Sorry if this or something similar is already posted but this would be more for the position of underwear than the actual exam.
As I got older some things changed for my exams and some things stayed the same. I always remember having a genital exam at the pediatrician, and the exam changed slightly as I got older but I distinctly noticed that one year my underwear was pulled down much further than in past years.
It was the same doctor I had always had and up until I was 12 I would be laying on the exam table at the end of the exam and she would pull my underwear down to upper thigh, maybe a few inches below my scrotum. My underwear wasn't pulled down far but everything was visible for the exam. I didn't have to move or spread my legs in any way.
Then starting at 12 I was surprised when my underwear was pulled down to a little below my knees. I wasn't really anymore exposed than in past years but I felt more exposed. The exam took about the same amount of time, fairly quick as always without any movement or spreading necessary on my part. However it did seem as though my testicles were examined just a little more thoroughly than in past years but that could have just been my imagination. Every year thereafter my underwear was again pulled down to just below my knees. Did anyone else experience a change in their underwear position when getting a genital exam as they got older or was it always the same procedure?