Female doctor Sayaka says she will examine the patient, pulls down the patient's pants, observes the anus with a penlight, and laughs. It's hard for her to see his anus, so she makes him spread it with his hands and inserts his finger into it. She also examines his dick and diagnoses that he masturbates too much. She starts giving him a handjob while facesitting him. He can't stand the hand job and ejaculates.

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