“Ian” replied to my DoubleList post offering role play physical exams. Following is an account of the checkup he received at my home in December of 2021. I wrote this so that I could savor the memory of the exam and share it with all of you. I omitted any personally identifiable information.
Ian stopped at my “office” while traveling home for the holidays. He appeared tall and handsome with short dark hair and tan skin. I set up a massage table in my living room for the occasion.
I took his coat and he sat on the middle of the table. I put a pulse oximeter on his index finger. His blood oxygenation level was 99% and his heart rate was 98 beats per minute. I said that we could proceed with the exam just as he is now and remove articles of clothing as the exam progressed, or he could strip to his underwear and cover up with a sheet, or change into a gown. He declined the gown and sheet and said he would like the exam to proceed with him in his underwear. I showed him a chair where he could put his clothes, removed the pulse oximeter, and left him to change.
When I returned, Ian was seated in the middle of the exam table wearing boxers and socks. I put on latex gloves, palpated his scalp, and looked in both ears and his mouth with a pen light. I checked his carotid pulse with two fingers. I used my stethoscope for the cardio exam, warning him that it might feel cold, and progressed through each intercostal space. I proceeded with the pulmonary exam using the stethoscope, asking him to breathe, starting with the front. I asked him to turn and sit facing away from me so that I could listen to his back and under his arms. Everything sounded good so I had him spin back around to face me. I palpated his chest. No discharge was noted. I asked him to lie down on his back so I could examine his abdomen. I listened with the stethoscope and noted bowel sounds in all 4 quadrants. Then I palpated his femoral pulses which were very strong bilaterally.
I asked Ian if it was OK for me to remove his socks. He said of course. I proceeded and examine his lower extremities, beginning with palpation for any swelling from the top of his thighs down to his ankles, and checked his popliteal, posterior tibial, and dorsalis pedis pulses. I checked the cap refill time on his fingers and toes. Everything looked good.
I warned Ian that the next part of the exam might be embarrassing. I said it would involve touching sensitive areas and asked if he would prefer to stand or lie down. He said he would like to remain lying down. I asked him to lift his hips so I could remove his boxers. I told him I was going to examine his penis, testicles, and perineum. I reminded him that erections are natural, healthy, and nothing to be ashamed of. I noted even hair distribution and palpated the shaft of his penis from the base to the tip, and then used my thumbs to inspect the urethral meatus. I palpated each testicle, and then held Ian's scrotum out of the way so I could visually examine his perineum with a pen light. I bent each leg at the knee and moved his feet closer to his body for a better view. Then I asked him to roll onto his stomach so I could see his bottom. Everything looked good. I had Ian roll back onto his back.
I asked for Ian's permission to perform a rectal exam. He agreed. I offered him various positions for the exam, and he opted to remain lying down. I asked him to lie on his left side with his left leg extended straight, and to pull his right knee as close as possible to his chest. I placed a few paper towels and a tube of Surgilube on the table between his legs. I told him I would insert one lubricated finger into his anus, palpate his prostate, and then the entire rectal wall. I poured a generous amount of lube on my index finger and smeared it around with my thumb. I warned Ian that it would feel cold. I placed the pad of my index finger on the entrance and slowly inserted my finger as far as it would go. Ian had excellent rectal tone but cooperated well with the exam. I felt his prostate, and then slowly first clockwise, and then counterclockwise until the entire rectal wall had been examined. I did not feel anything abnormal. I slowly withdrew my finger and removed my gloves. I told Ian that everything felt good and that his exam was complete.
Ian rolled onto his back and inquired about needing to give a semen sample. I asked if he had concerns about reproductive health and he said yes. I offered to use a vibrator to get the sample and he agreed. I once again offered him various positions and he again opted to remain on his back. I gloved up and placed a condom on the vibrator for hygiene. I gently applied it to the full length of Ian's shaft. He had no trouble producing the sample. I offered to get him paper towels to clean up, but he used the ones that were left on the table from the rectal exam.
While Ian got dressed, we discussed his plans for the rest of the day. I really enjoyed examining Ian and hope he will return for a follow-up appointment some time. 🙏🏼