Contraindications for ibuprofen

Medical stuff:
Fracture = broken. We have lots of terms to describe the fracture, but a fracture is a break.
People can walk on a broken ankle if they are tough enough to take the pain and the tibia is not where the fracture is.
She would have had an x-ray about a week after the surgery to confirm it was well healing.
Plaster? We more often use water activated fiberglass these days. Less heat as it cures, sets quicker.
Very likely she would have been put in a walking boot.
Advil = Motrin = ibuprofen. Each pill is 200mg, so three were a good choice, four a bit better. Redose after six hours if the pain has returned.

Loved the story - but just as an aside, aspirin actually prevents liver damage. Acetameniphen (Tylenol) is what is traditionally known as dangerous for the liver, and non-aspirin NSAIDs such as ibuprofen have recently been linked to stroke/heart attack risk increase. lol I know this has nothing to do with erotica, and your story is fantastic - but if it were me writing this? (and I do write a ton - I'm actually a professional author), I would have had Jack (the athlete) share his prescription pain killers with his victim, since he's most likely on them (athletes are always getting hurt) and since opiate prescriptions, added Tylenol not withstanding, are the only things that don't increase the risk of liver damage and heart attack/stroke. Plus... let's be honest. They're also the only medications that actually work. And also - it's the very least Jack owes him. ;)

I like your story. Your caveat about discontinuities at the top was way too understated, they were jarring, but I get it. I've been there myself, but please remember to come back and clean up later, you're going to throw a lot of people off.
OK, big problem: Never, ever, ever take Advil and Tylenol together! Ever! Tylenol is Acetaminophen, it's a blood thinner. Advil is Ibuprofen, it's an anti-inflammatory that will also irritate your stomach lining. So between the two, you'll end up with a bleeding ulcer. I think the standard recommendation is to separate them by at least twelve hours, though I just stick to one. So unless you're TRYING to mess Hayley up even worse than she already is (bruised, battered, hung over), PLEASE stick to one or the other.
PS: Yes, this is a pet peeve. Yes, I've personally had a problem with both drugs. Google it if you don't believe me.

When you refer to lifelong I think some more explanation is due. Did you lack the sexual cravings that almost all adolescents have? Did you masturbate before having sexual contact with another person? Not intercourse per se, but kissing, fondling..etc? Have you ever experienced an orgasm, with or without a partner? Does your vagina lubricate when you are exposed to sexual situations? As far as males with low libidos, often that's a result of another underlying physical, or mental anomaly. Please don't scare people, exogenous testosterone creams carry little risk. Most that find themselves in need of these creams are not under forty years of age, and usually older than than that. While I wouldn't recommend them to anyone who has had prostate cancer the risk is minimal. Taking over the counter medications such as Advil, Motrin, which are both ibuprofen, can cause severe kidney damage in large amounts, yet are safe minus pre-existing kidney problems, when taken properly they provide effective and safe relief from pain. The same can be said for exogenous or injected testosterone and estrogen provided it is used correctly. HSDS can, and does come with life changing effects. It has the ability to prevent and kill marriages. So if pharmocological therapy can eliminate or reduce the aforementioned effects, it should be understood that it remains a viable and safe option in the treatment HSDS.

There needs to be a logical explanation for why sister stops taking pill out of the blue (and also apparently Mom?) Shouldn’t be as mundane as she and Scott are trying for a baby. Maybe have Rachel explain to Jacob during one of their subsequent fucks, that for some reason (in addition to the growth of her breasts) when she took her BC pills after the first time he came in her, it caused her nausea and pain in both her vagina and breasts. She saw her gyno who is baffled as to the cause (obviously no mention is said that she fucked her bro and took his hormone laced jizz inside her). All the gyno recommended was to stop taking the pill until her “hormones” settle down. Karen as well had suspected as much from her own side-effects experienced after she ingested Jacob’s cum and had stopped her birth control a while ago—which is why she’s been leery of Jacob cumming inside her til now. Perhaps have DA Melissa Turner get confirmation of all these findings from the doctor in jail. He can state that his previous specimens had similar effects on their partners and contraindications with her birth control. Also he should warn that condoms also don’t interact well with the WICKTropin as the hormones secreted into the semen can become toxic with the latex. Prolonged and vigorous sex leading to ejaculation could result in a busted condom. Also the combination of WICKTropin semen, latex and BC pills will definitely cause pain in a woman, in addition to breast growth, added body curviture and fecundity. All these warnings and advisories lead to at first more careful sex between Jacob and his Mom/sister/Ms. Turner. However even the slightest exposure or ingestion of Jacob’s cum, be it topically, orally, vaginally, or anally still causes the female partner to be in a heightened state of constant arousal and crave her partner more. The only real way to satiate the desire is direct internal injections of his sperm. Unknown even to the doctor and DA Turner however, is the close relation of two of Jacob’s partners. The close genetic affinity has increased the side effects even more (nearly tenfold), so that the real only effective way to mitigate Jacob’s, and the infected Karen’s and Rachel’s condition is continued inseminations—come what may in the physical, moral and fertile repercussions.