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.