One of my favorite parts as a taker is to pull down the patient's underwear. I will always do it very slowly and only pull them down to the mid thighs. That way the briefs help to prevent him from moving his legs or wiggling too much.
I like to see his cheeks appearing as I pull down the fabric. He usually clenches them together as he anticipates what is comming and I have to rub his bottom for a while to calm him down before the insertion.
I have found that it also helps to talk to the patient while I pat his bottom and explain what I'm about to do and why it needs to be done and how it's only going to take a few minutes.
Any thoughts on this?