Assuming you mean an ideal experience at a real doctors office (not a fantasy or play exam), I guess I'm not 100% sure. I like the fact that every doctor is different and conducts their physicals in a different manner. Even at the same doctor, mine are not always exactly the same every year, there are slight deviations from year to year. I really like the element of surprise. Going to a new doctor is the best. I have no idea how much I'll be required to undress, is the doctor male or female, will there be a chaperone, hernia exam, testicles, penis, rectal, what position for DRE?
I like it when I find the nurse or MA attractive. She doesn't have to be a 22 year old smoking hottie with a perfect face and body to match. She can be younger or older, and doesn't have to have a perfect body. If she's someone I wouldn't mind seeing naked and/ or having sex with, then that's good enough. Just enough to add a bit of sexual tension or some form of arousal into my mind.
I'm also not sure about how far I like to be undressed. I really like hearing the nurse giving me instructions on how far to undress and possible gowning or draping. At that moment, she has such knowledge and power over me. She knows exactly what the doctor is going to do to me in a few moments and how much embarrassment I will have to endure. I like feeling vulnerable sitting on the table and not wearing any underwear, with the paper subtly sticking to my butt and legs. However, if I'm not required to undress and just remain clothed for an exam, I sometimes have the hope that a genital exam won't be required and I have a sense of confidence during the exam. Sometimes it's a false sense, and I really enjoy that sudden deflating of my bravado. I like hearing the doctor give me instructions to (usually) stand up and expose myself. Dropping my pants for the big reveal while the doctor is sitting a few feet in front of me putting on gloves is the best, terrible experience ever! Such anxiety, dread, embarrassment, arousal… a million different thoughts and feelings all at the same time. I fear and hate it at the moment, but love to look back on the memories of it afterwards.
So my ideal would probably be a required pre-employment physical to a doctor unknown to me, not my choice of doctor or location. A young, pretty nurse calls me back and instructs me to undress to my underwear and wear a gown. While waiting undressed on the exam table, the nurse returns to take my vitals. I'm embarrassed for her to see me in the gown. While taking my BP, she traps my arm between her armpit and side boob and I take the opportunity to steal a view of her cleavage and a glimpse of her bra. I love that. When leaving, she tells me, “the doctor will be in soon, she's with another patient at the moment”. I'm surprised to hear it's a woman. No big deal, just slightly more embarrassing and awkward.
Eventually, a woman slightly younger than me with a pretty face, chubby body (I don't want to find her too good looking for fear of getting a boner), and pleasant personality enters the exam room and begins examining me. After HEENT, she lowers my gown to my lap for the heart & lung auscultation, then asks me to lie down. After the abdominal exam, I start to get nervous because I know what's usually next. As she lowers my gown oh so slightly, she warns me she will now take my femoral pulse, this extending my anxiety. With one hand, she raises my underwear waistband just enough to expose the top of my penis and scrotum on one side, then places 2 fingers of her other hand in my groin. I struggle to remain flaccid. She then repeats the process on the other side. With the gown still at my waist, she has me sit up. Now I'm really nervous, it's the moment of truth. Is she going to do a genital exam or not? She grabs the little rubber hammer and begins checking my reflexes. I completely relax. I can literally feel my BP drop. After a few minutes of reflexes and various other poking and prodding, she suddenly tells me she's going to step out for a few minutes and return with the MA to finish my exam.
Gulp. My stomach drops and I get light headed as I sit on the table, gown pooled in my lap, pondering about my upcoming fate. The doctor and same MA as before return. The doctor instructs me to lie back down and lower my underwear. As she grabs a pair of gloves, the MA extends the leg rest on the table and gives me a sympathetic stare. With the gown now acting as a drape, I reach under and lower my underwear to mid thighs. The MA lowers the gown to about my knees as the doctor steps over to the table, still wrestling on her gloves. Both women, one on either side of me, stare intently at my genitals. The doctor moves things around as she inspects my genitals and groin area. As she begins examining my testicles and then penis, she is asking about any erectile problems. Sooo embarrassing. Finally she finishes and tells me to “pull 'em up”. Well, that wasn't so bad, it could have been a lot worse. At least I didn't have to endure a hernia exam or DRE. I'm beginning to relax a bit.
The MA pushes in the leg rest and raises my gown, fastening it behind my neck, but not at my lower back. I then notice the doctor retrieving a stool as she sits on it in the middle of the floor. Uh oh. “Please step down to the floor, I need to check you for a hernia real quick.” As I stand in front of her she says, “If you'll just lower your underwear again and raise your gown for me.” I do as I'm told and look over at the MA and make eye contact, she gives me the most awkward smile ever. The doctor asks me about pain or pressure as she examines my scrotum and testicles again and then gives me the embarrassing instructions to turn my head and cough. Once again I think we're done when she dashes my hopes by saying, “Alright, almost done. I just need to do a digital rectal exam and check your prostate. Please rest your elbows on the table, bend at the waist, feet apart, and pigeon toed.” After the exam, as soon as I feel the doctor withdraw her finger the MA is presenting a box of tissues for me to clean myself up with. How embarrassing to stand with my underwear around my knees, wiping my butt in front of two women, then waddle over to the trash can to throw away my butt goo.
When I return back to my new job, I find it both incredibly hot and embarrassing to know that everybody there knows exactly what I just went through. It's also hot to think about them going through the exact same thing!