What do you do during an erotic patient exam?

I've received some great feedback about what to expect during an erotic Med exam (am sub female wanting Dom male) but everyone seems to have a different regime/technique/procedural style. For the experienced Doc's out there, can you tell me how your exams take place? Specifically, how do they begin, what areas do you prefer to focus on, how do you prep your patient, what do you spend the most time doing, any special/unique tricks or devices you use, and lastly, how you receive your pleasure (release) through this process?

Looking for details & specifics.

Well Asha, It depends on what your complaint is if you have one. If you are just needing a physical exam like a "well woman" check up, here is how I would conduct your exam.

You would be provided with a medical questionnaire ahead of time to bring with you on the day of the exam. When I first meet with you, you will be fully clothed. We will go over your medical history on the forms you filled out and brought with you. Depending on what you report on the history form I may ask you more in depth questions.

Once we have explored your history I will ask you to take everything off including bra and panties and put on a gown opening in the front. I will have you sit on the exam table and check your BP, and pulse. I will then inspect your scalp for any hidden skin cancers. I will look through your hair, behind and inside of your ears, and on your eyelids. I will shine a light in your eyes and look at your eyes through my scope looking for micro aneurisms. I will look in your ears for blockages and inspect your eardrums. I may also have you read an eye chart and test your hearing with a tuning fork. I will look in your nose and mouth for signs of congestion and irritation. I will use a tongue depressor to inspect your tonsils and at the same time test your gag reflex. I will ask you to swallow to see if you have any issues swallowing. I will palpate your neck down to your clavicle for any signs of swollen glands or lymph nodes.

Next I will check your lungs by asking you to untie your gown in the back. I will use my stethoscope to listen to your lungs from your back while you take deep breaths. I will listen in 6 places on your back; 3 on each side, upper, mid, and lower. Next I will listen to your heart in 4 places; Mitral, Tricuspid, Aortic, and Pumonic. I must listen stethoscope to skin so you will need to lower your gown to your waist for this. After listening to your heart I will feel under your left breast for the point of Maximal Impulse (heartbeat). I will need to lift your left breast if you have large breasts; otherwise I can just cup your breast as needed.

Then I will conduct a breast exam. I will have you lower your gown and sit up straight with your hands on your hips. I will inspect your breasts for symmetry. Then I will have you lean forward so that your breasts hang down so that I can gauge how pendulous they are. After that I will have you hold your arms over your head to see how much your breasts flatten. I will then begin palpating your breasts with the pad of my fingers looking for lumps. I will work in circles around each breast ending up at the nipple where I will squeeze each one looking for discharge. Then I will repeat this with you laying flat on your back. I should mention that I will check under your arms as well for lumps and swollen lymph nodes.

Once I have concluded the breast exam I will focus my examination on your abdomen. First I will inspect the skin for any abnormalities. I will inspect the area from just below your breasts to just at your pubic hair line. You will need to lie on your back and lower your gown exposing the area. After inspecting I will steth your abdomen in all 4 quadrants listening for bowel sounds. Then I will begin with light palpation in the LRQ working clockwise around the abdomen. You will need to tell me if you feel any discomfort. Then I will repeat with deeper palpation feeling for your liver, spleen, and pancreas. I will also feel your lower intestines and colon to see if you have any blockages. I will finish the abdomen exam by percussing the same organs plus the kidneys. While you are still lying on your back I will lower your gown to mid thigh exposing your vagina. I will feel for your femoral pulses and palpate your lymph node sin the left and right groin. I will be inspecting every inch of skin on your body for skin cancers while I am conducting your exam. Under all folds in the skin whether exposed to sunlight or not.

I will then move to examine your legs and lower extremities. I will take away your gown at this point leaving you completely naked on the exam table. I will check the pulses behind your knees and on the tops of your feet. I will bend your legs and knees every way they turn including lifting one leg at a time as high as you can raise it. Then I will have you stand up. I will stand right behind you and with my hands on your hips I will have you bend at the waist and touch your toes. This will of course force your butt against the front of my trousers. I will have you bend side to side and rotate as well. Then I will have you turn around and face me. With my hands on your hips I will ask you to bend backwards as far as you can. I won't let you fall. Lastly I will have you walk away from me and back toward me to check your gait. You will repeat this on your tip toes and heels.

The last part of the exam will be the vaginal and rectal exams. I will have you lie on the exam table and put your feet in the stirrups. Then I will roll up in front of you on my stool and have you scoot your butt to the end of the table. This will force your legs to be spread wide open. I will begin by inspecting the vulva and labia majora and minora. I will roll the clitoral hood back to visualize your clitoris for any inflammation. This may require me to stimulate you clitoris to get a good look. You will feel the heat from the light I use to illuminate your vagina. I will be looking for any abnormalities of your internal and external vagina. If you are due for a pap smear I will swab a sample from your cervix. Otherwise I will insert first one finger then 2 fingers deep into your vagina and with my other hand, feel your lower abdomen so that I can palpate anything I feel between my 2 hands, one inside of you and the other outside of you. I will then perform a bimanual exam by inserting one finger into your vagina and a second finger into your rectum at the same time. I will repeat the abdomen palpation with fingers in both orifices. Finally, I will perform a rectal exam. This will require you to get on you hands and knees on the exam table and lower yourself to be on your knees and elbows with your chest flat on the exam table. I will ask you to move your knees as far apart as possible. I will first inspect your anus for any abnormalities and hemorrhoids. I will then generously lubricate your anus and have you hold your breath and bear down. I will have my middle finger on your anus while your do this. When I feel your anal sphincter tighten I will insert my finger into your anus and continue pushing it in until I reach my last knuckle; about 6 inches in. I will the rotate my finger 180 degrees one way and then 180 degrees back the other way feeling for any abnormalities. I will withdraw my finger and using a tissue wipe the excess lubricant from you anus. This will conclude the exam if there are no abnormalities seen.

As far as how I receive my release... I don't. The exam just builds up more that needs to be released. In situations where the roles reverse after the woman's exam, I leave it up to the doctor to provide my relief.

I am in the south central part of the US if I can ever be of service to you.

RockDoc - right you are. The words began running together after awhile.

Thanks for the reply Mike. I did enjoy the exam description though, very realistic sir. Karma on it's way.

Asha,

Since you asked...

For me, it starts with what I wear - lol. I prefer shirt and tie...I think it sets the "Doctor-Patient"tone. Then I ask questions...lots of them. very personal, of course, insisting on detailed responses. Then a very in depth exam, starting with the face,neck, and extremities. It may take a good half hour or more to get to this point. After all, a thorough exam is what is needed. Then I move on to a more personal exam, beginning with the back, shoulders, and joints, only removing articles of clothing as necessary. Physical responses are tested as we proceed, insuring that there are no problems.

As we proceed, a detailed examination is, of course, required, whcih takes a lengthy amount of time. it entails numerous devices designed to elicit physical responses. however, none of them are painful, as pain is not the desired response. rather we want to insure you are capable of normal physical responses.

It is likely that a thorough cleansing will be needed in order to continue the exam, as we don't want anything in the way of insuring that you are in good health. this is normal, as most people do not clean themselves internally very often, and it should be done regularly. This can be done several ways, but I prefer having my Patient kneel on a bed (a table is too hard and uncomfortable), with her head down, legs apart. this allows easier access to assist her and insure that it is administered properly. Several cleansings are usually required if she has not been cleaned recently. In most cases, a small (1 qt.) injection is used initially, as it is more easily accomodated, with larger volumes to follow. I always assist my patients in retaining it for a short period, as they seem to appreciate the personal ministrations.

Frequently, this is accompanied by arousal on the part of the patient. This is to be expected, and is encouraged, as it is a sign that your ability to respond to personal touch and stimulation is healthy. Indeed, this is always encouraged and aided, invariably to completion. The means of completing this vary from patient to patient, and can include anything from manual to oral stimulation up to penetration during the procedure.

Lastly, you asked how I receive my pleasure through thsi process. There is an intense satisfaction in giving the exam, especially when the patient experiences her own personal release. As for my physical satisfaction, that is something to be determined between me and the patient. Limits need to be respected, no matter what.

If you are interested in more details, please feel free to contact me at parker_19582399@yahoo.com

I must admit as a novice in this arena I had no idea what to expect regarding this site or those on it. However, I am rather impressed by the "Doc's" that are here. The detail, maturity, passion that I have seen expressed is quite something. If only every man paid such detail and took such care & pride his lover's needs. If you are one of these Dr's, know your patience are very fortunate. Thank you for the education and inspiration.

-A

I am totally new to this type of play. I was wondering...do you arouse your "patient"during her to the point of having an orgasm? More than one?

@ curiouslady01 - I'm like most of what the Docs have shared here, I also give a thorough head to toe exam. I give my gyn patient's a luxurious and concentrated examination of their breasts, nipples, vulva, clitoris, introitus, vagina, anus and rectum. With diligence to make sure their personal privates are completely examined and explored, it would be startling to me if my patient wasn't aroused while being salaciously examined. My protocol is to administer to my gyn patient's sexual responsivity tests for observation, and of course for their womanly "well being" :-). I have not had a patient yet that has not passed this portion of her examination with orgasmS; and in fact, many have experienced new echelons of ecstasy while in my stirrups and care...hee hee.

People like different kinds of exams.

During an erotic exam, I will check the patient's responsiveness to clitoral and g-spot stimulation as well as the ability to orgasm.

😁

Curiouslady01 -

Generally, yes. As far as whther or not the patient has more than one, it is dependent upon the patient. It is not for lack of effort or desie however...😃

For me it starts with dressing the part, so I wear scrubs and have the room set as realistic as possible, as well as having the patient's gown out, ready and waiting for them. Once they undress and put on the gown, I'll start the exam. First a few health history questions then I'll get right into taking vitals so pulse, temp, pulse ox reading and BP along with an ekg. From there I'll work from head to toe examining, eye, ears, throat, neck glands, listen to carotids.

The "main" part of my exam is in depth cardiac examination, so lots of auscultation, palpation, bp measurements, doppler exam, more EKG, check femoral pulses..along with lung and abdominal auscultation/palpation. I'll also listen to my patient as they are sitting, standing, and laying. I may have the patient do several squats or knee bends to get his heartrate up so I can auscultate/evaluate/check for murmurs. After that I'll perform a thorough genital/testicular exam, hernia check and prostate exam. Finishing up with observation/evaluation of arousal with optional prostate massage also doppler exam of the penile pulse, orgasm and having my patient produce a "sample" for me while I monitor his vitals and auscultate during orgasm.

@jjmich2302 - I would love to be your patient!

Jjmich2302 would second that and would wait for appointment

Jjmich2302 the list is probably long but I can wait forever for an examination like this 😃

Nice one jjmich2302, sounds a bit like my play exams with my partner

https://en.zity.biz/index.php?mx=forum;ox=display;msg=864002

😃

The "main" part of my exam is in depth cardiac examination, so lots of auscultation, palpation, bp measurements, doppler exam, more EKG, check femoral pulses..along with lung and abdominal auscultation/palpation. I'll also listen to my patient as they are sitting, standing, and laying. I may have the patient do several squats or knee bends to get his heartrate up so I can auscultate/evaluate/check for murmurs.

Amazing! Any girl here in Germany who gives exams like this?

Oh, destroyed the quote - of course it was from @jjmich2302

I posted a rather long and descriptive detail of my exam procedure - have a chance to read it and let me know.

https://en.zity.biz/index.php?mx=forum;ox=display;msg=1021438

For me, to be erotic, the focus must be the parts of the body that the general public doesn’t get to see. Specifically genitalia, nipples and breasts, and the anal area.

Stethoscopes and blood pressure and reflexes etc are not erotic. They’re things I have to endure to get to the good stuff!