To ask for a prostate exam?

Let me start by saying I'm a 23 year old male. I"ve never had a prostate exam -or anything in my bum before-, or even really thought about getting one before, but for the last month i"ve thought about asking my doctor to give me a prostate exam when i go in for my next physical. I thought i'd say something like i just wanna be sure i'm healthy there, or some such, i mean its my appointment and they always ask if i have any concerns. So this brings me to my question, if i'm already asking for a prostate exam would it be to much if i also asked if i could lay on my back, as i would feel more comfortable that way.

Nick, 23 is kind of young to expect a prostate exam during a physical unless you are having real issues. Weakened stream, pelvic pain, frequent urination or pain at the tip of penis with a family history of prostate cancer. But, it wouldn't hurt to ask if you have concerns about prostate health.

You could ask to lay on your back, but I doubt it will happen that way. It will most likely be in a sims position (on your left side with 1 knee drawn up) or bent over the table.

Given the number of times that this has been coming up, I would wonder if some guys are simply curious about their prostates, know that a doctor can examine (touch) it and perhaps see this as the only means other than self-exploration. So as a former prostate bodyworker, let me say that there are many practitioners in the world who can offer a client an exploration of the prostate while leaving exams at doctors' offices to those who need them because of age or medical condition? 'Prostate massage' will find them.

I wouldn't ask for a prostate exam from a real doctor (at least not without a valid medical complaint). It sounds kind of suspicious, and you probably wouldn't get one anyway. They don't do prostate exams under normal circumstances until you are 50, unless you have a family history of prostate cancer. And even then, they may not give you one (I am in my late 40's with a history and did not get a prostate exam during my checkup).

And laying on your back would put your prostate above your anus, meaning the doctor would have to push up inside you to find your prostate. I don't think any doctor is going to do that because it makes the exam considerably more difficult for the doctor (more strength pushing down than up). My doctor is female, and she pushes down really hard to be sure that she can feel the prostate through the wall of the rectum. I doubt she could find my prostate (or push that hard) if she had to go up instead of down.

You are not missing anything. I looked forward to my first exam (because I'm sensitive there), but it just feels like the doctor puts her (or his) finger just inside your anus, pushes hard enough for it to be uncomfortable, and then pulls their finger out. Aside from the novelty of having someone put their finger in there, there's nothing to it...

I had some prostate exams in my twenties, but I believe it was only because the exam form which the doctor was completing included "rectal" on the check list. It would not be appropriate for the patient to ask for positioning of his choice. Also, I cannot imagine a doctor doing a rectal with the patient on his back since this would make feeling the prostate very difficult for the examiner. I have had rectal exams done either bent over the table or on my side facing away from the doctor. I think these are the standard positions.

I had a prostate exam at 25. I informed him I had a history of prostate cancer in my family. I was in the bent over position. I boned up immediately. He saw my erection and just smiled, stared and handed me my pants.

If you do ask for one, the doctor probably will oblige. You probably won't have the choice of position though. Most doctors are pretty standard with their positioning. I would go with the flow for the first time. I would also suggest finding a med-fet partner that you can play out those on your back fantasies with.

Re: on your back, while no real doctor I have come across does it in that position, Dr

Mike on jockphysical.com does for his second approach.

Dont think its appropriate to ask for one if you arent of the required age. It comes off as just being weird

I once read a female physician complaining of a weirdo patient that requested a prostate examination…

This seems like where finding a good play doc would be the solution. I'm sure you could create an awesome scene around your first prostate exam.

I am a a little older than you. Due to certain circumstances in my young life I have been through it twice already.

The first time was for my adoption physical at age 14. The exam was rather comprehensive including a rectal exam. My doctor told me she would rather not do this but it was on the form so all the bases had to be covered. I got a grand slam. Gloved finger, speculum and a swab. I did get an erection and almost ejaculated but thankfully that didn't happen. She was a great and caring doctor. I was her patient until I finished college at 22. I am 28 now and recently got an email from her asking me how I was doing. She is the best.

The second time was last year during an emergency appendectomy as I was having pain in that part of my body. This time it was all pain and zero pleasure. It was absolutely brutal. When the unpleasantness was done the ER doctor gave me a sedative and a heated blanket because I was a jovial and good natured patient. The ER staff went out of their way to make sure I was ok and comfortable before my surgery. Every person got a smile and a sincere thank you from me. It was not cursory. It was humanity.

I am starting a new job next month. It is a solid career move for me. Due to the work my organization conducts I was subject to four employment interviews, a background check, a few skills assessments, fingerprinting, a polygraph, a psychiatric evaluation and a complete physical. The doctor looked at my medical history and said "Two rectal exams already? Not to worry you won't be going through that on my watch. As a doctor, trust me I don't get my rocks off giving prostate and rectal exams either but sometimes it is part of the job. If I truly enjoyed doing it I would have gone into veterinary medicine." We both good a good laugh at that one.

Be respectful. Don't ask for one and don't lie about your symptoms or your medical history just to satisfy your curiosity. It is unethical and a waste of the doctor's time. You can find plenty of non medical people in this world willing (possibly even under the classifieds section of this web page) to give you what you want so go find one.

My family history favored a DRE and prostate check at each annual physical starting at age 35. My current PCP performed the exam twice a year. Until the last exam. The PSA blood screen is now considered the best indication of a possible problem. My number was down from the last test. He said no digital exam if you'd rather not.

I think a PSA test is the accepted method for identifying prostate issues. So, the DRE is not as common as it used to be. Particularly in younger men. However. I think the DRE should be used to identify issues that PSA doesn't account for. Prostate size is one because an enlarged prostate can interfere with urinary flow. Again, this generally happens with older men. Some medications can effect prostate and the PSA blood test. You should ask. The doctor might say it is not necessary but then you can ask why not? I think asking to be on your back might be bit much.

I have never asked to have one done I don't think I would be comfortable asking for one. I have asked if it was still necessary to have it checked after my PSA numbers came back good and his answer was yes, I still need to check it.

I’m 70 years old, and in the United States, rectal prostate exams are probably rare today. The exception might be that unusual circumstances would warrant it. I haven’t had one in years. The PSA blood test is very reliable. If you asked for a digital rectal exam, you will likely be informed that it’s no longer necessary. If you persist, you will probably be discharged as a patient. Same thing would apply to a request for a rectal temperature. I’m sure that the office staff has plenty of stories to share.

I've never had a prostate exam and my current doctor has told me that when I turn 50 in a few years we will have the discussion about it. I'm not sure if she will actually do a prostate exam or send me for a PSA test. Part of me wants the PSA and part of me wants the actual exam. I will just have to wait and see....

I hadn't had a prostate exam for a long time. Not even urologist. So I need a colonoscopy. I asked GI doc 'as long as you're there, will you check my prostate? My primary care doc seems to be allergic to rectals." No problem

I recently got a new primary care doc. She asked about family history of cancer. Dad had rectal cancer, uncle had prostate ca. 'you need a rectal and prostate exam.' and she did.

It’s perfectly fine to ask your doctor for a prostate, or any diagnostic exam, if you feel you have a medical need ( not talking about medfet play, but with a real doctor and a real medical concern). I’d leave it up to the doc if it’s relevant or necessary

If you’re just looking for the kink of getting a finger up your butt, or to expose yourself,find a partner, a play doc, or a sex provider. Don’t involve medical staff to satisfy your kink.

I've never had a prostate exam and my current doctor has told me that when I turn 40 in a few years we will have the discussion about it.

I agree completely with Rigel in that I think it would seem out of the ordinary to ask for a DRE as you are so young, unless you have inherited rectal problems, in which case I'm sure your doctor would be monitoring your rectal health anyway. I can only talk for my experience here in the UK, but my doctor does not think that a PSA test is conclusive, and if a PSA test is done, then he'd carry out a DRE too in order to make doubly sure there is nothing wrong. When I was having mine done a couple of months ago, and as my doctor was feeling around in my rectum, I asked him what he was feeling for, and his reply was bumps and anomalies!

As for laying on your back for the exam, I know of only two positions that are usually used, either bent over a table or similar, or in the Sims position, no other.

I've gotten a prostate exam at the urologist during a first visit. In the same visit they did a cystoscopy and to establish a baseline, he did the genital exam and prostate exam while I was lying down on the procedure table. After palpating my penis and testicles he helped me put my feet flat on the table and inserted his finger into my rectum for a few seconds. It wasn't strangely as embarrassing after being exposed for the other procedures.

@daltonclancy Oh wow, that’s intense. I don’t know enough about the adoption and state run childcare system to understand why that exam is deemed necessary for a teenager. It seems a bit much.

@daltonclancy Oh wow, that’s intense. I don’t know enough about the adoption and state run childcare system to understand why that exam is deemed necessary for a teenager. It seems a bit much.

Thank you for allowing me to take a break from assembling my new living space. I am almost completed all my tasks and my new home is looking good. I am starting my new job next week. I am spending this week immersing myself into my new routine. I took the metro with my GF thIs morning out to the airport. She picked up a flight to Seattle and had been successful in trading off her flights from NYC for the month of October. She ended up with about an hour to kill before check in time. I then got back on the train and went to the station where my work shuttle picks me up. Yesterday afternoon my GF and I walked down the street to a local Irish Pub. We had a nice meal after which we had a conversation with our server about our nearby residency, thanking her for such a great experience. She insisted we meet with the managers and the bartenders. They were genuinely warm and friendly and encouraged my continued patronage. They won me over. I am going back later today in the hopes of meeting some of the local after work crowd.

I don't understand the justification for the rectal exam either. Somebody else had suggested it was done to check for signs of sexual abuse. That was a good possibility but my foster parents were certainly not suspect. Even my doctor didn't think it was necessary.

The important takeaway (IMO) was that my doctor treated me with kindness, dignity and resoect.

@daltonclancy Good luck with the new job!

I can somewhat see the justification of looking for signs of abuse. How a prostate exam would be needed to accomplish that is beyond me. But, as you said, she treated you with dignity and respect in a moment that had to be more than a little uncomfortable for you.

Well its been 13 years. I wonder if nick got his prostate exam. And now he almost old enough to get one without it being weird to ask.

Well its been 13 years. I wonder if nick got his prostate exam. And now he almost old enough to get one without it being weird to ask.

Hahaha...(Sorry I don't do "LOL". I have this imbridled passion for proper English)

Well I sure I hope he enjoyed it. Two times the charm? I sure as hell didn't find it pleasurable. The first time I was a vulnerable adolescent. The second time my gut was in wrenching pain in a hospital ED. Rectal exam? Ahhh...No thanks, I'm trying to cut down.

I had my first one when I was 34. When making the appointment, I explained truthfully that there was a history of prostate cancer in my family. I had a very good sense I'd be getting my first DRE.

When I made the appointment at a internal-medicine clinic, I had six doctors to choose from based on the clinic's web page with photos and biographies. I chose one younger than I was for a couple reasons. First, I wanted to develop a long-term doctor-patient relationship. Second, he was cute and athletic.

I hadn't been to the doctor in eight years. When I checked in at the reception desk, I was nervous. One of the older doctors was lingering at the reception desk as I checked in. I recognized him as the father of the doctor with whom I made my appointment.

When I was taken to the exam room, the assistant told me in no uncertain terms that everything had to come off and I needed to wear a gown, with the opening in the back. I recall thinking, yeah, there's no turning back. I'll be getting the cute doctor's finger in my rear end.

Imagine my surprise and disappointment when the father and not the son walked into the exam room. There was no explanation about why he was doing the exam and not his son.

When he checked my heart and lungs, he removed the gown from my upper body and then put it back when he was done. I don't remember him palpating my abdomen but he must have. He examined my genitals first by pushing the gown up onto my chest. Then he had me roll over to my side for the DRE. When I sat up, the gown was still covering my chest. It was a great experience. I jerked off in the restroom on the building's ground floor.

The next year, I made another appointment -- with the older doctor. That one started with me fully dressed. He directed me to get undressed and stayed in the room as I did so. I recall I was wearing black boxer briefs. For a split second, I thought about taking those off or at least asking whether they should come off. But instead, I hopped onto the exam table in just my briefs. They came down to my knees for the genital check and then I went onto my side for the DRE. To this day, I wish I would've stripped all the way and taken a seat on the exam table, leaving it to the doctor about whether to offer me a covering.

The year after that, I made another appointment with the same doctor. That one was like the first -- the nurse told me to strip completely and wear a gown with the opening in the back. But this exam was the hottest of all three. After listening to my heart and lungs, he left the gown pooled on my lap. He made me lie back and palpated my abdomen, pushing the gown down father on my body than it needed to go. For the genital check, he pushed the gown to my knees. When it came time for me to roll on my side, the gown wasn't really covering me. When I sat up, the gown was pretty much to my side. He stayed in the room while I got dressed. I finally had the courage to throw caution to the wind and left the gown on the exam table as I walked toward the chair where my clothes were, complete naked.

There is little question in my mind the doctor enjoyed giving me a physical because it wasn't every day he had a guy in his mid-30s in his exam room.

When it came time for another physical the following year, sadly the doctor had retired. I made an appointment with a brand-new doctor who I know for a fact was gay, based on his social media. Those were hot experiences too. He once disclosed that he recognized me from the gym. But I left him and that small practice when they merged with Big Med and suddenly the doctor was trying to refer me to specialists I didn't need.