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For a full physical exam, most doctors have you undress (in private), leaving on your undershorts and socks, then have you put on a sort of light bathrobe that ties in the back. If the doctor needs to slip his finger up your rear and have a feel around, he or she will have you slip your undershorts down a little in back. He or she may have you lie on your back with your shorts pulled down so they can examine your genitals and check for hernias.
If it's just a checkup, you usually stay dressed.
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