Seikatsu Shidouin ~Kimo-o ga Funin ni Nayamu Pure na Wakazuma ni Tetori Ashitori Acme Lesson! Love Love Netori Tanezuke de Risou no Yome ni!~ (Visual Novel)

The protagonist was an unattractive guy working at the planned parenthood clinic.
Wives came for fertility counseling and he would help them out as an "educator".
One day Madoka walked through his doors looking for advice.
Under the guise of official business and a plan to turn her into his own devoted bride, he began the orgasmic lesson!

[From DLsite English]

Seikatsu Shidouin ~Kimo-o ga Funin ni Nayamu Pure na Wakazuma ni Tetori Ashitori Acme Lesson! Love Love Netori Tanezuke de Risou no Yome ni!~

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