Realistic as possible. While it may be a challenge to duplicate an exam room, I do find that the language used by the doctor is crucial to making it a success. Here's what works for me:
The role of anticipation when faced with uncertainty is also key. One enters the room with some apprehension and quickly scan the room to discover what is displayed. Subtly adds to the drama for sure. Learning that I must undress, minimally to my briefs, then wait for the doctor to begin is very intense.
At some point, the requirement for a rectal temp is going to be done leaving me completely helpless with the probe nested deep between my cheeks as the doctor asks me all sorts of personal questions. Having to lay on my side for this adds to the tension and likelihood of an erection that I can not stop. The fact that the doctor remains unperturbed adds to my embarrassment. Lying there naked removes all doubt as to my submissive predicament.
The exam only intensifies with a mandatory exam of my testicles, careful palpitation of my shaft and inspection of the meatus, and then the obligatory hernia exam. The pressure to each testicle is noteworthy followed by having to bend over on to the table such that the doctor feels my sac while invading my rectum probing deep and causing me to go up on my toes gasping for relief. There could be a release of seminal fluid as he presses. As his finger is removed, I attempt to compose myself and wipe my penis. Next, I am on my hands and knees, my thighs shake, as I feel his fingers spreading my cheeks wide and telling me to take a deep breath. Before I know it, his finger enters me again and swiftly presses on my prostate causing my penis to throb. His actions are slow and deliberate; carefully manipulating but aware that too much could cause an eruption.
He allows me to finally sit and cautions me that the exam is far from complete while I gently wipe my penis again. With that, he procures a Fleets enema and directs me to get onto my side and accept the nozzle. While doing so, I realize that the solution will have a profound impact on me and soon cause me to feel very full and cramp. Moaning does little to assuage my discomfort. I have to void and when allowed to do so, I hurry off to the bathroom oblivious to my shriveled condition of my penis. Relief is immediate and thankful for that as I return to the room and get back up on my knees with my head down.
The obligatory finger probe reinforces that my rectum is clear and able to accept further investigation as he prepares the anuscope. I do my best to avoid looking, as if this will make the entry less obvious, but when the tip presses in I gasp and clench. He skillfully manipulates it deep into my passage while I groan and moan. It creates incredible confusion as my penis throbs while I feel all this internal pressure. Upon its removal, I am allowed to lay back and face him as he lubes his finger and mentions it's time for a sample. He gently takes my partially erect penis and begins to stroke it while feeling my sac for good measure. I moan and soon his finger is massaging my prostate such that my butt lifts off of the table. I am at his mercy and breathing heavily to the point of clenching until I explode! He then offers some kind words, “Well, you seem to be doing just fine!"
I am allowed to lay there as my penis retracts in slow spasms. He leaves me alone as I ponder my physical state and continue to feel the lube between my cheeks. I sigh and quietly reach for tissues knowing that once again I have achieved a complete and personal physical.