Yesterday was my annual physical, and I just turned 50 a few weeks earlier. I ended up having an appointment with the female PA at the practice I’ve been going to for the last eight years. The doctor I usually see there is female as well, and for all my past physicals, the doctor was the one who performed my physical. So I initially thought it was a little unusual that I was assigned to the PA. I came to the appointment with a list of things I would like checked out, to include testicular and prostate cancer.
During the initial screening and discussion with the PA, we talked about the need for a DRE and she agreed to do one. I pulled up an article on my phone that i had found a few days earlier that talked about the benefits of male patients having their DRE in the cross legged lithotomy position. The article stated that urologists felt that they could feel more of the prostate with the patient in that position.
She quickly looked over the article and said she had never examined a male patient this way, but would be open to performing the DRE that way, but would first like to perform the DRE with me bent over the exam table so she could “get her bearings.” I know it’s hard to believe, but this really did happen...in a very organic way. I didn’t feel awkward at all, and walking in to the practice that morning I was pretty sure I wasn’t going to bring it up.
So the physical started like any normal physical - eyes, ears, nose, throat, chest, lungs, abdomen, etc.
She took out an absorbent pad and placed it on the table where I would be sitting in a few moments. She handed me a paper sheet, instructed me to undress from the waist down, and then sit on the table with the sheet covering my lap. With that, she stepped out of the room. I quickly took off my shoes, shorts, and boxer briefs, and then sat on the absorbent pad at the end of the exam table, and covered myself from the waist down using the paper sheet.
A few minutes later she was back. I apprehensively watched as she pulled on latex gloves. As she approached the end of the table, she instructed me to stand up on the exam table’s small, pullout platform in front of her. I placed the paper sheet on the table behind me, and stood as instructed...hands at my side. She began with a quick testicular cancer screening. Her touch was rather firm as she rolled each testicle between her fingers. Then came the hernia check, with my hands on my hips she pressed up into me and had me turn my head and cough two or three times. I don’t know if I have ever had a doctor or PA press so hard up into me for the hernia check. It was borderline uncomfortable.
Once those two parts of the exam were complete, she walked over the counter and started picked up the tube of lubricant. She asked me to turn around and bend over the table. I heard her apply the lubricant to her finger and then she was standing behind me. She placed her finger at my anus and said “just relax and bear down for me.” I did as she asked and her finger slid into me for the first DRE. She had quite large hands, so I felt very full as she inserted her finger. She felt around for about ten seconds letting me know that everything felt fine and then withdrew her finger.
I stood back up, and turned to face the PA, while covering myself with my hands. She had me sit back up on the table, on the absorbent pad with the flimsy paper sheet covering my groin area. She pulled off her gloves. I watched as she pulled out the stirrups and they “clanked” into place. As she adjusted the angle of the stirrups, she joked that most women have this experience every year, but she had never done this with a man. Well, it was definitely a first for me, and I truly never thought that this would happen to me.
I was told to put my heels in the stirrups and lie back, which was a really strange sensation for me. She had to tell me a couple of times to scoot down more towards the end of the exam table, something I’m sure many women have heard before. 😊 She then asked me to relax my knees and let them fall outward. It was very surreal.
A moment later there I was on my back with my heels in the stirrups, legs relaxed...”falling” outward. She had me cross my left leg over my right knee and then stood in front of me. She pulled on a fresh pair of gloves as I watched, and then applied more lubricant to her finger. She moved the paper sheet up towards my waist, exposing my penis and testicles, and moved her other hand towards my rear end. I felt her finger, cool with the lubricant at my anus, and again I heard her say, “just relax.” Her finger slid into me for my second DRE. She felt around for another ten seconds or so. Her comment while she was doing this was that she could actually feel more of my prostate. For most of it I stared at the ceiling wondering if this is what my wife did when her feet were in the stirrups during her annual checkup. I also wondered if she had a recto-vaginal exam. (We both go to the same practice, and she had actually been examined by the same PA a few days earlier. I wonder if the PA realized the coincidence.)
She withdrew her finger, pulled the paper sheet back across my lap, and had me sit up. She handed me a few tissues to clean myself, told me I could get dressed and then stepped out of the room.
It has always been a fantasy of mine to be examined that way, but I never thought it would happen. I’m hoping at I see her again next year for my physical, she will agree to examine me again that way. Fingers crossed.