Prostate Exam Position

A swedish design research institute has, back in 2013, designed an "andro chair" to have males experience the humiliation of being exposed like women feel for the gyno exam.

https://twitter.com/realpeerreview/status/843914656645337088

https://archive.nordes.org/index.php/n13/article/view/368

N.

All my DREs have been with me laying on my left side on the table, with my legs slightly bent. It will be interesting to see/feel how my new GP checks my prostate.

Has anyone ever suggested to their doc about using a different position to check their prostate?

It's a 50/50 mix for me. My PCP did them with me lying on my side. She said she does it that way because she has had men pass out during the exam.

I've had other doctors do it with me standing.

My PCP told me at my last exam that federal guidelines no longer recommend DREs, so she won't be doing them any more.

Strange, the OP is a female but she is referring to 'Prostate Exam Positions.' And the term DRE tends to relate more to men for some reason or other, and the women's examination is mostly referred to as a rectal exam or vaginal / rectal exam.

But women in the UK don't get routine rectal exams, at least not on the NHS but only with certain health providers in the private sector and then only after a certain age. Same applies to men, the NHS doesn't offer routine prostate screening.

But for me I've only ever had my prostate examined while laying on my side with my knees bent up to my chest...I've had it done at several different private clinics, at least four, and the DRE has always been done in that same position. My first rectal exam was actually done at my NHS GP's while I was in my early 20s because of appendix problems, but again that was also done while laying on my side...

First one was in an ER, 20 years old, leaning forward on elbows on exam table. Second one was on my back, knees up, at a urologist office. All since then on my side with legs bent.

Just had my 6 month prostate exam, the doctor knows i will get on the exam table on my knees with my head on the table and he even said it makes it easier to feel for any problems.

I have had this done several different ways by different docs. Mostly these days the doc asks me to lower my pants and underpants and bend over, usually using the exam table for support. Docs these days rarely ask patients to undress, except for spot check items like this, and that's too bad. My long-time female physician had me undress to my underpants and wear a gown for physicals. She would do the genital/DRE exam sequentially, and always said "just pull your undershorts down" to start it. I would be lying on my back for the genital exam, and she would pull the gown up to expose me once my underpants were down. For the DRE I was told to "roll over on my right side" and "pull my knees up", after which she would gently open my bottom with one hand and firmly insert her index finger into my anus. She would always remark about her "cold, gooey finger" and often say something like "I realize this is uncomfortable." One time I responded to that with "it beats going to the dentist" which she found amusing. 😉

Hubby has had one at his last medical with Nuffield as he hit the age of 50, it was with a female Doctor (who he had noticed had very long fingers). After the genital exam she just said ok we just need to do a prostate check which involves an examination of your back passage. She asked him to get back onto the couch, she took off her gloves and wheeled her a small table with gloves and lube on it, then explained the procedure to hubby while she was putting on a fresh set of gloves. She asked him to roll onto his side and bend his knees up, she wanted one leg to be slightly straighter than the other. Then she first parted his cheeks and took a look asked him about any haemorrhoid issues etc, asked him to bear down and relax while she just looked, then she said ok a little bit of lubricant (which he was was far more than a little), she put her finger against the opening and said this may feel like you are having a bowel movement but you won't, then ok a bit of pressure now bear down for me and she slipped her finger in. She paused and then asked him to relax and bear down again then all the way in it went, lol he thought he could feel her knuckle so assumed she went all the way in. She had a good feel of his prostate (which he said made him want to pee) and then really rotated her finger and felt everything up there, mentioned it felt like an eternity but was probably maybe a minute at most.

Will be interesting when he has next medical (we are due end of 2021) if he has a male Dr whether they get him to bend over for the finger wave (or if it is shorter as he was not expecting it to be so long not that a minute is a long time but have heard that these exams take less than 20 seconds).

Lisa

I've had both male and female practitioners do the DRE from the standing and bent over position only. I once got a testicle exam from an andrologist (dude) while lying on an exam table.

https://pornzog.com/video/9898949/digital-rectal-exam-dre/

I've had exams laying on my side leg up. Then bend over the table legs spread cheeks spread. On my belly legs open with his finger deep in my rectum.

Will be interesting when he has next medical (we are due end of 2021) if he has a male Dr whether they get him to bend over for the finger wave (or if it is shorter as he was not expecting it to be so long not that a minute is a long time but have heard that these exams take less than 20 seconds).

Lisa

I've had I think 5 DRE exams to check prostate at 4 different private clinics in London and both male and female doctors. The examination has always been done while laying on my left side so I guess the doctor was right-handed, and each time it took probably around 10 seconds. Just a quick in and out...

Morty, that DRE video is good! The Germans always have it going on...

My family doctor always did it as part of my annual physical where I was naked for the whole half hour while we discussed whatever I asked. He had me on the side on the table. Since 2014 I've had a female family doctor who has me bent over the table but I have to ask her to do it or she doesn't. Seems like that extra 60 seconds adds too much to the time allotted by Obamacare. At the VA my now retired female ARNP always had me bend over the table, likewise the female doctor who replaced her. The ARNP had a female trainee with her once who gave me the most thorough physical ever. It also took her several minutes to find my prostate and needed help from the ARNP. So I got a two finger wave that time.

@roscoe the fact that your doctor doesn’t give you a DRE has nothing to do with Obamacare. We’ve had similar discussions before..you need to get your facts straight.

The last two physicals, I had my prostate examined while my feet were in the stirrups!

@bikeo did you ask for that?

@Waterparkman, Yes I posted about about six months ago.

Most often it is done with me having had to remove my briefs, face and lean onto the exam table, legs spread shoulder with, and then the doctor separating my cheeks and fully inserting his finger. Then he rotates it around doing a full sweep and feels the prostate for an added bonus!

Thanks for the video Morty, Looks like he could be a 'shy pisser'. My prostate examination used to be DRE and now it is done using PSA method. Coincidence maybe, but I tried not to show my 'like' getting a DRE but these days, now done by blood sample. regards, irrigator333.

I think I’ve answered this on another thread … always a popular question.

Mine have always been bent over the table with undershorts lowered generally to the knees which limits how far apart that my legs are spread. Quick in and out and it’s over.

Always bent over the table. Sometimes I am in a gown, other times just drop pants and briefs.

My previous male PCP was very thorough, spreading my cheeks for a good long look, and the finger stayed in for about 30 seconds. The current female PCP wants nothing to do with below the belt exams, either front or back. My male urologist is quick at both ends, but his finger is like a sausage!

Only once lying on my right side with left knee slightly pulled up, all the others were bent over with elbows on the table underwear pulled down to my knees, my current doctor I’ve had now for quite a while , he always using too much lube and hands me a box of tissue when he’s done, it’s always kind of difficult to get all that lube off with soft tissue. He always starts apologizing saying you may feel some discomfort, I always want to tell him that I have put a lot bigger things up my backside than your finger.

Recently I changed doctors and this one performed my prostate exam with me bent over the exam table vs the sims position which is how my previous doctor performed the exam. After the exam he handed me tissues to wipe the excess lube.

In the UK it's always been on my side facing the wall, with one notable exception. In the US always bent over the examination table with the doctor seated in a chair. Once in a GUM clinic here in England the doctor asked me to get up on the table on my hands and knees while he and the assisting male nurse checked my prostate, looked inside with a proctoscope, and collected a swab or two. I felt very exposed and got hard, which was pretty obvious. A friend said that was gratuatious on the part of the doc as the Sims position is standard in the UK for rectal exams. Either the doctor read my mind or he wanted a good look.

Completely naked, on my left side, with my knees on my chest, while the female doctor spreads my cheeks and touches my butthole and, then, penetrates it.

Just had an appointment at the urologist and my dre was done bending over the table. I kinda prefer it done lying on my left side but bent over the table was fine. Seems like I could feel the full length of the urologists finger when I was bent over today

@bikeo, at my last urology visit in December, I inquired about getting my DRE in the lithotomy (stirrups) position, having read about the benefits of that position to get a better feel of more of the prostate. The urologist looked at me kinda sideways, and said he thought that approach "was a bit extreme.” He also asked where I knew about the word “lithotomy” since it was not something he typically heard from his patients. I explained I had worked in medical insurance claims for 35 years and am fully medically literate (and also married to a nurse for 41 years)…so now he's on his toes a bit with me since he knows I know what he's up to…I see him again a week from now, if anything exciting happens I'll be sure to report back…

I’ve had three DREs while leaning over the exam table/chair on my elbows and one DRE while lying on my left side with my right leg kinda bent bent up towards my chest. My prostate seemed to get the most stimulation the time I was on my left side. All four were over in probably 5 seconds, which was too fast to determine anything imo.

Pretty sure I’ll never get one in stirrups or on my back. So, I guess my preference is on my side.

I can now update that at my last three physicals (2019 - 2021), I had my prostate examined in the lithotomy or cross legged lithotomy position.

@bikeo I definitely want to chat with you about how to get my doctor to do the genitalia exam in stirrups too