No, I'm confused. Retracting the hood and touching the clit sounds like fantasy, and I have a hard time believing it could actually happen in a real exam. I want to keep play exams as close to reality as possible, but just on the edge.
So, correct me if I'm wrong, but the only realistic thing I could do to make a play exam more erotic/humiliating/exciting, etc is to take more time. I.e. a 3-4 minute seated/lying breast exam, a 2 minute external exam with gloves on, a 2-3 minute pap smear, and a 2-3 minute bimanual and rectal. I could do this by either talking to the patient while she is exposed, pretending to be slow and disorganized, or just being more thorough and doing a textbook exam.
Also correct me if I'm wrong, but from the replies I'm assuming that ANY complete nudity, ANY touching of the female genital area without gloves, ANY touching of the clitorus, and ANY rectal exam "on all fours" would get a real Dr fired, arrested, and sued.
If anyone can think of realistic ideas that would make a routine play exam more exciting, please let me know.