Most embarrassing position

Ladies, what would be the most embarrassing position to have a vaginal/gyno exam in (real or play) lithiotomy, sims, all four, knee chest, something else?

I'd say on all fours. It's a very vulgar/sexual position. I don't think anyone has ever been visited like this, except in a game, unless you're a quadruped.

That is not true i have had to examine a few women in this position. not to get too graphic but i remember a couple procedures where there was a lesion on a patients perineum and the only way to get good visualization and aceess to treat it was on all fours on the exam table. i had to stand behind her

I think all fours for sure but never had that in a gyno context.