Dr PF, Sir, never one to contradict an expert, I'd like to suggest the possibility that in this particular case we may be dealing with Aggressive Clitoral Massage. I've heard it's an amazing treatment for many different ailments. It's hard to make a clear judgement from here but just looking at her pics I'd say there's prime territory for it. I'd be happy to assist in any examinations or if necessary make my own 2nd opinion exam. Purely in the spirit of helping a Pixie in distress of course.

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As to marriage or celibacy, let a man take which course he will. He will be sure to repent - Socrates

Love is not looking in each other's eyes, but looking together in the same direction - Antoine De Saint-Exupery