Prostate Exams

Going for my first prostate exam....female dr...can"t wait.

What is great is when you get more than you would have hoped for.

Last fall I had a first ever appointment with a urologist and knew that there would be a full and extended genital exam that would probably be more thorough than any I have ever had. Since I had never been to this doctor, I looked up his bio on the hospital website in order to have some idea of who I would be seeing.

When I went into the clinic, a young female medical student came into the room and filled out a history form and a description of the problem that I was having. This took at least 5 minutes to fill out and then to my surprise she put the clipboard down and told me that she was ready to do the exam. She asked me to take my shoes off and to remove my pants. She just stood and watched as I undressed. She then pulled a short stool over in front of me and told me to pull my underwear down. I lowered them to my ankles and then she had me raise my t-shirt up so she would have a clear view. This was the first time that I had been examined by someone half my age and it had been awhile since even a female doctor had done this. She did a very thorough exam and then had me put my pants back on and then she got the male urologist. He had me get undressed again and did an even more thorough exam while she stood a few feet away and watched what he was doing.

When you go to see a new doctor or go to a doctor with a specialty where you are unfamiliar with the procedures, you never know what kind of surprises are in store. This was a most pleasant experience.

When my female family doctor does a prostate exam, I hardly feel it and it isn't too unpleasant. But when I have to go see my urologist who is male, it's like he is drilling for oil and disappointed when he doesn't find any.

I am hoping for a female doc when I reach the age for my first exam.

Well, she didn't do it. I can't believe it! Went into the room....cute nurse with a v cut scrub on, bending over to get the EKG machine ready...showing some nice goods...late 20's little pony tail! Next i see the little table had a huge tube of "surgical lube" on it sitting next to the exam chair. Then I had to put the paper gown on...couldn't move because i was afraid that it would rip! Dr came in....40 years old, 5'10", this blond....starts the whole deal. Nice lady...talking about nothing through the whole thing. Then the gloves come out. Oh here we go!!!! Down goes the sheet and starts the private exam and then stops and walks away. Takes the gloves off, starts washing her hands and asks about my sex life. WTF! I was going to ask for it! I think that i am going to request a discount off of my copay for no DRE....too young i guess! i have been waiting for months for this!

[quote author=harryv05 link=topic=283.msg2523#msg2523 date=1201565016]

the last prostate exam i had hurt like hell. i thought he was going to kill me. as a result of the exam i had prostate surgery---so it is not always pleasure.

[/quote]

I'm in my early 60s and have had many prostate exams without the discomfort you describe. You probably needed surgery even before the initial exam. Something was probably amiss.

All of my prostate exams have been fairly quick too. i go to a male doctor who i have known for awhile but he always makes sure he gets that part of the exam done quickly

I have had a number of prostate exams over the years since around my 40th birthday. I have had both male and female doctors and the female seem to be more gentle and take their time more so than the men. I have also had it done in three different positions. The firs time I had it done the doctor had me turn onto my side when he performed it. The next doctor I went to had me bend over the exam table, parted my buttocks with one hand and slid his finger in with the other. The last type I had done and the one I like the best is being on my hands and knees on the exam table while he does it. I like the feeling of fully exposing myself and that the doctor can see my balls hanging down as he does the exam. Once in a while I will get an erection while getting the exam and one time I started to leak as he rubbed my prostate.

I have had about a half dozen prostate exams now. It is interesting how differently I've been (un)clothed and got that way.

The first time, the doctor came in and introduced himself and asked me to get underessed down to my boxer shorts. Then he left the room. I proceeded to do as instructed. The exam began with me seated on the exam table. He asked me to lay down as he examined my abdomen. Then he asked me to take my underwear down, and he did the hernia check while I was lying down. I had never had it done that way before. The prostate exam came after that. He asked me to face the wall, inserted what seemed like a huge finger, and then cleaned my butt afterward. And that was that.

The second time, he (same dr) came to meet me while I was fully dressed and asked me to "get undressed" while he stayed in the room. That was sort of different. First the shirt, then shoes and socks, then jeans, and then ... I was considering whether I should just keep going. For a split second I considered asking, "underwear too?", but then chickened out. So I stopped there, and just faced the doctor, and he asked me to get up on the table with the underwear on. He was watching me get undressed the whole time. I look a lot younger than I am, and I think he was enjoying having a younger patient. The prostate exam took place as it did the first time.

The third time, that same doctor again met me while I was completely dressed, but then placed a gown on the table and told me to get undressed. "Everything off, underwear too." I had never been asked to take off my underwear before! It was very arousing. I didn't get hard, but I was leaking pre cum as I sat on the exam table. I tried to wipe it away with my hand, but it kept leaking. When the exam began, the doctor pretty much immediately took the gown off my shoulders and placed it on my lap. Then he asked me to lay down. Only the gown was covering my lap. He did the abdomen check, and then -- yes! -- he took the gown off my lap and placed it on my stomach. I thought he was going to take the whole thing off to leave me naked on the table, but no luck. Then, had me roll onto the side for the prostate check. When I sat back up, I had to place the gown back on my lap. Then he said I could get dressed. Interestingly, he stayed in the room as I did. At that point, I just put the gown on the table and walked toward my underwear. He watched the whole damn thing. Man, that was hot.

Unfortunately, that doctor retired shortly thereafter. I always wonder whether my fourth visit would've been entirely in the nude!

When searching for a new doctor, I found one who was younger than I. I thought that would be fun. For the first meeting, he met me in the exam room while I was fully clothed, then asked me to get undressed and to put on a gown, "but you can leave your underwear on." Rats! He also did the hernia check while I was lying down. When it came time for the prostate exam, it was cumbersome because I had to get that underwear down while wearing the gown. Odd.

The last time, I went back to the young doctor. This time, the nurse told me to get undressed, "everything off," and put on the gown. The prostate exam was much easier. Interestingly, no hernia check last time.

I've had well over a dozen from both male and female, and I don't find them that big a deal. Certainly nothing erotic for me if its a male doctor. If a female is doing the check or observing, then its a little exciting for me, but not as much as some other things.

How long does it take to expell prostate fluid? Should the dr rub the prostate lightly or push on it with some force?

Pacman-

As a female, I can only speak from my point of view, and others may have a different viewpoint but my understanding is that too much pressure applied to the prostatic tissue can be very uncomfortable. Further, even though it may feel good while endorphins are running amok in the bloodstream, that firm pressure can sneak up later and be quite painful. My experience is that gentle, steady pressure is the way to go. The prostate is analogous to the female "G-spot" and I do know for certain that can be a very sensitive area, so I treat my partner's prostate the way I would like to have my G-spot stimulated. I guess that's the Golden Rule of med play!

As for how long it takes to express prostate fluid, I think that depends on the situation. Sometimes it only takes a brief period of time to start seeing results, and other times it takes a bit longer. The same way you can't put a stopwatch on an orgasmic response, the time it takes to express the prostate gland varies. From a med play standpoint, the longer the better.

Just my humble opinion!

LadyDoc

My experiences of real prostate examinations have been very roughly done,awful in fact,and it hurt as well.

I have had several prostate exams since I turned 50, but they were not too bad; just a feeling of needing to move your bowels.

However, a friend of mine went into his doctor appointment with a full bladder. Once the doctor inserted his finger into my friend's rectum, my friend told the doctor he felt like he was going to urinate. The doctor told him not to worry, it was a natural sensation. Unfortunately, the doctor performed a VERY thorough prostate exam, and my friend lost complete control of his bladder, and even though he tried to hold back, begging the doctor to stop, he made quite a mess on the exam table. He was lying on his side, so the doctor got a little wet, also. My friend was so humiliated, he just jumped off the table, and scrambled to put his clothes back on. The doctor apologized for not paying attention to his cries to stop.

According to the latest "study", both the DRE and the PSA tests are questionable at best.

I wonder if most doctors will use the new guidelines or continue as in the past?

DRE and PSA have the advantages that they are easy and inexpensive. Used in isolation, neither is very good. Used in combination with each other and with the guy's description of his urinary function, they can be quite powerful screening tools.

I'm a fan of at-home DRE (well, actually by my partner). Why isn't at-home DRE more popular in the mainstream? It's easy and valuable like a testicular self-exam or breast self-exam is.

I suspect that the reason "in home DRE" isn't popular is that for a vast majority of people that can't be done solo. So, some folks simply are not going to like that idea. Second, as far as many people are concerned, anything have to do with the rectum and anus are "filthy and disgusting." Third, without any education about anatomy and terminology, how will the information gathered be able to be of any use.

I mean if I describe my wife's boobs to her doctor, I am not going to be giving her much helpful information. "Soft, luscious, tasty" just aren't going to help the doctor much.

Jeff

Jeff,

I agree with what you are saying. But that doesn't mean that at-home DRE isn't useful.

It's pretty simple: In DRE of the prostate, you feel for size, shape, symmetry, texture, and, most important of all, change since last time.

Bobbee

Does anybody know at what age they start doing prostate exams? I'm 39. Should I ask for one at my next annual physical?

Typically at age 50 unless there is a family history that raises concern to start sooner.

I thought it was age 40. That was what it was for me, and I have no family history of problems.

Better to be safe than sorry. The DRE is the test to get, and it is not that bad, really. Better if you find a woman to do it, because smaller fingers are more comfortable.

Prostate exam is better to do once a year since fourty ,

it is one finger in your anus ,

reading some post women must laugh they receive one penis in their anus !

And it don't take more than one or two minits .

Painfull for the patient ? be serious

If the person has experience, which makes it great, but if they can not is dangerous and very painful.

I had both

My first prostate exam was very painful

Here in the Netherlands you will only be checked after your 50th birthday. And only if something is bothering you. There are ideas to chech you sooner but then only for prostate cancer. The story about the prostetic fluid whit a rectal exam is fare as i know not done here.

I never had a prostate exam (i'm 21)...what excuse can I use for the doctor to experience that?...I didn't enjoy the ideea that someone wold stuck a finger in my ass...but after a couple of post readed it seems like a pleasureable thing..so can anyone tell me any ideeas?

pardon if my english is not correct.

You can always ask your doctor. Tell him/her that you are concerned because of something you have read. There is a video which can be found on this site which shows one. That said, since you mention pleasure, you may in fact be more interested in experiencing a prostate massage and that would be available from a masseur or masseuse.

I've only had mine examined once & that was while in casualty after being knocked off my bike. I had pain in my pelvis, was developing an erection - which i understand could be a sign of damage - and they thought i had slight bleeding from the urethra. Was log-rolled onto my side. Definitely not a pleasant experience!

Whatever the situation do it. While the DRE did not find it (the PSA did). Prostate cancer is curable when detected early. I am now 12 years out. good job by the doctors.

I am 30 and no doctor has ever given me a DRE. Only in play exams. I wish i could find a doc to do one.

Have you asked for one during a physical exam?