The past 2 years have been very busy at the clinic even with COVID. Men's Health has thrived and along with it I have enjoyed seeing all ages of men and giving them complete physicals. While some expressed shock and embarrassment, the majority were pleased to have me conduct their exams rather than our female doctor. Both of us were very busy as one doctor left and so it meant more patients. An exam easily takes 45 minutes to complete if not a bit longer. For some there is the need for x-rays and cardiograms as well as having lab work and a complete physical. For many, the complete exam is much more than they had with their previous primary care physicians. While some have had a DRE many, especially older guys, were not being given thorough genital exams or an anuscope exam. At the clinic, these are standard procedures including a semen sample often an occurrence of the exam or when necessary! It just happens despite one's reluctance and for most it is a relief during the evaluation of his prostate.

It's odd but when it comes to my physicals, I have not changed much since being a teen or young adult. I usually only go for a wellness visit but shun full exams. Weird! Yet, the clinic requires one to produce evidence of a full exam every two years. Why I would think to neglect this is just ridiculous but I have and today I was summoned to report for my physical. There is I think a part of me that seeks to have a mandatory exam much to my initial protest or dislike. This day, I had to report at 8 am for the exam with Dr. Jones. There was no sense in trying to avoid it or reschedule. If I didn't comply my pay would be withheld. Also I had a vacation starting the next day and wished to just get out of the office and start relaxing!

I reported as required and sat in the patient waiting area like all the other men. You could tell who was a newbie and those who were returning. No one smiled; most seemed nervous; and many fixated on the door to the exam hallway. I was no different. It did make me a bit more sensitive to how our patients feel but now I was one of them!

Eventually my name was called, Nicholas, and with that I stood up and followed the nurse who appeared to be my age as we moved down the hallway. I knew that she would require a urine sample and that was the first thing I had to provide. I did so without much hesitation and then returned to the hall and was escorted to the exam room. I steeled myself for what was to come, “Take off everything,” and you will be weighed and have your exam. She was gracious enough to leave but would return. I try to reassure my patients that the exam will be okay and that this is the first part of getting it over with. Still I was nervous and surely embarrassed to be on the table naked upon her return.

The wait seemed like forever. There is very little in the exam room that offers a comforting distraction; surely not the tube of KY, the RT, or box of gloves… All were present and necessary for our exams. In addition, we keep Fleet bottles in the cabinet so as to not alarm each patient until it is time. No one escapes the Fleet if an anuscope is required. For folks my age, 45, it's mandatory.

When weighed, I did my best to project confidence but I was nervous and clearly was experiencing shrinkage as I stood facing her on the scale. Once that was done, she had me back up on the table and took my BP, which was okay given the circumstances. I did my best to cover up some but there is only so much one can do with one hand. Normally at this point, I would come into the room and start a patient's physical. Her preference was to immediately take my RT with me on my knees and my butt elevated. I obeyed but also knew she had a great view of my sack and held the thermometer steady. I felt myself throb slightly. It's not uncommon for our patients to experience a partial erection.

My temp was normal as expected. Rather than allow me to sit, she had me spread my legs wider. I felt anxious as this is the position for your enema and indeed the nozzle entered me and the warm solution began to flood my insides. I tell my patients it will make you feel rather full. Like all of them, I gasped and soon complained of cramps as my penis virtually disappeared. Once I had voided, I returned to the exam room, and was greeted by Dr. Jones who shook my hand. It was such an awkward moment and clearly not a great time for her to see my stuff looking a bit shriveled.

She reviewed what I was to experience and like most did so in a very reassuring manner but it was clear, “You will have no choice!” She engaged me in casual conversation while getting through all of the basics and then had me lay back so that she could examine each testicle. Her touch was soft and gentle as the nurse retrieved a swab. Soon she had my penis in her hand and opened my meatus and I felt the swab. I cringed and cried that it hurt. She apologized and returned to feeling my sack and then asked me to pull my legs to my chest giving her a full view of my anus. I knew that she was inspecting my anus and then achieving an anal wink before penetrating me. Her finger slipped in and I groaned. Her hand pushing up against my sack and clearly reaching deep into my canal. I felt my penis reacting as she probed more and rotated deeply. The nurse watched intently as must have done a thousand times. The doctor had me lower my legs allowing her to get a full view of my erection where upon she examined it and felt my pulse as I throbbed.

For many of us at this point, there is a heightened level of sensitivity. She cautioned the nurse that this was the case, “Please have a container ready,” and required me to get up onto my knees and spread. I felt my thighs shake as I assumed the position and soon felt her finger pressing deep into me while her other hand felt my sack and began to rotate my testicles. Everyone that I have examined in this manner will begin to moan, clench and soon ejaculate. I began to leak and then a second finger entered me and i screeched and clenched for all it was worth as my body convulsed and ejaculated as the nurse captured it. She allowed me to sit up and recover but I knew that I had to get an anal exam.

Her anal exam was textbook. I was told to get back up onto my knees and to elevate my rear end so that she had a very good view of my anus and proceeded to finger me again before inserting the probe. I gasped and soon felt the probe pressing into me. By now my penis was shriveled and non-reactive to the probe as it is for most of us. She removed it and I felt my anus contract before the nurse gave me an obligatory suppository. With that I sat up, and was told I had done well, and encouraged to keep on top of scheduling my physicals. I nodded and then reluctantly stood up and faced the table for the nurse to administer a vaccination. By then, I felt rather defeated anyway so what was one more undignified moment.

Once dressed, I returned to the waiting area and was about to head out when one of my patients greeted me. “Hey doc, what are you doing here?” I blushed and before I said anything, he commented, “How was your exam?” I smirked, “Um ya, just like yours!”

'