Hi Jedsmith,
yes, I'd say, topless auscultation are the norm in Germany. It depends on the doctor and on the kind of exam. In a routine health exam, she normally doesn't take off her bra. But for a thorough heart exam at the cardiologist, she has to naked to the waist for the stethoscope. We don't have these gowns as you have in the US (thank God!). When I went to the gynecologist with my GF at the time, he always had her strip to the waist for stethoscope, and after this, he did breast palpation. Then, she dressed and stripped for the gyn chair. I talked to a lot of her friends, and nearly all of them told me, that they have to take off the bra for auscultation.
In our playdoc exams, the woman is stethed with her bra on at the beginning, and then, she takes it off - always a real turn on for me :-) I prefer the girl or woman stripped tom the waist, with jeans or skirt on (at least panties), because totally naked is not realistic.
Allow me some words to the question "Pleasure or Medical". I think, both. With me, it's at the first place pleasure. Pleasure of seeing, of hearing, of feeling her heart beating. It is a real pleasure, of course! But I also listen to her heartbeat in a "medical" way. I pay attention to sound charateristics, to murmurs, to clics - to any sounds of the heart which are different to heartsound of other "patients". I also notice the speed of her heart beating; I often realize that during the first time auscultation of a girl/woman, her heart is beating faster! And we also do little stress tests during our play doc stethoscope sessions to accelerate heart frequency. Very interessting - and arousing :-) Especially, when heart frequency is speeding up by sexual activities. Here again, it's partitially for pleasure ond partitially for medical reasons.
Anyway: Heart Auscultation with the Stethoscope is the most exciting activity I ever can imagine!!! Since I was a young boy at the beginning of puberty!
RGDS:
RedStethGuy