The first skin exam I had with my current dermatologist ( a female NP in her 40s) I was told by the Med tech to take everything off except my underwear. My dermatologist and I were the only ones in the exam room, and she checked my arms and legs and trunk while I was seated. Then she had me stand and she looked me over, and just pulled the back of my shorts down to look at my butt.
My second full skin exam this past November, the Med tech said to take everything off, but you can leave your underwear on if you want. So, being that I expected a "full skin exam", and apparently underwear on is optional, I removed everything and was just covered by a paper drape on my lap, as I sat on the table. This time when my dermatologist came in....... surprise! She was followed by a young female PA, "in training" for dermatology.
They would both be examining me, she said. Well, since I decided to be completely naked for this exam, I was a little nervous while waiting for the dermatologist to come in. But now the reality of having to stand in front of not just my dermatologist, but another female at some point, hit home, So they both began to check me while I was seated and then came the phrase "Okay, go ahead and stand up". Now, I had never in my lifetime ever been fully naked in front of 2 attractive female medical professionals before, much less any other medical professional, but it was apparent that it wasn't a big deal to them.
I slowly relaxed as we chatted while they looked me over, they asked questions about certain moles and such. My dermatologist even took the time to remove some skin tags from around my neck while I was standing there. Even though it felt like I stood there naked for hours, in reality it was probably 5 minutes or less. Unlike some exams I have read about, they didn't touch or move my genitals, nor did they spread my butt cheeks. All in all it was very professional and I felt like I had been given a good exam.