can anybody explain to me what happends during a male exam please.
my partner has never had a full check up all the time we been together .
thus why its an interesting subject to me
When you hit 40 expect to get a Digital Rectal Exam at every annual checkup. If it isn't done then they are not doing their job.
I had my yearly one this morning. I was asked to strip to my boxers and put on a gown. The female dr. took my BP and checked hear and lungs and abdomen. That was it. I was expecting at least a hernia check, but nothing. There was a tray with gloves and lube but it wasn;t used on me today. Would have loved to had a complete head to toe one.
I had my yearly exam today. I had to undress to shorts and put on a gown. Unfortuanelty all she did was check BP, listen to heart and lungs, and push down on belly. That was it! bummer
Late to the party, here, I have been following posts of another member and found this thread. Way back, the ideal physical would start in the new doctor's office, not the exam room. You might or might not have filled out a history, but he would go through one with you, asking you about each system of the body, any problems you might have. The last time this happened for me was in the mid 1990's. This doctor, like those before him, would then take me across to an exam room 'to have a look' or something to that effect. In the norm today, you fill out a history in the waiting room, hand it to the receptionist who gets it to a nurse who takes you into the exam room, usually getting your weight out in the common hallway fully dressed, and checks your vital signs. She then states the office policy, whether everything off/put a gown on or.... The exams themselves have been well covered by others.
You should expect a cold room with many cold instruments in the room, and the docotr will enter an ask you to uinfdress and take off your clothing to see what is wrong with you and to eamine your body
I think the 'best' was a new doctor on Cape Cod. His assistant/nurse/whatever did the temp., blood pressure, pulse, weight (in the common hall, of course). I never undressed. He 'went over' me by sitting in a chair and reading what his computer stated given my sex and age.
I have had physicals from quite a few doctors. I only do physicals that are required for employers or insurance companies (life or disability), so every exam I have is with a new doctor since I have to go to the doctor to whom I am sent. This means I have experienced a lot of different physicians both in family practice and internal medicine. They vary a bit, but most are fairly similar. The most common way I have been prepared for the exams is stripped to underpants, briefs in my case. I had one for which I was instructed just to take off my shirt to begin. I have had one for which I was told to strip down completely and wear an exam gown and another in which I was told to go down to shorts and put on a gown. But at least 75% were in briefs only. Most of the time the exam begins with me sitting on the edge of the exam table with my feet dangling. The doctor usually examines eyes, ears, throat and neck at first. Next is usually neurological, reflexes, heart,lungs and axillae not always in the same order. Then I am usually told to lie on my back and the abdominal exam is done. This is usually auscultation and palpation. Some doctors have then checked peripheral pulses in feet, ankles, behind the knees, inguinal and wrists. Then come the embarrassing parts. Most often the doctor will sit on a stool and have me stand and face him or her and slip down my briefs. Each doctor has his own little phrase to instruct me for that and I enjoy recalling the exact words later on. He takes each one of the testes between his fingers and feels for any abnormal mass or discomfort. Then he uses his index finger to push up from each side of the scrotum into the inguinal canal on that side and feels for a hernia. He usually says "turn your head away from me and cough." Then comes the digital rectal exam. I have usually had this done as I bent over the table, but I have had it done up on the table on my side with knees pulled up toward my chest. A lubricated finger is inserted into the anus and the anal canal examined 360 degrees for abnormal masses and the prostate is palpated for abnormalities. This is usually about a 30 second process. He will wipe his gloved finger on a little card and drop a developing solution on it to check for blood on the glove. I then get to pull my briefs back up leaving a lot of my dignity behind.
Good question! Wish I could answer it for you, but I'm not a real doc, I just play one. Perhaps one of the medical professionals on the board could give us some insight.
I will say that I think insurance physicals are cursory by their very nature, as are MOST employment physicals. I can tell you from personal experience that one way to get a thorough going over is to develop a life-threatening condition. That will get you the kind of attention you never wanted to have!
I found it interesting how thorough and detailed the physical exam you described was. I have insurance coverage from a major insurance provider and always use in network doctors, but I am lucky to be weighed and have my blood pressure checked, let alone any type of physical exam. I have heard this blamed on everything from time constraints, to lawsuits, to insufficient reimbursement from insurance companies. What is the real reason that doctors provide only a cursory exam even on the first visit? Is there a proper way to request a more thorough physical be preformed? Thanks.
You're most welcome. I think any medical professional would tell you that becoming aroused while at the doctor is something they've all seen before. They don't make a big deal out of it, and neither should you, it happens.
The only reason that I can think of that a genital exam might have been abbreviated with a younger person is to avoid any accusations of inappropriate behavior. Now I'm afraid you'll just have to cowboy up. The exam is likely to be brief anyway given your age. Again, if you do become aroused, I wouldn't worry about it.
thank you ladydocisin and srg rik. Ladydocisin i'm afraid i'll have become aroused by the genital exam. Do you think the doctor would skip over or preform a shortened genital exam if i'm aroused? Because every female doctor i've ever had in the past has turned me on, and in my early teens they would barely touch my genitals if i was aroused. :(
Excellent points, srg_rik! Karma!
One thing to add, if you are taking any medications, write down the name, strength and how often you take it (whether prescibed or over the counter). Also write down the name of any hospital where you have had surgery and / or the doctor and the same for major tests. In the hurried state of medical practice these days, you may forget this information id you haven't written it down.
Dissect you bit by bit. No! Just kidding.
First, you'll be asked to fill out forms that detail your medical history and then a multitude of federally required administrative forms regarding patients' rights, consent to treat, and privacy rules.
Someone will assess your vital signs, most likely a nurse. They will check your temp (orally, so don't get your hopes up), take your BP and your pulse. Height and weight will also be measured. Then you'll be shown to the exam room where you will most likely be asked to disrobe and put on a gown or a drape.
The doctor will have had an opportunity to review your chart and will ask you questions about your past medical history and any problems/symptoms you're having now. Then the doctor will perform a head to toe assessment, what we call the physical exam. It will include a check of all your organ systems, auscultation of your heart and lungs, palpation and percussion. Your reflexes will be checked, and your doctor will most likely also do an examination of your genitalia. According to your profile, you're a little young for a prostate exam but I wouldn't rule it out from a very thorough physician.
During most of this your doctor will be asking if you have questions so if you have any, feel free to ask. Anything you say to your doctor is confidential, and he or she has probably heard/seen it all before anyway so if you have concerns about ANYTHING, now's the time to bring them up.
Your doctor will probably order some blood tests, a CBC, WBC, differential, HDL, LDL, BG etc. and possibly a urinalysis. If you have a family history of heart disease he or she may perform or order a baseline EKG. None of these are terribly scary and they're not painful. I'm sure I've left out a multitude of things, but those are the basics.
With any luck at all, you'll get a clean bill of health and you'll have a baseline medical record that your doctor can refer to in the future.
i want to schedule a physical examination, but haven't been examined by a real doctor for over 10 years. What do they do in a yearly physical?
Gynoslave, I have had a bunch of exams for different reasons and it seems that there is little or no similarity among them. If you check my other posts, you can read about my pediatric exams as a kid and my track participation exam on entering high school, but I don't expect that they are what you're interested in. Once, for a pre-employment physical (when I think I was about 35), the doctor interviewed me in his office about my health and never touched me or asked me to remove any clothing, and signed off on my form. At another pre-employment physical (I think around age 28), I was shuttled through about ten exam rooms in a hospital, told to strip to my underpants in each one, and different parts of my body were examined in each one. In one of the rooms, only my eyesight and hearing were checked, and I still don't know why I had to strip to underpants for that. In only one room, I was told to drop my underpants and a hernia check was done. Only since I turned 50, at my regular physical exams, a digital rectal exam is done. This has been done with my back to the doctor and he never sees my front (unless, perhaps, he looks between my legs).
I have had a yearly physical exam for the past fifteen years. I would say that I have seen eight different doctors during this time. All of my doctors have been male and ranged from age 32-78. Ninety percent of the time I have been asked to strip to my underwear from the start. My current doctor has his son as his nurse. This guy is about 30 years old and he always has me to remove my shirt, socks, and shoes for the preliminaries including the EKG. Like clockwork, after the EKG, he pulls out a folded sheet from a cabinet and instructs me to remove all clothing including my underwear. While I am removing my pants and boxers he begins to place the contents of the EKG machine away. Therefore, he is always in the exam room as I become completely nude. After stripping down I usually walk over and place my clothes in the chair then return to the exam table. Once seated, I place the sheet across my lap. For the past four years both he and his father have seen me completely naked. I wonder if he (the nurse) sticks around in order to see all male patients naked.
Actually urinary constrictions in the urethra are in fact common and often mis-diagnosed as benign prostatic hypertrophy, according to my urologist. So it is common practice to examine the urethra as part of a urologic evaluation, and simple visual examination of the meatus is the simple, inexpensive thing to do.
So, yes, I think examination of the meatus is proper.
That is correct. Retraction of the foreskin is very important. The examiner can either do it himself or instruct the patient to do it. Also, regardless of the patient's circumcision status, the meatus should be spread apart to ascertain that it is of adequate calibre.
If urine and semen come out unimpeded, and there is no infectious discharge, it is perfectly fine. Plus, viewing the urethral orifice/meatus, you can only look inside a few millimeters, and any constriction in the urethra would be invisible to the eye anyway.
I'd like to remind Gynoslave to retract the foreskin, if the patient is uncircumcised. This is an important part of the examination.
I have had physicals from quite a few doctors. I only do physicals that are required for employers or insurance companies (life or disability), so every exam I have is with a new doctor since I have to go to the doctor to whom I am sent. This means I have experienced a lot of different physicians both in family practice and internal medicine. They vary a bit, but most are fairly similar. The most common way I have been prepared for the exams is stripped to underpants, briefs in my case. I had one for which I was instructed just to take off my shirt to begin. I have had one for which I was told to strip down completely and wear an exam gown and another in which I was told to go down to shorts and put on a gown. But at least 75% were in briefs only. Most of the time the exam begins with me sitting on the edge of the exam table with my feet dangling. The doctor usually examines eyes, ears, throat and neck at first. Next is usually neurological, reflexes, heart,lungs and axillae not always in the same order. Then I am usually told to lie on my back and the abdominal exam is done. This is usually auscultation and palpation. Some doctors have then checked peripheral pulses in feet, ankles, behind the knees, inguinal and wrists. Then come the embarrassing parts. Most often the doctor will sit on a stool and have my stand and face him or her and slip down my briefs. Each doctor has his own little phrase to instruct me for that and I enjoy recalling the exact words later on. He takes each one of the testes between his fingers and feels for any abnormal mass or discomfort. Then he uses his index finger to push up from each side of the scrotum into the inguinal canal on that side and feels for a hernia. He usually says "turn your head away from me and cough." Then comes the digital rectal exam. I have usually had this done as I bent over the table, but I have had it done up on the table on my side with knees pulled up toward my chest. A lubricated finger is inserted into the anus and the anal canal examined 360 degrees for abnormal masses and the prostate is palpated for abnormalities. This is usually about a 30 second process. He will wipe his gloved finger on a little card and drop a developing solution on it to check for blood on the glove. I then get to pull my briefs back up leaving a lot of my dignity behind.
Male exam instructions: http://meded.ucsd.edu/clinicalmed/genital.htm
Rectal exams done by male doc's usually are done bending over with elbows on the table. Female docs usually prefer to give the rectal exam while lying down on your side (bent knees), and top leg
stretched over the bottom.
Where do you live? More than half of all new doctors graduating med school in the US are women, and they comprise an even greater percentage of those doctors who remain PCPs rather than go on to become a specialist. In the northeast US, most new doctors are female.
I actually have discussed with her about the exam and other things. I think she just does the exam like that. I don't think any real MD is going to do much except the min. She stated the PSA test is what she goes by anyway. I have other reasons to find a new doctor also. She is far from my work and many times she has had me come all the way down there to tell me a blood test turned out okay. She could have given the results on the phone unless there was a problem. It's not easy to find a woman doctor. Most places have men and women doctors, and the front desk always try's to give me a man doctor. I have even been asked 2 times if it was okay the doctor was a women. One place I felt like the Doctor was un comfortable with the whole exam. She never even had me remove my shorts. The place was mostly woman going there the waiting room was full of woman and I was the only man most of the time. Sometimes there was a man that was old 80 or older using a walker.
Fascinating, floridaguy, because almost exactly the same has happened to me several times. I wrote about it elsewhere on this board a while ago when my female dermatologist suspected I had symptoms of Reiter's Syndrome (a rash on the genitals and a redness of the eye, at the same time) and demanded I go see my PCP right away. I did, but it was late and I wound up with the after hours MD, an Asian woman, and a female NP. They looked me over carefully, and as they did so, I was completely nude because they had to check for other instances of the rash. And of course they both inspected my penis carefully and at length because the rash was on my glans, under my foreskin. So the two of them are looking me over -- it is a busy night and each of them came and went from the exam room several times, taking up where they left off when they returned, first one, then the other, then both, then one again, etc. I was nude the whole time and developed a hell of an erection. I was nonplussed at first (and worried about Reiter's) but soon decided to go with the flow. At the end I was standing there fully nude and with an erection -- I am not making this up -- and the two to them and I chatted for about five minutes after the Asian doctor took off her gloves and very gingerly touched the surface of the rash to see if it was smooth or not. That of course made me harder still. They were extremely nonchalant about my nudity and no one ever mentioned my erection. But their examination and the flow of our discussion required them to refer to and thus look at my penis while I was standing there. Talk to me looking at my face, then gesture or touch my penis and look at it, then back to my face, then to my penis, etc. This of course made me harder still, at one point my penis actually jerked upwards noticeably. They both smiled a hell of a lot while this was going on and were just about laughing as they left and told me I could get dressed. And by then I was enjoying it too, though somewhat secretly, so I also smiled at them as my penis bobbed in front of them. True story -- completely. And I have had a few other experiences similar but not as good as that. I have to laugh out loud sometimes when I read about some poor fellow worried that a female doctor or nurse will think less of him because he is exposed or, God forbid, erect. Not a doubt in my mind that my case that evening made the day for those two ladies. And it turned out I did not have Reiter's Syndrome.
What I have come to wonder is not whether or not the chaperone likes her role -- I am pretty sure the ones I have had usually do -- but the degree to which the doctor knows that and the degree to which the doctor knows the patient likes it. I suspect in some cases they know both are true.
I've had several well man examinations in the UK. They tend to focus on the general medical side followed by a check of the testicles. And depending on the particular clinic, when you have reached age 40 - 50, they also do a DRE to check the prostate for size.
these are just the answer's im looking for and it has really opened my eyes .
thank you .all of you xx
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