A crying woman was in excruciating pain as she repeatedly asked a Sydney gynaecologist accused of raping her during an examination to stop, she has told a court.
Richard Ian Reid, who has since retired, has pleaded not guilty to charges that he raped a patient on eight occasions over four years and denies he ever improperly examined her.
The Crown alleges the man inserted his fingers into the woman's vagina on each occasion for his own sexual gratification.
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The examinations of the patient - who suffers from endometriosis - were performed without gloves, while she was needlessly completely naked, the prosecutor said.
Some were unnecessary in the circumstances, while others were conducted in such a way that they had no diagnostic value, and Reid knew the complainant was not consenting, she said.
Giving evidence at the judge-alone trial in the Downing Centre District Court on Wednesday, the woman - who cannot be named - said she had begun seeing Reid after hearing he was a "genius" at treating her condition.
Reid told her he was the only person in Australia who could do the surgery he was proposing, and at one point promised to make her vagina "like a 17-year-old's", she said.
After the operation in November 2009, the woman complained of increased pain and a litany of other issues.
She was incontinent, regularly bleeding heavily, had developed blisters and was experiencing a "rotting" smell.
Going to the toilet left her crying and screaming, she said.
But in February Reid told the woman she would heal with time.
"I tried to reason with him and say how can it heal when it is all blocked?" the woman told the court, crying.
"I've got no vagina."
At her next visit in May she again told the doctor the pain was making her life miserable.
Reid asked her to undress completely, the woman said, then lay down on the examination table.
"I felt extremely vulnerable. But at the same time, I didn't want to upset him."
Reid - who the woman had noticed was not wearing gloves - then moved her legs around roughly, like she was a "raggedy doll" and began examining her.
The examination was so painful she began crying and asked him to stop, but he didn't, she said.
Reid later asked the woman to get off the table, and while he was sitting and she was standing, pulled her between his legs.
He again began "shoving" his fingers inside the woman, while making grunting noises, she said.
"He was so close eventually I could feel he was having an erection."
It was "absolutely excruciating", the woman said, and she again asked him to stop while crying.
Reid then tried to kiss her, gazed at her with a "wanting look", and at one point put his face between her breasts and said she smelled beautiful.
"It was like he was a robot. He didn't look human," she said.
"My mind and my body was just so busy surviving, and at the same time not upsetting him.
"I knew he was the only one that knew what he had done to me with the surgeries and no one else could fix me up."
Reid's lawyer earlier told the court the woman has "falsified" her claims - reported years later in 2018 - and the doctor had never examined her while she was completely naked, had never put his head between her breasts, and had never penetrated her as described.
She was lying for financial reasons, she said.
"Her demonstrable motive to lie impugns her credibility such that the Crown cannot eliminate the real possibility that she has fabricated the substance of these allegations."
The trial continues.