Dakota Payne, the heteroflexible doc, starts Michael Boston's prostate exam innocently enough, but his hidden desires take over. He begins jerking off, his lust for the cowboy's ass growing. Michael, initially taken aback, then eagerly takes charge, riding Dakota's bare cock reverse cowgirl style. The exam room fills with their moans as Dakota plows Michael's ass roughly, his balls slapping against the cowboy's cheeks.