There are rather gentle orders to take off your panties to examine, prepare for the exam or just put your knees into knee supports. Open legs for me was looking like sex proposal..😃
Indeed, I do not think that these orders are suitable for a consultation in real situation.
As far as I'm concerned, after the interview, I ask the patient to go to the consultation room, telling her that we will start by examining her breasts.
It is therefore she who decides to get naked or to undress only her bust. Most often she gets naked directly.
For this part of the consultation, the patient does not place her feet in the stirrups.
Once the breast palpation is done, I simply ask her to settle down for the abdominal examination.
With a simple formula, I tell her to use the stirrups and to put her buttocks quite close to the edge of the table.
As a result, her legs naturally parted to be wide enough for the placement of the speculum.
If necessary, we can take advantage of the palpation of the abdomen to help the optimal positioning of the pelvis and thighs.