For those of you who perform male exams, how is the required semen extraction performed? What happen

For those of you who do male exams, how is the required semen extraction performed? What happens to the semen?

OK, I'll start it out. I generally use one of a few methods. First off, as so many others have mentioned, I too perform it as the last item on the exam. The reason is that I believe my patients anticipate it, and with that in mind, the most semen will be produced by the end of the exam. I have at hand a small collection cup, large enough for the ejaculation. I generally give my patient the simple choice of how he'd like it done, i.e., by my doing it for him, or by him masturbating into the cup. Most, frankly, prefer I do it.

I usually lubricate my hand and fingers (no glove) and try to simulate the way he does it himself. I find that out by simply discussing it with him. My other hand has the cup ready, into which he'll ejaculate. I've tried having him hold the cup, but there have been too many accidents.

Another way is that I use a lubed vibrator on his penis and have him ejaculate that way. One fellow who comes in quarterly would have it no other way, after I'd introduced him to it.

The third way is more elaborate and somewhat rare, because my patients seem to prefer other methods. I'll gently insert in appropriately sized sound, well into his urethra, continuing into his bladder. I'll position it where I know his prostate is and move it around that area while I lightly masturbate him. Sometimes, I'll also hold a vibrator to the protruding end of the sound. That's generally so erotic and stimulating to the patient that he'll ejaculate very quickly that way, most times in under two minutes. I generally do remove the sound immediately prior to that. I use that method primarily on older patients, high 50s on up.

I sometimes combine massaging the patient's prostate while he's masturbating, or while I'm masturbating him. In that case, he needs to hold the collection cup.

After I have my sample, I pour it from the sample cup into a small, graduated cup which has metric measurements on it. I check the semen for color, clarity quality, and viscosity, kinda like a fine diamond! Then I look at the side of measuring cup to determine quantity in ml. Then, that all goes into the notes I keep for each patient.

I prefer the more realistic and humiliating process of 'semen extraction' via an intense Hitachi session.

If I opt for more humiliation but less realism, I have him masturbate while I observed with "disinterested" detachment. "Are you done yet?"

I guess I'm looking in all the wrong places, but I can't find anything on what a "Hitachi session" is. Thanks!

Hitachi is one of the best vibrators available. When used on a man, it will usually cause orgasm in 15-30 seconds. Of course, the Top doesn't have to stop then....

I have them masturbate into a cup in front of me. After ejaculation I check again for hernias and a 2nd quick prostate check (post-ejaculation)

I have them masturbate into a cup in front of me.

Do you ever do it for them?

Do you ever do it for them?

My preference is passive, although I can see the embarrassment of being compelled to do something as private as masturbation in front of a relative stranger as an enhancement.

I interview my male examination subjects in advance of the exam to agree on the procedures to be included. I apprise subjects that it will be a full body examination including full exam of the genitals and digital exam on the rectum including insertion of a thermometer. If the examinee wishes, butt plugs can be included. I also get agreement that masturbation to completion will be done and that it will be my discretion whether they or I do the stimulation. Rectal insertions and masturbation are done as part of the same procedure and are undertaken at the completion of a completely realistic physical examination.

I interview my male examination subjects in advance of the exam to agree on the procedures to be included.

I often have the feeling that in-depths interviews about personal sexual subjects and experiences, would be almost as arousing and fulfilling as actual examinations. This because an interview requires interaction, active interaction from the patient by providing (hopefully detailed) answers and information. And also because an interview will invariably touch on the subject of feelings and preferences, things which also cannot be determined by a physical examination alone.

I wonder if you've ever conducted just in-depth interviews, without any subsequent exams or if perhaps a patient has ever orgasmed from the interview alone?

Negotiation and consent are absolutely essential - including consensual non-consent. Part of the consent must be accomplished before anything actually starts. The patient needs to have a basic understanding of what they're consenting to.

Once the exam starts, I can see a value both as an erotic portion of the scene and a last line of consent, a set of detailed intimate questions. If the patient resists talking about X, it may be a last minute change in consent. At least something to be explored before ruining a perfectly good scene.

I have had several exams ending on giving a semen sample. In one case the doctor massaged my prostate when i was on the table on all fours. While masaging, he sometimes grabbed my penis and squeezed it to see if precum came out. When the first drops of precum came out I had to lay on my back and he told me to masturbate into a cup while he was observing.

I always perform a thorough head to toe exam on my male patients, including taking the temperature, examining penis, glans, scrotum, testicles, anus, rectum and prostate. A semen sample is also required, but not in a sexual aspect, more in a functional.

I wonder if you've ever conducted just in-depth interviews, without any subsequent exams or if perhaps a patient has ever orgasmed from the interview alone?

I have not had an interview with a prospective patient that has not led to an exam. I have always communicated by emails and texts with prospective patients so that we are clear about what each of us has in mind. The interview is really just to review and define the process. As far as I know, no orgasm has occurred from the interview alone.

I have them masturbate into a cup in front of me. After ejaculation I check again for hernias and a 2nd quick prostate check (post-ejaculation)

You're missing a trick. A long post ejaculation prostate massage starts as utter humiliation but it works as a total reset. As a patient I've been able to give 2nd and 3rd semen samples after the procedure.

@draft_examinee said

You're missing a trick. A long post ejaculation prostate massage starts as utter humiliation but it works as a total reset. As a patient I've been able to give 2nd and 3rd semen samples after the procedure.

That's just how it is for YOU.

Many men LOVE the prostate/anal massage, ask for them, and they are not humiliated one bit.

You're missing a trick. A long post ejaculation prostate massage starts as utter humiliation but it works as a total reset. As a patient I've been able to give 2nd and 3rd semen samples after the procedure.

That's just how it is for YOU.

Many men LOVE the prostate/anal massage, ask for them, and they are not humiliated one bit.

if you enjoy ejaculation, how in the world can you feel that a prostate exam is humiliating? I use it as a substitute for masturbation sometimes as I have bad ED and it not only feels like I'm having an orgasm but makes subsequent penile orgasms easier and better. I use a long SS toy, but would love to have my next GF do it with her fingers.

Eric

if you enjoy ejaculation, how in the world can you feel that a prostate exam is humiliating?

I would surmise that not everyone wishes another person to witness their ejaculation. That is the humiliating aspect, no matter how pleasurable if done alone or with the right partner.

I would surmise that not everyone wishes another person to witness their ejaculation. That is the humiliating aspect, no matter how pleasurable if done alone or with the right partner.

Okay. Hadn't figured that into this.

Eric

Reading these comments, I wish that I could find an examiner to massage my prostate and collect a semen sample however he/she desires. Have never had it done, except by self massaging.

I would surmise that not everyone wishes another person to witness their ejaculation. That is the humiliating aspect, no matter how pleasurable if done alone or with the right partner.

I have NO WAY of backing this up - but I would expect those folks who feel humiliated when they ejaculate, alone or with a partner, are a small minority. Are you saying that some guys are humiliated when they ejacujlate alone or do they feel guilty?? I would flaunt my ejaculation in front of almost anyone and be proud of it - as long as either I or a woman caused it!!!!

Tend to do that at the end of examination, as patient most likely would be relaxed and perhaps slightly aroused. That would help more easier access to prostate. The most common position I would use is patient bending over and then he or nurse would hold container for semen sample collection at tip of penis. If patient is holding it the I would ask nurse to spread his cheeks before finger insertion and also during massage. Some would prefer to be in all fours.

I had to give a sample in an actual hospital (no playing doctor this time, too bad). The nurse handed me a receptacle without any instructions. I asked where do I go? Annoyed, she pointed to a door. It was just a bathroom. No lube or anything to help me reach ejaculation. I had to use saliva. But I didn’t feel like lodging a complaint!

It's been posted before but you should have asked for "professional assistance"....

https://www.youtube.com/watch?v=_3Wwf4gDwCQ

In my case, all medical exams involve a mandatory semen extraction to check the good health of the patient.

Before the patient arrives for the consultation, he will have filled out a form with what he expects and practices that he would like to do or at least try, we will also have talked about what he is willing to do and what not, but the semen sample is not negotiable , and what are their limits and their tastes.

Once the patient arrives for the consultation, he has to fill out a detailed form about his health in different parts so that the doctor can do a good complete examination.

To obtain the semen sample, which is always carried out at the end of the exam, different methods are used:

- The patient masturbates himself.

- The doctor performs an assisted masturbation to the patient.

- The doctor using different methods to stimulate the prostate and achieve ejaculation of the patient.

- The doctor will use electrostimulation to achieve the ejaculation of the patient.

Normally, not only is a single extraction performed, but the refractory period of the patient between 2 or more ejaculations will also be evaluated.

This part seems to me essential to evaluate the genitourinary part as well as the sexual health of the patient.

My play dr would either perform the ejaculation check while laying down on the exam table or on all fours. On all fours allows the Dr to include prostate stimulation or rectal temperature. Either way the routine should fulfill the patient's early fantasies of having an orgasm be part of the physical, something I've always imagined from the time I first learned to masturbate.

I discovered the orgasm at age 10 in the shower while pretending to be getting a physical and using the shower massage as a dr instrument. I didn't know what it was so at that early stage I called it "doing the feeling" and imagined the dr asking if I'd had "the feeling" before. Lots of "take a deep breath" and "just relax" and "how does that feel" during the erection stimulation. Always wondered if other boys knew about "the feeling."

From a patient perspective, I have had to provide a semen sample for three different doctors. For two of them this was carried out at the right a the end of the exam. I had to lay naked on my back on the exam table and the doctor did all the stimulation to produce the sample. On these occasions the sample wasn't collected. For the third doctor, once again i was totally naked but sat on the end of the exam table. This time stimulation was provided by both myself and the doctor and i had to ejaculate into a sample container. Post ejaculation, other procedures as part of the exam were carried out such as an observed urine sample.

In the past when I've managed to arrange play exams, the semen sample was produced during the genital exam, with me either laying down or standing. As the exam continued and further procedures were carried out, additional samples were collected during stimulation by the doctor - commonly during a detailed extensive rectal / prostate exam / massage; in combination with further penile stimulation. Generally the samples have been collected in a sample container, to allow observation of consistency, volume etc.

I always leave it up to the play patient. Usually they want to supply a sample. I’ll discuss methods with them.

Sometimes they prefer to just masturbate and I ask if it is okay if I examine them as they do. Feeling the testicles rise up in the scrotum just before ejaculation is interesting.

If possible I collect the ejaculate and measure volume

If asked, I’ll stroke them and provide anal or prostate stimulation. It is all up to the patient.

That's just how it is for YOU.

Many men LOVE the prostate/anal massage, ask for them, and they are not humiliated one bit.

It's about how the male orgasm works. Once a guy ejaculated- that's it. There's a release of a pulse or hormon that stops the state of arousal. If you watch male on male exam videos you'll see the doc let's the guy clean up the seven and get dressed.

To break through the male orgasm barrier is a very special sub / patient experience. It can be a fantasy before and a horn memory afterwards, but it's anything but enjoyable when a man is done. That's the point of it. It's about submitting when it's against every fibre of the male post orgasm feeling.

I assisted a medfet female doctor on a few male patients. She usually did several painful procedure while I assist her with instruments... Often she let me finally relief the patient applying a biothesiometer on his glans and bring him to ejaculation in no more than 15 seconds collecting his semen.