what he needed.
“That’s all right, Jarik. It’s more common than you think. Let’s focus on getting you feeling better, yeah?”
Jarik nodded, grateful for the shift, though the tension in the room still felt thick.
Williamson moved on, grabbing the blood pressure cuff. “I’m gonna check a few things. Standard stuff — arm out, please.”
Jarik extended his arm, and as Williamson wrapped the cuff around it … his fingers brushed skin.
It was fleeting, clinical, but Jarik’s pulse jumped, and he prayed the nurse couldn’t feel it.
Williamson’s fingers lingered a moment longer than necessary, adjusting the cuff. His hand slid up Jarik’s arm to his shoulder, his touch firm but careful.
He pumped the bulb, watching the gauge, and Jarik couldn’t help but stare at the way the nurse’s biceps flexed.
“Pressure’s a bit high,” Williamson noted, his voice steady, though there was a subtle huskiness to it. “Probably just nerves. Let’s listen to your chest.” He grabbed the stethoscope from around his neck, stepping closer. “First, you’ll have to remove your shirt.”
Feeling rather pear-shaped compared to the nurse, he didn’t really want to, but he complied. He peeled off his hoodie, then his shirt, revealing his pale, freckled torso.
Williamson’s hands were gentle as they caressed up his spine and gripped the back of his neck, subtly. His other hand moved the stethoscope up to his chest, brushing one of his nipples on the way with cold metal. He held back a gasp as it pressed against his chest.
“Breathe deep for me,” the nurse commanded.
Jarik inhaled shakily, hyper-aware of how close Williamson was, the warmth of his breath just inches away.
“Good job, Jarik,” Nurse Williamson encouraged, and something about it sent a pulse straight to Jarik’s cock. He shifted his hands to his lap to ensure it wasn’t visible.
Every touch, every instruction — felt charged — though neither of them acknowledged it. Williamson moved the stethoscope lower, his hand brushing Jarik’s side as he listened, and Jarik bit his lip to keep from reacting.
“Sounds good,” Williamson finally said, though his green eyes darkened slightly as they met Jarik’s. He gently placed a hand on his thigh — it was too much — his other hand brushed through Jarik’s hair tenderly and landed on the back of his neck again.
Jarik resisted the urge to lean in.
“Listen, since it’s been a while since your last check-up, we’re gonna need to do a … fully extended physical. I’ll need you to change into a gown. I’ll step out and grab the doctor while you do that. Everything off, all right?”
Jarik’s heart thudded in his chest. “Uh, yeah, okay.” He nodded, feeling a mix of dread and something else — something hotter — as Williamson gave him a quick, unreadable look before stepping out of the room.
Alone now, Jarik slid off the table, his hands shaking as he started to undress. His jeans came off, and as he shoved them down, his boxers strained against the raging hard-on he’d been trying to ignore since the moment he saw Williamson. He cursed under his breath, embarrassed, knowing the flimsy medical gown would do little to hide it.
He slipped into it, tying it loosely at the back, his thick ass barely covered as he sat back on the table, waiting, nervous, and undeniably aroused.
Outside the room, Nurse Williamson leaned against the wall, trying to cool the heat coursing through him. He knocked on the doctor’s office door down the hall, stepping inside where Dr. Johnson sat: a man in his early 40s with black hair, a strong jaw, a thick, tall, domineering frame, and a presence that commanded attention.
“Got a patient in room 3, Jarik. Needs a — full extended — physical,” Williamson said, keeping his tone even despite the tension still thrumming in him.
Dr. Johnson raised an eyebrow, leaning back in his chair, a dark smirk tugging at his lips. “Full extended physical, you say? As in … full — full?”
Williamson nodded, a flicker of anticipation in his green eyes. “Yeah. Full, full. He’s … eager. In desperate need of our skills. Shy, but craving it.”
Johnson’s smirk widened, his mind already spinning with possibilities. He was no stranger to bending the rules, especially when a patient’s needs aligned so perfectly with his own kinks. “All right then. Let’s give him exactly what he needs.”
Jarik lay on the exam table, the thin gown barely covering his nude body beneath, feeling exposed under the flimsy fabric. His heart raced as Dr. Johnson and Nurse Williamson entered, their gazes heavy with intent. The sterile air thick with unspoken tension.
“All right, Jarik, let’s get you standing for a moment,” Dr. Johnson said, his deep voice steady and commanding. His thick muscular frame barely contained in scrubs. Black chest hair peeking up from the v of his collar. “Hop off the table for me.”
Jarik slid off the table, his legs shaky as he stood, the gown shifting and barely covering him.
“Good job,” the doctor said.
He felt their eyes on him, and there was no hiding the obvious boner tenting the fabric. His face burned crimson as he tried to adjust the gown, but it was useless.
Dr. Johnson’s dark eyes flicked down, a smirk tugging at his lips. “I see you’re already quite … responsive to Williamson’s start to the physical. Let’s take a closer look. Lift up your gown for me, Jarik. Expose yourself so we can do a proper check.”
Jarik froze, his hands trembling. His breath hitched, shame flooding him as he hesitated. He couldn’t bring himself to move, not yet.
“You’re going to be a good patient, and do as I say,” Dr. Johnson commanded.
With a shaky nod, Jarik gripped the gown and slowly lifted it, baring himself completely. His cock stood hard and throbbing, the tip already glistening with precum. He couldn’t look at either of them, his freckled face flushed deep red.
“Good job,” Johnson said again, and moved behind him, pressing his broad chest against Jarik’s back, the heat of his body inescapable.
His large hands landed on Jarik’s shoulders, massaging firmly, thumbs digging into the tense muscles.
Jarik let out a small, involuntary gasp at the contact. Johnson leaned in, his breath hot against Jarik’s ear as he whispered, “You’re doing great. Just relax into this. Let us take care of you.”
Turning his head slightly, Johnson spoke to Nurse Williamson, who stood watching with darkened green eyes. “Williamson, examine his erect penis closely. Check for any irregularities — Jarik, just stand still for me.”
Williamson stepped forward, dropping to his knees to get a better view. His hands slid up Jarik’s inner thighs until he cupped Jarik’s balls — his grip was firm, kneading them slowly. Jarik bit his lip, stifling a moan as a jolt of pleasure shot through him.
“Turn your head to the side and cough for me, Jarik,” Dr. Johnson instructed, still massaging his shoulders, his voice low and close.
Jarik did as told, turning his head and giving a weak cough, the sensation of Williamson’s hands amplifying every nerve. “Good job, Jarik. Perfect,” Johnson praised, his tone reassuring.
Jarik’s cock twitched, precum leaking more now, dripping slightly as his arousal built to an unbearable level. He was rock hard, unable to control his body’s reactions.
Johnson noticed, his hands still working Jarik’s shoulders. “Look at that, completely normal reaction, Jarik. Nothing to worry about. Williamson, let’s take a sample of that for testing.”
Williamson glanced up, a glint in his green eyes as he leaned forward without hesitation. His tongue flicked out, just grazing the tip of Jarik’s cock, collecting the precum with a slow, deliberate lick.
Jarik’s knees nearly buckled, a soft whimper escaping his lips as he melted under the sudden, intimate contact.
“Very good, Jarik,” Johnson murmured in his ear, his hands sliding down Jarik’s arms now, grounding him. “You’re handling your exam so well. Now, I need you to bend over the table for the next part of the exam.”
Bend over? He couldn’t mean …
“I’m going to perform your rectal exam,” the doctor said casually, professionally, like it was any other check-up.
So he did.
Jarik’s breath came in short gasps, but he obeyed, stepping over to the exam table and bending over it, resting his chest on the crinkly paper. The gown split completely, exposing his thick, rounded ass. He felt vulnerable, but the doctor’s “Good job” kept him tethered.
Johnson moved behind him, the smell of latex and the snap of gloves in place were followed by the doctor grabbing a tube of lube from the tray. “I’m going to prepare you for the rectal exam now. Just relax for me, Jarik.”
He squeezed a generous amount onto his gloved finger, the cold gel making Jarik flinch slightly as Johnson spread it over his entrance.
Then, slowly, he pushed his finger inside, stretching Jarik with deliberate care. Jarik gasped, body tensing at first, then easing as Johnson worked him open with slow, rhythmic motions. “Good, very good. Just breathe through it,” Johnson said, his voice a steady anchor.
After a moment, Johnson pulled his finger out with a wet plop, but his tone shifted, darker now. “There’s another important part of the physical we need to test — your gag reflex. Nurse Williamson will use his personal tool for this. It’s going to slide down your throat, and make you gag. It could be hard to breathe for a second, but that’s normal. Just relax into it, let the gags come so we can test them properly. We’ll get you laying on your back now.”
Jarik stood, trembling, and lay on his back. Williamson stepped in front of his face, pulling down his scrubs to reveal his own hard cock, thick and ready. It was pale with a bright pink tip, moist with arousal, veins pulsing purple. Its large, dominating form curved downward at a sharp angle. God damn, he was hung, Jarik thought.
“Open your mouth for me, Jarik,” said Williamson, with a stroke of his thumb across Jarik’s lips.
Jarik parted them, and Williamson guided himself in — slowly, pushing past the back of his tongue until he hit the expanse of Jarik’s throat.
Jarik gagged immediately, unused to the sensation, eyes watering as the nurse filled his throat completely. Williamson groaned softly, holding Jarik’s head steady with one hand while his own fell back. “That’s it, take it down your throat, Jarik, good job,” he muttered.
“Hold there,” Dr. Johnson instructed. “Keep gagging on Nurse Williamson’s thick cock.”
He stepped closer again. “You’re doing so good, Jarik, you’re doing excellent. Now, I’m going to use my own tool to continue stretching your rectum for the exam. It’s necessary to get a full evaluation.”
Jarik couldn’t respond, his throat full, still gagging softly around Williamson as Johnson lubed himself up between his thighs. He felt the doctor’s thick cock press against his entrance, the slickness easing the way as Johnson started to push in, stretching him far more than the finger had.
Jarik moaned around Williamson, the dual sensation overwhelming, his body caught between the two men as they took control.
“Just relax, Jarik,” Johnson growled, easing deeper with slow thrusts.
And he did. Filled from both ends … something deep within finally uncoiled. Submitted. Opened. Stretched.
And it was perfect.
The doctor’s cock sunk deeper; Williamson’s cock let up a centimeter.
“You’re taking this so well. Good job.” He couldn’t tell which one said it in the haze.
Williamson pulled out, and held either side of Jarik’s face.
“You good down there?” the nurse asked.
Between gasps, the truth spilled out, “Fucking great,” Jarik responded.
A dark smile painted Nurse Williamson’s face. “Good.”
He dove his cock back into Jarik’s no longer virgin throat, thrusting lightly now, making him gag with each motion. “Your throat feels so fucking good,” he said, his voice rough with arousal.
Williamson’s cock made its way deeper inside Jarik, all the way to the hilt now. “Not as good as this fucking virgin ass feels, I bet,” Johnson moaned.
Jarik surrendered to them both, his mind blanking out with raw sensation, the doctor’s praise and the nurse’s encouragement pulling him deeper into the forbidden heat of the moment — and further away from his negative inner voice.
Nurse Williamson held Jarik’s head steady in front of him, his own hard length buried in Jarik’s mouth, pushing past his gag reflex with shallow pumps. The gags and the tears pricking his eyes only fueled the haze of submission he was sinking into.
“Damn, you’re taking me so well,” Williamson groaned, his fingers tightening in Jarik’s fiery ginger hair. “Just keep that mouth open for me.”
Behind him, Johnson’s pace picked up, his hands gripping Jarik’s hips firmly as he thrust harder. “Good job, Jarik. Your body’s handling this perfectly,” he said, his deep voice rough with lust. “Relax into it. Let us fill you up … for the exam.”
Jarik moaned around Williamson, the vibrations making the nurse hiss through his teeth. The dual penetration of his mouth and ass overwhelmed him, but he craved it, reveling in the way he was being used, surrendering completely to their control. His own cock throbbed painfully between his legs, leaking precum across his belly, untouched but aching.
After a few more minutes of relentless rhythm, Johnson pulled out with a low growl. “Switch with me, Williamson. Let’s test his responses from different angles.”
Williamson nodded, pulling out of Jarik’s mouth with a wet pop, leaving Jarik gasping for air, spit trailing. “You good, man?” Williamson asked, wiping a thumb across Jarik’s lower lip. “Ready for more?”
“Y-yeah,” Jarik stammered, his voice hoarse, nodding eagerly despite the strain. He wanted this, needed to feel them both keep pushing him again.
“Get those legs up.”
Jarik obeyed instantly, lifting his legs as Williamson moved between them, lubing himself up before pressing into Jarik’s already stretched hole.
Jarik whimpered at the new angle, the nurse’s cock hitting deeper than Johnson as he started to thrust, his toned frame flexing with each movement.
“Fuck, you’re tight even after Johnson,” Williamson muttered, grinning down at Jarik. “You’re loving this, huh?”
Jarik could only nod, his freckled face flushed as Johnson moved to his head, tilting it back over the edge of the table. “Open up, stick your tongue out,” the doctor commanded, sliding his cock past Jarik’s lips, filling his throat once more. “Good job. Take it all.”
Jarik gagged harder, his throat constricting around Johnson as the doctor fucked his mouth with controlled thrusts. It was shorter, but thicker, outlined in dark black hair tickling his nose with musk.
Williamson kept up his pace, each thrust rocking Jarik’s body into Johnson. He loved this — being taken, being owned by both of them, reduced to nothing but a vessel for their pleasure.
His anxiety was gone, replaced by pure, raw need.
After several minutes, Johnson pulled out, wiping sweat from his brow. “Let’s finish this exam properly, Williamson. A full internal evaluation — dual entry. It’s necessary to test his capacity.”
Williamson smirked, pulling out briefly as Johnson hoisted Jarik up, repositioning him on the table so his legs dangled over each edge.
“Lift him up a bit, doc. Let’s get him ready for both of us,” Williamson said, helping to adjust Jarik’s position.
“You’re doing amazing, Jarik,” Johnson said, his hands firm on Jarik’s hips as he stood behind him. “We’re going to enter you together now. It’s the final part of the exam. Just relax and let us in. Can you do that for me?”
“Y-yes,” Jarik breathed, his voice trembling with anticipation.
“Good boy,” he replied.
