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It is not necessary. I recently had one done and it was very professional. I had a female assist me to my room and a male do the actual ultrasound. When I entered the room, he said that he was going to perform a scrotal ultrasound and asked id I was having any pain. Then he said he was going to step out of the room and I was supposed to take off my pants and underwear and lay on the bed with a sheet over my genitals. When he came back in he sat down by the ultrasounds machine. He started gathering the sheet at my ankles and brought it upside that by the time he tracked my penis, the bunched up sheet would ouch it so that it lay on my stomach. At this point my scrotum was completely visible. Then Hare placed a towel over my legs so I was comfortable. The ultrasound took about a hold hour. After he gave me a towel and told me to clean off the gel and put my clothes back on, while he stepped out to have the ultrasound read. I had ample time. Throught the whole procedure I didn't get hard and he couldn't even see my pubic hair, although I do shave regularly.

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Q: Should you shave before a scrotal ultrasound?
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