Notes for the “trainee play doctor”
Please be aware this is just for guidance and fits my proclivities. I don't expect a carbon copy but I love all of the procedures below so use them or some of them ..add to them
Most of all
Enjoy being in control!!
The patient is a nervous, shy, and easily embarrassed individual. He may appear reluctant to do as instructed but be firm with him and he will comply.
He finds the genital and rectal procedures very embarrassing.
Please feel free to add any ideas of your own as you go along
If you choose to include the rectal examination it's better to have the patient bend over the table with legs apart. Use a good amout of lubrication and go gently. The patient has been examined rectally in the past with no problems.
Initially instruct the patient to undress dow to his briefs he is shy but he will comply.
Have him stand in front of you arms by his side, not covering his genital area.
Go through his medical history prior to the physical examination. (separate notes provided) Please add any questions you wish to add.
To begin......instruct him to raise his arms above his head as high as he can, have him bend forward as far as he can and examine his back and spine, you may want to slip his briefs down a little to inspect his buttocks.
Have him stand straight, hands behind his head. Gently feel his abdomen paying attention to the area just inside the waistband of his briefs. Have him take some deep breaths with his mouth open as you do this. Ask if his nipples are sensitive.
Check both nipples by gently squeezing, twisting and pulling. Have him breath deeply as you perform this procedure.
With the stethoscope listen to all areas of his chest including the sides whilst breathing normally. Listen to his abdomen all areas. Have him turn round then listen to his back. Instruct him to take slow deep breaths in and out through his mouth. Have him take short rapid breaths in and out as you continue to listen to his back.
Have him lay on the couch, arms above his head and again feel his abdomen, chest, and his nipples. Use the stethoscope to listen to his chest and abdomen. Slip the scope just inside his briefs around the groin area on both sides.
Have him stand and remove his briefs completely...He may protest a little but insist!
Gently examine his penis..retract the foreskin or tell him to do it, inspect the glans, squeeze the urethra open slightly Feel his testes gently. Hold his testes and tell him to draw his abdomen in several times. Place your finger in his groin and tell him to cough (both sides) Have him spread his legs about shoulder width apart, point his toes out and squat down a little. Now feel his perineum...(the area between the anus and the scrotum) Measure his penis with the tape and the caliper. If you wish use the stethoscope on his penis, testes and perineum.
Request a urine sample while you observe. You may hold his penis as he urinates if you wish. (he may not be able to urinate but make him try)
Conduct a rectal exam if you wish..have him bend over the couch to facilitate access to his anus. Have him hold his buttocks open for you. Use gloves for this procedure.
Alternatively have him kneel on the couch on all fours knees apart so you have good access to his anus. Use the proctoscope or the rectal speculum on him if you wish.
To conclude tell him you need to assess his sexual health and you require him to produce a sample of semen. Have him stand in front of you and instruct him to masturbate.......(he will be very embarrassed!) Observe as he masturbates, use the stethoscope on his scrotum and perineum, gently feel his testes if you wish...Have him point toes out and bend his knees open as he masturbates.
Give him time to ejaculate, he will be embarrassed. You may masturbate him yourself if you prefer.
Or........... have him lie on his back on the exam table. Instruct him to bring his heels up to his bottom as far as he can. Have him open his legs as wide as he can keeping the soles of his feet together.
Have him masturbate or you masturbate him your choice
Once he manages to ejaculate the examination is completed.
He may get dressed.