Hi Cardiacsurg,thanks for this interessting thread! Me personally, I take all my time when stething myself. First of all, I make sure that I'll be alone for at least 2 - 3 hours. I lock the front door and switch on the phone mailbox. I do my self stething in the sleeping room - it's warm, there is a big mirror, I have all my equipment next to me.Then, I spread all necessary instruments infront of me next to the mirror: blood pressure cuff and device, different Stethoscopes (a burgundy Littmann for accoustics and a red Supraphon for optics, at least, often more, because just the sight of stethoscopes turns me on), EKG accessories for optical excitement...Then, I start the exam as it is at the Doctor's: I enter the room fully dressed, I begin to undress, only the upper body, I take my blood pressure several times. After that, I take my Supraphon red rubber Stethoscope, unfold the earpieces, put it into my ears and start lung auscultation, taking deep breaths through my open mouth. Auscultating the whole chest, also the sides. I raise my arm for it. By the way, I do not apply any powder to my skin to prevent "diapraghm sounds" - to the contrary, these small noices when you lift off the Stethoscope from the moist skin, I love them, for me, they are very arousing. Next is heart auscultation. All 5 wellknown spots, each for a long time. Breathing and without breathing. Then, I switch to my Littmann for accoustics. Same auscultation as before with the Supraphon. Everything is watched attentively in the big mirror. Thus, meanwhile, I'm already as hard as a rock...Next, I undress completely, and my hard penis is happy to be free at last! Watching me with the stethoscope on my chest, hearing my thumbing heartbeat, it's no wonder that I touch my penis and begin rubbing it, which, in turn, increases heart rate and vice-versa. Watching all this eagerly in the mirror. So, it doesn't take a long time until I ejaculate intensly - with a maximum heart rate of nearly 200 bpm ! I stop rubbing my dick and continue listening to my heart beat, which is slowing down gradually. I'm very relaxed now...I clean up my semen, I clean the instruments, the miorror, which often are "drowned".I dress and I'm incredibly satisfied :-)Self stething is the second best sexual relief for me - after having sex with simultaneous stething !!!