An OnlyFans creator who goes by Dr GDS slowly pulls on a rubber glove in one of his videos, paying close attention to each finger before snapping the glove up his wrist and making intense eye contact. In other videos, filmed POV, he slowly positions an anesthesia mask over a patient’s mouth, or approaches them with with a tray of medical equipment, including speculums and dental mouth openers, as well as realistic fleshy dildos and lube.
Dr GDS—who stresses that he is not a real doctor—has been a medical fetish enthusiast for over a decade. On OnlyFans as well as on Instagram and YouTube, he shares videos and tutorials with fellow enthusiasts, as well as newbies to the sexual kink. His play clinic is decked out with genuine medical equipment, including operating theatre lighting and a dentist’s chair.
Although medical settings might not seem sexy —the cold blue lights, the metal implements, the smell of antiseptic—there are many like Dr GDS who disagree. On Pornhub, "medical fetish" (often abbreviated to "medfet") turns up over 1,200 videos, many with millions of views. There are numerous forums and Facebook groups dedicated to the kink, with hundreds of active members who share fantasies, stories, and tips.
While dressing up in sexy nurse's outfits or pretending to be a naughty doctor is often part of the appeal, medical fetishism delves far and wide, spanning dress up and role play to the far more extreme, involving medical grade equipment and real procedures including enemas, catheters, and needle play.
“At one play party I watched someone inject saline into someone else’s balls until they were as big as a small cantaloupe, and then this person walked around the party with these huge swollen balls for a while," says Kenneth Play, sex educator and creator of the Sex Hacker Pro video series.
When it comes to the world of kink, there’s not much Play hasn’t seen, including the more extreme end of medical kink. We asked Play why medfet enthusiasts enjoy sexualizing medical procedures—including painful ones, like testicle injections. Turns out, there are a lot of possible reasons.
“Often medical play can evoke emotions such as helplessness, or provide a sense of nurturing and care, as well as a sense of the taboo,” Play explains. “Many straight men, especially those that work in high-powered careers, enjoy being dominated."
Tonya Jone Miller, who worked as a phone sex operator for more than 15 years and played out medical scenarios for a number of clients, says medfet can help men give up control during sex. “There’s something about medical kinks that really absolve guilt and shame,” she says. “Going to the doctor is something we all have to do at some point, right? A lot of men aren’t used to being in a position of taking instruction, of being told what to do, but by putting it in this clinical setting, it allows for that loss of control. It makes it more familiar, and so more acceptable.”
George*, who is 30 and lives in Miami with his partner, agrees that exploring sex in a clinical way can help him to relax and let go of feeling so of anxiety and shame. “As a patient, I love being told what to do—being told to bend over the table," he says. "There’s the moment of anticipation before a gloved finger enters my anus. I love having my prostate checked and the ritual around that: putting on the gloves; the whole doctor/patient role play. I don’t have to worry about performance or how I look. I can just enjoy the procedure.”
Online, medfet enthusiasts shared more go-to acts and role play scenarios. “I enjoy the insertion of a catheter where the nurse has full control over my bodily functions,” says one user, whose partner is a fully-trained nurse. “My number one fetish is a big rectal thermometer; next comes anything else that can be inserted into the ass,” another shared. Another commented: “For me, it’s the stethoscope. The idea of being able to hear internal sounds has always fascinated me.”
Dr GDS says what appeals to him most about medical kink is the level of imagination and storytelling involved to make a scenario feel realistic. “You’re able to get into the mind of your patient and make them believe,” he says. He even did advanced first-aid training to make the experiences as authentic as possible. “For many people, this makes the role-play more realistic, which is important.”
Getting the right gear can be important for realism, but it helps with the safety aspect, too. Justin runs MetFetUK, one of the largest suppliers of medical fetish accessories and equipment with thousands of customers spread over more than 40 countries. He and his partner started the company in 2017 because they couldn’t find the equipment they wanted to explore their own medical fetishes. MedFetUK sells medical grade equipment including catheters, needles, respiratory masks, and scrubs, alongside safety guidebooks and hygiene and sterilization equipment. (Small print on the site notes that all customers must be 18 or older, and states: “All items offered for sale on this site are intended to be used only by professionals or other trained persons.”)
In a blog post on the site, they stress that responsible use is paramount: “Many of the activities we engage in within the BDSM sphere carry risks, and it is the responsibility of anyone who chooses to engage in any given activity to be aware of those risks (both inherent and situational). Only by being aware of and understanding risk can an informed decision be made about how (or if) one should proceed.”
Since the riskier aspects of medical fetishism can result in serious injuries or infections if they go wrong, we recommend other, safer ways to dip a toe into the world. Role play can be a super accessible way for anyone to explore new things in the bedroom, says Gigi Engle, ACS, sex expert at Feeld and author of All The F*cking Mistakes: a guide to sex, love, and life.
“It's really easy to role play anything," Engle says. "It's so customizable and can be done by anyone, at any level of sexual expertise, in any kind of relationship. It's the most accessible kinky thing there is, if you ask me."
Remember, there is no right or wrong way to do role play or dirty talk. You can start from a fairly "vanilla" place and build up as you gain confidence and find out what turns you and your partner on. One of the benefits of roleplaying a medical scenario is that we’ve all been to a doctor’s office at some point in our lives, so we know what this scene looks like in real life. You can start by inviting your "patient" to come into the room and take a seat or lie down, and then take it from there. You could also gain inspiration by reading up on the history of sex, which was surprisingly medicalized, particularly for women. In fact, the vibrator was invented as a "cure" for hysteria and originally used by doctors. Kate Lister’s A Curious History of Sex is a really fun and accessible read that might well spark some inspiration for medical role play and other kinky scenarios.
But broaching a new kink with current and new partners can be tricky, particularly if they’re a little more taboo. How can you go about explaining an interest in medical kinks
There’s loads of porn that references medical scenarios, from sexy nurses to more extreme BDSM practices, so you could test the waters by seeing how your partner responds to medfet in a fantasy situation by watching porn together. If they’re into it, you can then suggest bringing it into the bedroom. You can ask questions to see how they react in a way that doesn’t put any pressure on them or you. Suggest you could try it out together by saying something like, "Would you like to wear a uniform like that?" or "Have you ever done a doctor/nurse thing? Do you think you’d like to try it out together?"
“If you want to act out a fantasy [via] role play, you have to have a chat, or a series of chats, really,” says Engle. "Communicate, communicate, communicate. It’s the only way to get anything done. If you don’t talk about it, I can 100 percent assure you that it will NOT happen.”