Examination of a male in lithotomy position is not as uncommon as one may suspect. I recall my visit to STD clinic I proceeded to treat symptoms of painful urination and soreness in my rectum. The doctor - who was a female in her thirties - took a detailed history focused on STD risk factors. Then she led me to the examination room and had me undressed completely and put a paper gown. After a while the doctor came back, now she was gloved, wore a face shield and disposable long-sleeved coat over her regular scrubs. She was assisted by a nurse in a similar protective clothing. The doc performed really thorough physical of my body including oral cavity with swabs, lymph nodes, underarms, inspection of my feet soles etc. Then she palpated my scrotal contents, milked penis to obtain discharge for specimens. I felt some discomfort as she inserted the swab inside my penis. Ok..." She said. "I need to take a look at your rectum. I'd like to put you in stirrups. I sat up on the exam table. She pulled the stirrups out as her assistant moved the table to an incline position. I placed my feet in the stirrups. The nurse asked me to move down a bit on the table. With a gloved hand she spread my cheeks apart and mentioned that she was looking for small tears as well as any signs of STD. She examined perianal areas and intergluteal cleft for lesions, rashes, discharge, and fissure, inspected the anus and perianal areas, obtained Gonorrhea and Chlamydia rectal cultures by inserting cotton swab into the anus about 2 cm. The final part was an anoscopic exam indicated, as I had a recent history of engaging in receptive anal sex. I removed my feet from the stirrups and got off the table.