Genital exam always last?

The genital is always last for me , after abdomen 😃

I always like doing the genital and rectal last. I start off with the hernia check and most guys are expecting that, but not expecting to have their penis examined or have their scrotum thoroughly examined. And then comes the prostate and rectal exams 😃

For me genital examination is usually done last but I remember a physical at my pediatrician that was literally from head to toe. He make me undress completely and lie on the examination table, started to check mouth and throat, auscultation of heart and lungs, abdominal palpation then I get a testicular palpation, penis was retracted and examianted accurately. After genital examination the doctor continues on the knees, legs and feet checking and measuring principal lengths.

For me, at the pediatrician, the genital exam was generally done near the end of the exam. There was one time, however, when I was about 12, when she decided to change the order somehow: after checking height and weight, she made me lie on the examination table and loosen my belt, she started checking my abdomen, and then, almost without warning, undid button and zipper of my trousers, pulled them and underwear down a bit, so that my groin was exposed, and started to check my genitals. Since it was my first time with her since the onset of puberty, it took a bit longer than normal: she started noting hair presence and distribution, then went on to the testicles, and a thorough examination of my penis, including retraction of my foreskin (turns out, it was a bit tight).

She then moved on doing what was usually done first: checking my heart rate, which, since she had forgotten to cover my lower regions, was a bit high. I think every other time since was done in a head to toe fashion.

Starts with a visual inspection, then palpates my entire penis, followed by my testicles and the surrounding scrotum.

Starts with a visual inspection, then palpates my entire penis, followed by my testicles and the surrounding scrotum.

It is great that you have palpation of the penis. I have never had this done. Occasionally, I have had the meatus spread open but usually nothing is done with my penis at all. I am also curious about the "visual inspection" and what it consists of. I like the idea of the examiner inspecting as well as examining. This implies that some judgement is being made as to the adequacy of the penis.

Genital exam is always the last part of the exam at my doctor!

Starts at the bottom of the testicle and works up from the base of the penis to the top

No. Next to last. My doc leaves the genitals to the ALMOST last thing. The last thing is the rectal exam. Genitals are examined by penis first (usually), checking for problems on the tip, then the corona and the shaft. Then he checks the scrotum and testes. Then I have to flip over, bend over and spread. A dab of lube swirled around the rosebud and in it goes. Almost like the army physical, except now the doc doesn't stop with a quick look for obvious haemorrhoids! I have a separate urologist as a specialist who obviously goes straight for the goodies.

For4 those of us who d9ont get rectal exams, they're almost always last. The reason the rectal last is that its always 'clean to dirty,'

Hernia check, testicular exam, palpation of penis shank, foreskin retracted, pee hole inspected either by slightly squeezing the slit with forefinger above and thumb below or both thumb spreading the lips of my urethral meatus (pee hole slit) - I have had it both ways.

My last annual was with a new MD and after all the questions she told me "Well today I'll be doing a rectal exam, unless you prefer I don't" I agreed it should be done and she said "Good I usually do that part last, but we can start there first, if you want". Never had that option before.

At the pediatrician's (in the past):

The genital exam always came last. It was always done while standing. The doctor sat on a stool. My underpants were pulled down. Visual inspection of the genital area. The penis was held in hand, and the foreskin was retracted. A short squeeze of the glans and inspection of the urethral opening. The foreskin was pushed back, followed by a short palpation of the testicles.

At the urologist (today):

I lie on my back on the exam table, without trousers or underpants. Ultrasound of the bladder and abdominal cavity. Then the penile exam: retraction of the foreskin, inspection of the glans all around, squeezing the glans with thumb and index finger and inspecting the urethral opening, palpation of the penile shaft, and pushing the foreskin back. Then the testicular exam: the first testicle is palpated and gently squeezed between fingers and thumb, followed by the other testicle. Then both testicles are shortly palpated simultaneously, along with the spermatic cords. A short inspection of the perineal area by lifting the scrotum. Finally, a rectal exam and palpation of the prostate while lying on my side.

At the dermatologist (today):

Preventive screening while wearing only underpants. Inspection of all body parts from head to toe using a dermatoscope. While standing with my back to the doctor, I pull my underpants down halfway through the exam, and my buttocks are spread apart. Afterward, the underpants are pulled back up. At the end, while standing—with the doctor seated on a stool—I am asked to pull my underpants down and let them drop. Inspection of the genital area. Lifting the penis, inspection of the skin on the underside of the penis, inspection of the scrotum, shifting the scrotum to the left and then to the right. A question regarding skin changes on the glans; the foreskin was not retracted.

It might sound a bit too classic, but yes, genitals always at the end of the visit.

Mainly because I like to bring the patients at the maximum level of excitement and let her release it with a powerful orgasm at the end of the visit.

Doing other procedures afterwards might be a bit weird...

It is pretty standard to do the genital/hernia check last, or just before the DRE (if done). It my experience, a full genital exam is usually visual inspection, including top and bottom side of the peins foreskin retraction, check urethral patency, penile palpation, testicle check, hernia exam, and DRE.

In my mid to late teens, before I really noticed how much I enjoyed genital exams I commented to the doctor that I was always nervous about them and that’s why my BP and pulse were always high during the exam. I explained that it always makes me nervous doing the whole exam knowing what it coming. With that, she asked why I got so nervous. I explained that I am afraid of getting an erection and that every year it stresses me out waiting for the end. She explained she has seen it all before and erections are normal. As she was finishing my ENT exam she asked me to please stand. ( I was in just my boxers). I stood up and she said she wanted to check my spine, as I bent over the stood up she asked me to turn around. She was seated on her stool. And just said “drop your shorts for me” and with that did my full genital exam. I only got about half hard that time. As she finished, she said now you don’t have to stress about the rest of the exam. And she was right. The rest was easy. I would love to get them done right away. If it was up to me, as soon as the doctor came in she could ask me to stand and drop my pants.