Photorealistic tight POV close-up from between a patient's raised legs in a gynecology exam room, framed so the doctor's body is out of shot. Only his giant cock is visible in the foreground, extremely thick and heavily veined, buried deep in her pussy, her entrance stretched wide around the massive shaft, No shirt, no slacks, no lab coat, no torso. Realistic skin and veins. Bright clinical light, exam lamp glow, white room softly blurred behind her. No text, no logos. A late-40s woman in high lithotomy fills the frame. Classic padded U-shaped heel-cup stirrups cradle her ankles, feet raised, knees bent and spread wide. Hips at the edge of the padded table. Long straight blonde hair on the pillow. Confused, uncertain face, brows knit, mouth slightly parted. Sensible makeup, expensive necklace and bracelets. Pale hospital gown bunched at her waist, chest covered, hands on her stomach. Sharp focus on the giant cock and her stretched pussy, clinical color.