States that she had sexual intercourse for the first time and was worried because the bleeding has not lessened and is ongoing.O: HEENT WNL, chest clear to auscultation, heart RRR, Abd S NT ND. Ext. genitilia slightly inflamed. Pelvic exam shows 2cm superficial laceration running laterally parallel to the vaginal canal. Significant trauma to hymenal folds shows recent tearing, probably secondary to sexual penetration. The hymen appears lacerated at the 10, 3, 5, and 7 o'clock positions. The tear at the 10 o'clock position extends into the vaginal wall past the mucosa and appears to be the primary contributor for bleeding. Some signs of early granulation present, bleeding appears to be moderate oozing without any arterial or serious venous component.A: Primary dx: Ruptured hymen secondary to intercourse.Secondary dx: Soft tissue inflammation extending to vaginal introitus.P: Reassurance.Warnings for S&S of infection.Recommend sexual abstention x1 week.RTC PRN.And now, here is the rest. And Pete, now that I am fifteen you have to realize something.“No later than my sixteenth birthday, I want you to cum inside of my pussy.” She bent down and kissed me. “That is something I won’t wait a single day longer for. It will come sooner I hope, but it won’t come later than one year from tonight.”We got dressed again, then I moved into a sitting position and Linda scooted back against me, her back leaning against my chest as I pulled the blankets back over us and I wrapped my arms around her. We cuddled and caressed each other like this and talked about our plans for the future until my alarm went off and it was time to go home.Things continued much the same for the next month. On Thanksgiving, we ate at our own houses but spent about two hours on the phone. Finally that had to stop because the batteries in our cordless phone died.Then it was early December, and Linda was going to stay the night at Holly’s house again. The weather was cool but clear, and we decided to go see a.
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