As a kid, annual physicals were briefs only then the reach in by the doc.
As an adult I only had a few docs even do the hernia genital exams, most do the DRE leaning over the table with dropped pants. My current GP does naked under a gown, DRE on my side and no genital exam. Most dermatologist I've had did briefs and a gown and then move things around.
My current dermatologist does briefs only for guys, but my last visit was completely naked, here are the details:
Each year the dermatologist would do a full body exam but would work around the underwear pulling here, lifting there, are stretching the underwear here but never completely removed them and never really examine everywhere. Even when, a few times, I asked her about certain things inside my underwear like a spot on the scrotum etc, she would just say said show me. and I would pull the briefs down as needed, but they never came off. And I always felt that it was not a complete exam.
This year the doctor arrived in the exam room, alone at first, followed by the assistant about 2 minutes later. (both doctor and assistant were female) I was standing there in low-cut black briefs and the doctor invited me to sit on the exam chair that can turn into a bed. The door was opened and closed twice but I didn't see anyone in the hall that could have seen me in that state of undress. We talked briefly and I mentioned that I have a family member that was recently diagnosed with melanoma so I was hoping for a thorough exam.
She began the exam with me sitting and went through my hair, looked at my face asking me not to talk while the mask (corona) was removed. The bed was then made flat and she examined my whole right side, chest, abdomen, leg and foot and arm, moving and stretching my briefs as she did every year. She then moved to the left side and continued in a similar manner. At that point she asked if I have any other concerns before rolling over onto my belly.
I said, "Because of the relative recently diagnosed with melanoma I looked at my whole body in the mirror last night and while doing acrobatics to see everywhere I noticed that I have a few dark freckles or moles near the perineum. She said "Okay let's take a look, why don't you pull down your underwear?" I started to pull the briefs down and I had pulled them down past my knees and she then said, "Let me just take these from you, do you need a drape?" as she proceeded to help me pull my underwear off my feet and she tossed them on the chair. I said, "No I'm fine, I prefer thorough over modest." She then said, "I agree" but then she reached over to my pile of clothes grabbed my undershirt and said, "Why don't we use this as a little drape?" As she handed the undershirt to me to hold on my belly while she jumped back into the examination. It was like a switch was flipped, all of a sudden she was the kind of doctor I always wanted, giving a no holds barred complete and unabashed exam.
She began to inspect the hair and area around my penis, she inspected and held my penis and looked at all sides. Spread my legs moved and examined my scrotum while describing dermatology related points appropriately. She then pushed my legs open wider so she could look at the perineum to find the spots I had mentioned. I helped by bending my knees up and spreading my legs wide so she could see that area. She handled the perineum with two gloved hands and said, "I see what you are talking about, why don't we get a few pictures of this so we can make sure there are no changes next year." So while I was spread wide, the assistant who had been standing in full view but was not staring, walked over with the ipad and took pictures. Since I was laying flat I couldn't see her reaction, if there was one. When this was done she had me roll over onto my belly and she said, "Let's see it from this side" and while spreading my buttocks she said, "There they are I see all of the spots your talking about now." She then finished the rest of the back side of my body head to toe. After that she asked me to roll onto my back again.
I spent the rest of the visit (about 8 more minutes) lying there with just my undershirt near my groin while she went back to an area of concern on my front and removed something she had a concern about (shave biopsy). After she was done she left the room and the assistants stayed in the room cleaning up a little while I stood up completely naked walked over to the chair to start putting on my clothes. The assistant glanced at me and , decided she should leave and said have a nice day and left the room, opening and closing the door while I was naked just holding my briefs while I was about to put them on.
I hope this will become the new annual skin exam, naked from the start.