I am not into inflicting pain on someone. That said, the administration of a physical exam does incorporate the elements of domination and humiliation in general, and for medfet purposes. This in my view is more of a highly developed psychological skill than threats of physical force to obtain compliance.
For me, there is the necessity of anticipation; perhaps an exam with a new physician; perhaps one given by a female, etc. The anticipation and prolonged wait for the exam date to arrive fuels the recollection of past experiences and the inevitable rehearsal and arousal that comes from reenactment.
The day of my exam is a flood of anxiety from showering to what specific color of underpants to wear. The passage of time only adds to the mix of anxiety and curiosity. This is even true if I am fortunate to engage with someone for a role play that remains medically focused.
Arriving at the doctor's building and parking my car is met by sheer physical tension and noticing that my heart is starting to race as the inevitable is becoming real. This anticipatory state becomes associated with a marked degree of self consciousness as I proceed to enter the building and make my way to the doctor's office. Often I will stop and use a hall bathroom to make sure I have taken care of business, especially having a BM.
Upon entering the doctor's reception area, I always scan the room. I quickly attempt to determine who is a new patient or who appears to be the most nervous and surely check out those that appear to be leaving. The the task is to determine how undressed the the person had to get as I search for some evidence of disarray. Usually it is more in my imagination.
Upon hearing my name called, which can occur at any time during the waiting period, the ensuing process makes me totally self conscious. Standing and walking begin but I am nervous while trying to look confident but my immediate thoughts are “Do as you're told.” Depending on what happens next, my heart rate either slows or races. If I am first asked to provide a urine, I feel less anxious as I do if the assistant weighs me in the hall fully clothed. If this is altered and I am first taken to the exam room and hear, “Take off everything for the doctor,” I flash back to exams of old and as I disrobe, the sensation of cold air on my skin awakens me to the reality of being in the exam room. I always debate whether the briefs come off first or once it is the only article of clothing left to remove?
For me that moment of being totally naked is one of huge significance. It clearly means that the doctor is going to evaluate me completely whether I wish for this or not. The process of submission has begun. If I have been fortunate to start off the exam in just my briefs without a gown, I also realize that the odds of retaining them are maybe 50-50. For my doctor, it is always to allow his exam to start but to have me remove them at mid point.
The mid point may vary from doc to doc. The buzz words for me are, “Let's lower the gown or lay back to lift up your hips,” as the briefs come down and off. Talk about domination, this is that moment and with it comes sheer humiliation as my manhood is now prominently displayed, as it was for the other patients. I always wonder if he has a mental note of how many of us he has seen that day. Does he have an internal reaction to seeing my genitals? Is there a privately held scorecard? All of this even before he touches me.
As a teen, the evaluation of my testicles while lying down tended to lead to at least a semi erection if not a full one. The fear of that still occupies my mind but usually doesn't happen; a semi is more likely than a full erection depending on his manipulation of my testicles. The obligatory rectal exam with me lying on my side is routine but met with clenching and a gasp as his finger twists deep into me. Then making me stand for a hernia exam that is preceded by him lifting my penis, feeling my sack again, and then squeezing each testicle has me stare wide eyed at the wall. It is the moment of total surrender. Should anyone walk into the room at that moment, I am helpless to offer any resistance, as i utter the obligatory cough for the hernia check. It feels like forever but soon he has me turning to face the table, spread wide; he will part my cheeks and asks me to pulse my anus several times. Usually, I am dangling though my sack could be tight. The sounds of him lubing his finger creates tension met with those familiar words,"Push like your having a BM," as his finger enters me steadily and deeply. Grunt or moan, which ever occurs, but this is total domination. Add to that a nurse who suddenly appears with a shot to follow the ordeal and you have total helplessness.
The mix of total exposure (my nakedness), his finger or fingers in places that are totally private and privileged, makes for this unique experience that started so many years ago. It's not my day to day to have a relative stranger see me naked and explore all of my most personal body parts. After all is done, the necessity to replay the exam at home is an absolute. Even then it feels like it isn't much of a choice. Domination continues until the release has been achieved; all of which is intensified given tell tale signs of KY between my cheeks!
This is probably more detailed response than the question was designed to gather. An excellent one given how I think about all of this.