I hadn't had a physical exam in a couple of years when I needed to get one for my wife's company insurance. Being somewhat new to our address, I just called the closest medical facility and made a "first available" appointment with a nurse practitioner. I got there early to submit insurance information and fill out new patient paperwork. Being 41 years old and having had a medical fetish since my teenage days, I was very much hoping for my first rectal exam. I made sure to note on my paperwork that I have a cyst on my left testicle in hopes the doctor would do a thorough examination of my genitalia as well.
When it was my time, a nurse called my name and escorted me back to the exam room. After getting my height/weight in the hallway, she showed me into the room and took my temperature (orally) and blood pressure. She told me the nurse would be with me soon and left without instructions to undress. A few minutes later the nurse practitioner entered the room and introduced himself. The exam started off pretty normally with him asking me to take a seat on the table so he could check my eyes, ears and nose. While my shirt was still on, he checked my lungs and heart with a stethoscope. Satisfied with the results, he then asked me to lie on my back. Without waiting for further instruction, I unbuttoned my jeans, unzipped my fly and raised my shirt above my nipples before reclining into the supine position. He then proceeded to listen to my abdomen with his stethoscope before thoroughly palpating my abdomen. Sadly, he did not venture below the waistline of my boxer briefs.
He then retreated a bit from the table and reached for the box of gloves mounted on the wall. As he took two out, he informed me that unless I had any special concerns, he would not be checking my testicles as testicular cancer is mostly something that affects younger men. I just nodded in agreement. He then confirmed my age (41) and said that he would, however, be conducting a prostate exam since I was over the age of forty. He was actually a bit sheepish and asked me if I was expecting a prostate exam and that he didn't want to surprise me with that announcement. I chuckled nervously and told him I was fully expecting it. Of course, I couldn't tell him I had been looking forward to this day for 25 years.
He asked me how I wanted to be positioned for the exam. I thought that was a little bit odd, but hoping to extend the exam I kind of threw it back at him and asked him how he preferred to do the exam. He told me I could stand, facing the table, with my feet apart and forearms on the table; slightly leaned over or I could lie on my side. Figuring I would have to remove my pants and underwear completely, I told him I wanted to lie on the table. He said "okay" and instructed me to remove everything from the waist down and lie on my left side. I removed my pants and slowly slid my underwear down my thighs and past my feet before climbing back on the the paper-lined table. I was still wearing my shirt. I heard some noise behind me, including the sound of gloves being snapped on when he stopped. He apologized, removed his gloves and said he needed to leave the room for a minute to get some more cards for detecting blood in the stool.
So I laid there for a few minutes, naked below the waist, until he returned with a small stack of white cards in his hand. Behind me, I heard him put gloves back on. He told me he was going to insert a lubricated finger into my anus and then feel my prostate gland. I said "okay." He told me to take a deep breath and on the count of three he would insert his finger. So I took a deep breath and waited for his finger to penetrate me. But he missed. Choosing not to spread my cheeks with his other hand, he just stuck his finger right into my crack, but it was too high and his finger missed by what had to be a good inch. He apologized and tried again. This time he was right on target. He effortlessly inserted his jellied finger just inside my anus and then told me to bear down so he could go a little further in. I did. And so did he. I could feel his finger inside me pressing on my prostate gland. He told me it was smooth and symmetrical and felt perfectly normal. He then rotated his hand 180 degrees in each direction checking my rectum before withdrawing his finger. The entire process took about 10 seconds. I wish it could've lasted 10 minutes.
Although I couldn't see him do it, when he was finished in my rectum, he smeared his finger on one of the white cards. He then handed me a few tissues and told me I could wipe myself and get dressed. I slowly brought myself to the seated position hoping to hide my erection with my shirt. He told me he was going to take the stool smear to the lab and as soon as he left, I pulled on my underwear and jeans; tucking my erection (my erection curves slightly downward and to the left) into my clothing. I was completely dressed by the time he came back and informed me that the smear was normal.
Nothing exciting happened after that. I was escorted to the lab for a blood draw and then back to reception for more paperwork. Finished, I immediately drove home to masturbate while reliving the events of the examination.
Since then, I've had more (and better) rectal exams and even a colonoscopy. But I will never forget my first digital rectal examination.