Hello Doctor,
I have been referred to your clinic for a cervical dilation procedure. Fair warning though, restraints may be needed as I'm known to be quite reactive. You may do anything you see fit, you have the expertise after all
- Cis female patient 💜
You've done well to come to my clinic, young lady. Here, you'll be taken care of.
After all, cervical dilation is a time-consuming endeavor, one that typically requires weeks if not months of routine treatment. And yes, I find it best to keep my patients restrained during proceedures like these, as it is quite common for them to want go jerk or move when they find dilation painful.
You'll be put into stirrups for a standard gynecological exam and cervical sampling before we begin the process of dilating your cervix. When you return to my office, you'll be put into lithotomy position. The nurses will administer a light intravenous sedative, and you will be restrained once more. From there, I'll insert a speculum into your vaginal canal to visualize your cervix. Assuming you still appear to be healthy, the dilation may begin.
Before inserting the first dilator, I would apply a tenaculum to hold your cervix in place. My patients typically feel a pinch as I do this, but it should be nothing you're unable to handle. After the tenaculum is in place, dilation may begin. I employ both hegar and pratt dilators in my practice, and will select what I think will work best for you. I will begin by inserting the 1mm dilator. Per session, we will work through two sizes. Some patients require repeat treatment before moving on to the next size. Typically, we will work from the smallest each time. So, you'll be going through two dilators your first day, four the second, and so on.
I must also inform you that you will be an inpatient for the time being. I find you'd be better off being monitored and medicated within our sight, than without it. I also find it is better to contain my patients lest they get any foolish notions about abandoning their treatment midway through. I'm certain you'll lose your will to comply eventually, which is why you're kept in my care around the clock in the first place.
You may find yourself resenting me and my staff during the final stretch of your dilation, indeed, I find even numbing creams and local anesthesia can lessen the pain of cervical dilation only so much. You'll also be afforded clitoral stimulation to help relax you during the process. Patients are commonly brought to orgasm with the dilator inside their cervix at least once per session. This is especially useful in forming a positive association between bodily pleasure and being on my table as well, even if you may beg me to stop, as patients often do, prior to your climax.
Once you've been introduced to the final 20mm dilator, I'll utilize your open cervix for a uterine curettage, as well as suction for samples of your endometrial tissue. Many patients report pain and discomfort during this stage, but such work must be done. You may experience some bleeding after I remove the speculum, and cramping for several days after is also common. You'll return for a follow-up examination after that, and we will perform hysteroscopic surgery if I decide that you require it.













