Photorealistic, doctor's first-person POV looking straight down between a patient's raised legs in a bright clinical gynecology exam room. A late-40s woman lies on the exam table in metal stirrups, feet in the footrests, knees wide. Long straight blonde hair spreads across the pillow and over her shoulders. Her face is turned slightly toward the doctor, wearing a confused, uncertain expression, brows faintly knit, mouth slightly parted, as if she does not know what to do. Sensible daytime makeup, fine lines, natural skin texture, and expensive jewelry at her neck and wrists. Her paper hospital gown is bunched and pulled up to her waist, fully exposing her bare pussy, inner thighs, and lower belly, the gown still covers her chest. Warm clinical overhead lighting, sterile white walls, exam lamp, medical cabinets softly out of focus behind her. In the foreground of the POV, an early-60s male doctor stands between her legs, fully dressed, button-down dress shirt, slacks, and open white lab coat. His pants are unzipped only at the fly, a very thick, heavily veined, average-length erect cock protrudes from the open zipper, tip pressed right at her entrance, about to penetrate. Realistic skin, veins, and foreskin detail on the shaft. Hands not prominent. Shallow depth of field, sharp on the contact point, her exposed pelvis, and her confused face, clinical color grade, no text, no watermark.