Medical Play, the Next Level!

This is’s second article on medical play. The first one – “The Doctor Is In: Medical Play” — was basically an introduction. We not only examined the inherent D/s roots of medical play, but we also explained basic play for beginners and listed much of the entry level equipment — examination tables, speculums, Wattenberg pinwheels, tongue depressors, bandages, thermometers, reflex hammers, scopes, etc. Using most of these medical toys and role-play scenarios are pretty self-explanatory. Just tie your slave to the examination table, spread the stirrups and play away. (With a safe word, of course!)

But now let’s take it a little further. First on tap – The “TENS” unit.

The “TEN” in “TENS unit” is actually an acronym for Transcutaneous Electrical Nerve Stimulator. It is a specially modified electrical pulse generator that was originally intended for actual medical use.

A TENS unit causes low levels of intermittent pain which appears to produce endorphins. Since a rush of endorphins is presumed to cause the phenomenon of subspace, and a TENS unit can stimulate the body’s production of endorphins, it was only a matter of time before some Dom/me tried it on his/her submissive. Amazing! And what better place is there than your “medical office” to use a TENS unit? Just do not course the current across the heart area.

Needle play in a medical scene is a natural — although needle play is not solely done in medical scenes. Often called “play piercings,” these are temporary piercings.

In any medical scene with needles, your approach to sterility should mirror that of an actual doctor. Sterility is essential, from the needles you buy to the play areas in your “office.” When you buy your piercing needles, some medical supply houses offer ethylene oxide gas sterilization. Once sterilized in this way, the items are sealed in plastic and are germ free until you use them. (Always use needles ONCE and throw them away as medical waste.)

Before you start your play-piercing session, wash your hands thoroughly with a hospital quality anti-bacterial soap. Latex examination gloves should be placed on both hands immediately after washing. The submissive’s skin should also be toweled with alcohol or an anti-bacterial wash. You should have all these products on hand, neatly arranged on your medical table, so that the doctor role-play and sterility precautions merge seamlessly. In needle play, sterility isn’t everything, it’s the only thing!

Now it’s time to get really deep into medical play. (If you want to!) We’re talking about urethral play – using penis plugs and urethral sounds! And although I will describe this type of play, it is wise to learn it from an experienced Top. That said, here is a good overview.

A penis plug is a smooth metal rod designed to be inserted into the urethra. In the hands of an experienced Top, a penis plug makes the penis more sensitive and intensifies orgasm. This is usually done in the context of medical scene; it can really add to the Dom/sub dynamic.

But it is in a urethral sounds scene where medical role play can truly approximate reality – after all, sounds are actual medical devices; they are used for dilating the urethra for medical exams. (Note: in both penis plug and sounds play, do not skimp on the lube – and always have a safe word!)

Urethral sounds can also be used to magnify sexual pleasure; many subs get off on the feeling of having their urethra stretched and played with. Being longer and slimmer than the penis plug (sounds are sold in sets of assorted widths and lengths), they can even reach and stimulate the bladder. As these are truly medical devices that require major skills to use, working with an experienced Top would be a great place to start.

As we have explained in our previous article, the fun of medical role-play is that the Dom/sub dynamic is already built in. When a real life doctor (or nurse) says, “Time to examine your urethra,” you let the doctor do it. This hierarchy continues into BDSM medical role-play – without the constraints of a real doctor/nurse/patient relationship.
The world of medical play runs from “hot nurse role-play” all the way to needle and urethral play.

But I have to go; it’s time to give my submissive a medical exam!

By BaadMaster
After a ten year run as head writer for the legendary, and an equally long run as the host of the hit internet show “Baadmaster’s Dungeon,” we are pleased to welcome the one and only Baadmaster to KinkWeekly. His thoughts about all things BDSM will now appear regularly on these pages. From the mental aspects of D/s to the nuts and bolts of S&M play, Baadmaster will cover every facet of this ever expanding lifestyle.


  1. Nice article about medfet play. And yes, there IS a built-in dom/sub scenario. I have done much med play as the doc and photographed much of it. Medfet definitely brings out the patients’ inner subbie. And in my experience the patient invariably is turned on, from the emotional scenario as well as the physical procedures.

    Enjoy my snapshots.:

  2. Joel: really cool photos. But we’d like to see more!

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