For those males that have a female physician...

I've been to two practices in the past several years depending on insurance. At both, vitals are done by a PA, and then the patient waits for the PCP. At each practice, I had female doctors (one my choice, and at the other one she was the only doc accepting new patients). I am always offered a gown and do use it, wearing it over my underpants. The exception was last year, when the PA asked me to take everything off. “Everything?” I asked for confirmation and the PA said yes. They did look at a skin problem I had around my groin area and were monitoring, so maybe that's why.

At my general PCP, she auscultates under my shirt but that's about it unless I bring up any particular concern I need her to check.

At the urologist, it's mostly been bottomless with a drape if you're going to have a test like a cystoscopy or pulling pants down simply assess the plumbing.

For the one that has checked me the most, just underwear

At the practice I go to, the nurse practitioner hands me a gown and tells me to undres, once she’s completed the first part of the exam.

The last genital/prostrate exam i had was with a woman doctor, and she just told me to drop my trousers and pants,and get on the bed.

I had some testicular pain about a year ago and could only see a PA as my PCP is too busy for patients, both happened to be female. I made the appointment to get a refill on medications and i told the receptionist over the phone that I had some bad groin pain. The PA basically spent the appointment talking about my meds and tried snding the appointment; I embarrassingly had to bring up the testicular pain. She seemed annoyed a bit and just had me stand in front of her while she was seated and drop my pants. She actually did a thorough exam and thought I may have had a swollen epididymitis. A few urine tests, an ultrasound, and a couple of talking only visits later I was referred to urology. There I also saw a female PA who examined me the same way and sent me to PT, where I was found to have a simple pelvic floor issue that actually fixed my pain as well as a few other issues I didn’t even know were happening.