Certified sex coaches often view gynecological fetishes through the lens of power dynamics . The setting typically mirrors a "dominant/submissive" relationship, where the "patient" is in a submissive role.
Most amateur writers fall into the "Adrenaline Trap." This is the trope where two doctors hook up in a supply closet five minutes after a patient codes. While exciting on screen, real medical professionals will tell you that post-code adrenaline is a physiological response, not a foundation for love.
For a writer or creator looking to portray these relationships authentically, these are the critical elements to include: