Genital exam always last?

I'd like to know in what order did the Dr. examine you down there...shaft, testes, the penis hole, perineum, etc... and what specifically was done.. females be sure to reply as well.

Usually starts by pressing around my groin and does a hernia check...then its onto my testicles, examining each one and lifting my scrotum for a quick look underneath. then my dr feels my penis quickly squeezing it between two fingers from base to tip and then checks the urethra.

Other names

Pap test.

Purpose

To diagnose any abnormalities that the doctor can feel or see without a microscope or that will show up on analysis of tissue from the cervix.

How it works

The doctor inspects and palpates the reproductive organs and takes a sample of cervical tissue for microscopic examination in a laboratory.

Preparation

You undress and don a hospital gown. If the exam does not include your breasts, you may only have to undress from the waist down.

Test procedure

You lie on your back on an examining table with your feet in the stirrups while the doctor examines your vulva, the lips of your vagina (labia majora and labia minora), and your clitoris.

The doctor then inserts a metal or plastic speculum into your vagina. This device, which will remain in place during the rest of the exam, has two adjustable paddles that spread the vaginal walls and hold them open, allowing a view of the upper vagina and cervix (see figure).

A long cotton-tipped swab will be used to dab the cervix (a painless procedure) to take a sample of cells for a Pap smear.

If you have vaginitis or the doctor suspects an infectious disease, a sample of vaginal discharge may also be taken.

The doctor will insert one or two gloved, lubricated fingers into your vagina while pressing down on your abdomen with the other hand. The doctor will then insert one finger into your rectum and one into your vagina while continuing to press down on your abdomen. These steps help detect structural anomalies or abnormal growths.

During a pelvic exam, an instrument called a speculum is inserted into the vagina to hold it open and allow the doctor to inspect the vaginal tissue and cervix. At this time, a swab can be inserted into the vagina to collect cells for a Pap smear.

After the test

You get dressed and return immediately to normal activities.

Factors affecting results

Full bladder.

Obesity.

Interpretation

The physician will determine if further tests are necessary in response to any abnormalities detected. A pathologist will examine the cervical tissue specimen for any changes in cells he or she may have seen, felt, or discovered from your reactions.

Advantages

The test helps detect a variety of disorders at a minimum of discomfort and cost.

Disadvantages

Further tests are usually required if an abnormality is found.

The next step

If the Pap smear is normal, no further tests are necessary. The test will be repeated in one to three years, depending on your age and history.

If the Pap smear is abnormal, your doctor may recommend a procedure such as colposcopy.

Ultrasound, biopsy, or endoscopic procedures such as laparoscopy may be recommended, depending on the findings of the pelvic exam.

Cheers, PatientCare

This is done at the very end of the exam. I am standing in front of him while he is seated on a stool in front of me. I have on tighty whities usually the Calvin Klein ones that come in the three pack. He gives the command "slip your shorts down." (He wants them down far enough to provide full exposure visually and with enough space for him to use his hands easily. This is mid-thigh.)Then the folowing:

1. He takes a look at me with my briefs down while he puts an exam glove on each hand.

2. He takes one testicle at a time between his thumb and first two fingers and feels. He also goes up the spermatic cord to the upper scrotum.

3 .Inserts an index finger through the upper scrotum on one side into the inguinal canal and commands "turn your head and cough" usually tiwce on that side and then does the same thing on the other side.

4.Takes the tip of the head of the penis between index and first finger and spreads the meatus.

5. Commands me to "turn and face the table and bend over." Puts KY on his index finger and inserts it into the anus. I can feel the other hand spreading one of the cheeks to expose the anus. He circles his finger all the way around and then I can feel him putting some pressure on the prostate. Then gives me a tissue and tells me I can pull up my underwear.

Totally humiliating and anxiety producing and the worst part is that it is the last part of the exam, so you have to wait through the whole exam to have it happen. I am a nervous wreck by the time it comes.

From my own experiences with medical exams and after reading a lot of stories on this forum, I noticed that the genital exam is always the last part of a full examination.

For play exams I can guess the reason. But what with real exams?

Has anybody ever had an exam where the order was different?

When i was pregnant i had to have a transvaginal and abdominal ultrasound every 2 weeks due to complications.

Most of the times the tvu was done at the end but there was one technican who did the vaginal ultasound before the abdominal.

She said we save the best one for the end.

Off course she had no idea what i conciderd best.

I've always had the genital exams at the very end before the doctor leaves the room. I suppose this is because it is embarassing for many. However, I'd almost like to have them earlier. I feel like once that has been seen there's nothing else to occupy to mind so I could enjoy the rest of the exam just as much.

I've always had the genital inspection at the end of all my real exams.

I'm always naked so the doctor can visually check my body at the same time.

My doc always does it last.

My Dr always did genital and now prostate exams last because once done, unless there was a problem, he moved on to the next patient and I could get dressed. It didn't waste time.

The genital exam is always done last unless the exam includes a rectal exam, in which case the rectal is almost always after the genital. I can only guess at the reasons for the genital exam being done at the conclusion. I would think the idea is that the less threatening parts of the exam allow the doctor to gain the trust and confidence of the patient before proceeding to the more sensitive parts. Another reason could be that the genitals are the body parts that require gloving or, if gloves are not used, where the examiner's hands would get the most bacteria and should be saved for last so that the examiner would not feel the need to interrupt the exam to wash his hands before going to cleaner body parts. As a fetisher who is excited by the embarrassment of the examination of the genitalia, I love that there is the apprehensive wait through the entire rest of the exam waiting for the genital exam to be done. If the examiner did this part earlier in the exam it would destroy the build up of tension in me--and I like to think in the examiner--waiting for the finale of unveiling the penis and scrotum.

Genital and rectal ALWAYS last for me during every exam I have had. I like it this way because the whole experience and excitement of the exam itself always has me pretty enlarged. Just knowing what is to come always adds another level of anxiety as well. When it comes time to remove the underwear I am usually hanging pretty thick and at times leaking as well. I keep my pubic hair in a natural state and love to expose this to a male doctor. On a couple of occasions a doctor has commented on my body hair distribution and this always adds an edge to the exam excitement as well. The first time this comment (body hair) was made I was being examined by a smooth Asian doctor and I enlarged to the point that my penis pressed very hard against the fabric of my underwear. This occurred during the abdomen exam and while I was flat on my back. The bulge was very obvious to me and the doctor that I think he seemed to stall around purposely before asking me to remove my underwear. Anyway, and eventually, he did indeed get an eyeful!

In my experience, the genital exam is usually performed at the end of the exam but not always. I've had a few exceptions at my last few visits to the pediatrician (2 different doctors).

One had me lay down following the heart and lung exam and immediately pulled down the front of my boxers to check my testicles and check for a hernia. He went on to examine my abdomen and legs.

Another had me stand up toward the end of the exam and did the testicle/hernia exams while seated in front of me (and, impressively, without actually exposing my genitals). I thought I had found a lump and asked him about it, and he said that he'd look into it after he finished the rest of my exam. He had me bend down to check my spine next and then went back to check out my concern (it turned out to be nothing) afterwards. So, presumably he would have ended with the spine check had I not had any questions.

Both of these exams occurred when I was in my mid-teens, and both doctors examined me on other occasions that ended with the genital exam.

I had a weird genital exam at one of those clinics that does nothing but preemployment exams. You had to take everything off and put on a gown. The a gal came in (I don't know if she was a dr or nurse as she had no name tag). She did all the usual things, then had me bend over a lo table for the prostate exam. After that, she had me turn around for the genital exam. She reached UNDER my gown and grabbed my balls then pulled my foreskin back and felt the head of my penis, then it was over. She didn't even put my foreskin back. I can't figure out why she did that under my gown when I'm sure everything was visible when I got the finger. Any ideas?

When I was a Corpsman, we were taught that you always do the genital and rectal exam, in that order, last.

I don't know why but I have the same experience. Vaginal, and finally rectal. Oh and my new OB has the nurse wipe the excess lube off when the he is done.

Yes....and no, so to say,

For more than 30 years I have never been naked in front of a doctor, but i remember my school examinations which, every year from 10 to 17, ended with my pants down and a complete genital exam; But the very final step was the doctor asking us to turn to have a quick look at our rectal region, usually parting the buttocks. On,one occasion, at the end of my last ever school examination, the doctor took then my rectal temperature standing up.

i had no genital exam during my student years, nor when I went though the military service examination.

Strangely, as I was looking for a job, aged 27, I went though a long procedure, which inclused a medical exam performed by an old doctor. Then, the final part of this was the genital exam followed by a quick rectal check. And I did not even get the job. LOL

It's always last for me to. It's like a progression and you're always wondering is he going to examine down there and how will he get to it. I always happens though. There are always subtle differences over the years as to how it's done. For instance, sometimes I think it's just a finger in my bottom although I can't tell for sure because I am laid back and can't see down there and other times it's an instrument or two also. Sometimes it's a quick pop in and out and othertimes it's what feels like a long time.

As both a kid, teen and adult they have always been last for me too...

It's always been last for me, even once had a doctor ask if the school required a hernia exam. I sheepishly said no but he insisted they probably did. I remember dropping my pants and boxers down to my ankles, tennis shoes still on, and waddling up to the doctor as he sat on his stool to do the old turn your head and cough.

Yes, genital exam is always last for me. It is always performed standing up, so it makes sense to do it last.

Yes, rectal exam and genital exam have always been done last. It would seem natural to me that a doctor would check from the head down and from most-dressed to least-dressed. I can't even remember, other than for a skin exam, the last time I was asked to remove my shirt. Usually at the end, the doctor will say he needs to do the rectal and genital exams, so I drop my pants. I have never been told to remove all my clothes before an exam.

My female doctor raises my gown and asks me to hold it up.First,she looks at my pubic hair asking if I've had any itching in that area.Then she takes my penis in one hand and moves it a little looking at all angles before checking the opening and pulling on the shaft,looking for discharge.Then she moves to the testicles rolling them between her fingers asking if there's any pain,before asking me to cough.

She usually has me drop my trousers, then, seated in front of me wearing gloves, she gently moves my scrotum slightly to one side and inserts her finger in the inguinal ring and says "cough" then Cough again." Repeat on the other side.

Next, she lifts my scrotum as if weighing it in her hand, then rolls each testicle, gently squeezing and paying close attention to the epididymis and spermatic cord. (I have a history of epididymitis.) She then grasps the penile shaft and retracts my foreskin back and forth a couple of times and examines the meatus.

When all that is done, she has me turn around and bend over the end of the exam table and rest my head on my forearms. She then pushes her finger into my rectum and feels around the area of my prostate for tenderness, swelling, etc. Then, very anticlimactically, (no pun intended) she hands me a tissue to clean myself and tells me to get dressed.

All of this probably takes less time that it took to write out the description of the procedure.

She usually has me drop my trousers, then, seated in front of me wearing gloves, she gently moves my scrotum slightly to one side and inserts her finger in the inguinal ring and says "cough" then Cough again." Repeat on the other side.

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\nNext, she lifts my scrotum as if weighing it in her hand, then rolls each testicle, gently squeezing and paying close attention to the epididymis and spermatic cord. (I have a history of epididymitis.) She then grasps the penile shaft and retracts my foreskin back and forth a couple of times and examines the meatus.

How filled out is your penis during this ordeal? Do you become more erect as it progresses? I am assuming you are not circumcised? How far back does she retract your foreskin?

With my doctor, I remain dressed and seated as she does heart check, lungs, stomach palpation etc. Then she has me stand in front of her and pull my pants and shorts down, examines my penis first and then testicles. She then grabs my testicles firmly and have me cough. She will then put a glove on her right hand and lubrication as I bend over the table for the rectal and prostate exams. The only time I have had my shirt off is for a mole check, but she only does that every other year.

Mines always done last.

Had to get a physical at the student health center in college. A nurse got my vitals and told me to undress to my shorts and sit on the exam table. She left and a few minutes later a female doctor entered, said hello, and looked at the exam form. "Okay sport," she said, "hop on down and lose the undies, let's just get the embarrassing part of the exam over with first." She sat on a rolling stool and had me stand facing her, feeling my dick and balls and doing the "turn your head and cough" thing. She then had me put my shorts back on and finished the exam.

Usually genital exam is the last check, underpants down, then told its ok to get dressed.

Not always for me. The majority of pediatricians that i have, examined my genitals at last after the abdominal examination. But there are two of them that are an exception. The first he was a doctor which my parents brought me one time at year for a complete check up, he as I have already written examined me from toe to head an after the feet examination he dropped my panties. The second he was a doctor who examined me once at the hospital when i was 12, he visited me starting from my scrotum and penis.