I don't know about how it goes in Maryland, but in my part of Illinois, at two of the AMPs I occasionally visit, they will ask if you want them to use their finger.
One of the ladies will ask "Finger in here?...or tongue?" I will opt for her tongue.
I don't even care for the once-a-year digital exam by my doctor...and my doctor is a nice-looking woman about fifteen years younger than me.

I'm not sure how things work in Maryland, but at the two AMPs I periodically visit here in Illinois, they always ask if it's okay to use their finger.amanda the adventurer

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Had a good one at Latin Spa a few weeks ago.