As a new twist, with speculum in place, allow the patient to use a small electric tooth brush as vibrator. It is very small and very effective for orgasm. Using speculum the video can see well inside during orgasm.
Also I would like to see the doctor making 2 or 3 breast exams and nipple playing while patient is in the chair, this is more for doctor enjoyment.
You can see electric tooth brush free sampes at ... then you can understand the full nature of this suggestion