Had a little bit of blood and mentioned it to a GP. I had this along with some severe abdominal pain. He had me change into a gown, donned some really nice latex gloves(Mcckesson medi pak performance), moved a lamp in, and grabbed a tube of surgilube. He took a quick look and told me I had hemorrhoids. He never did a digital exam and I was quite disappointed. A couple years later, at 22, I changed doctors and mentioned bleeding during a new patient physical. After moving through a thorough physical exam he offered a testicular exam. He said that if I had any concerns he could check it, but it wasn't entirely necessary. I asked to have it checked and he told me that some guys are shy about it and don't like having that part of the examination. He told me to drop my drawers to mid thigh level and stood in front of me on a rolling stool. After donning vinyl mock latex gloves, he rolled each testicle intently between his fingers. I was able to get through it without getting erect. He stripped his gloves and I started to pull up my pants, but he stopped me and said he was going to take a look at the backside.
He had me lean over the foot of the exam table on my forearms and elbows, put on some new gloves and and grabbed some lubricant and a hemocult card from the drawer. Initially he did a visual inspection and was pressing on and around my anus. I could feel his fingers walking across the surface. He placed some lubricant on his index finger, inserted it very shallowly, and asked if I had any pain. When I told him that it didn't, he apologized and said that he would have to perform a prostate exam(even though the complaint was blood he said prostate exam). I could hear him opening the hemocult card behind me. After applying some more lubricant to his finger, he applied it to my anus, and pressed gently against it, allowing my sphincter to relax on the pad of his basketball player sized finger. He expertly inserted it at a gradual, but deliberate pace until it's entirety was enveloped by my rectal tissue. It was initially uncomfortable because of his finger size, but once he reached my prostate and started feeling its contours, it felt electric. I was getting tingles starting at the base of my penis moving towards the tip and rapidly heading towards having a full throbbing erection by the time he was done. He handed me tissue to wipe and when I was done, I asked where I should throw it. The doc pointed towards a red biohazard bin across the room. With my pants around my knees, and a semi that was more erect than not, I awkwardly shuffled across the room in front of him to throw the tissue. There's no way that he didn't see it, but it was not acknowledged.
After I pulled up my pants, he gave me some options to check for internal hemorrhoids. I could either skip it, have him look with an anoscope and refer to a specialist if he found anything, or I could just go to a specialist. I asked to have the scope done. The doc had me climb onto the table, lower my pants, and lay on my left side with my right knee flexed. After donning another pair of gloves, he opened a drawer in the exam table, but didn't find any scope in there. He excused himself from the room and I heard him outside the door speaking to the MA. He was asking for the scope and she thought he wanted a GYN speculum, so he had to describe the anoscope. He came back into the room with a plastic anoscope inside of a plastic package and apologized for the delay. Laying there exposed and listening to the conversation only increased the anticipation. He laid out some paper towel, squirted a large dallop of lubricant onto it, opened the package, and rolled the white plastic scope across the lubricant, picking up a large quantity of lubricant in the process. After lifting my buttocks with one hand, he warned me that I would feel some pressure, and told me to relax. Just like his digital exam, he was very gentle and inserted the scope gradually. I could feel it rubbing against my prostate, which was swelling with excitement as my erection started to return. After inserting it fully, he removed the obturator and slowly withdrew it, spinning it around as he did so. Once it was out he told me that he couldnt think of anything else to do to a poor patient. I began the motion of sitting up and he stopped me, telling me to wait a minute before getting up. I'm guessing I had a little feces that might have come out if I stood up too fast.
His slow approach was almost sensual compared to exams I've had in recent years. My current GP has you breath in, breathe out and says, “sorry about this, a little cold gel. Keep breathing”. As I breathe out he quickly enters and is right on target. It's more of a rip the bandaid approach, but its never uncomfortable. Always too quick though. The urologist I saw recently laid out the paper towel, covered it in lube and fully coated his finger, and plunged in even faster than my GP.