Hi doc! How would you handle the situation if a male patient accidentally ejaculates during your exam over your gloved hands?
I'd be sympathetic to start. I'd let him finish. Let the quivering subside. There's no panic, no recoiling even if it's a surprise. The situation is contained. There'd be a lot of gentle shushing and calm reassurance that it's okay while he turns red and mumbles an apology or tries to wipe at it like when people accidentally spit while talking. It's important to have the patient sit because he might suddenly become lightheaded, or his knees might start to buckle and give. It might be the first time he ever came while standing and he's not used to it. Or it's his first time in front of somebody, or, holy shit, it's his first time ever and he doesn't quite know what he just did and what came out of him but he feels muscles he didn't know he had tighten and get really wiggly from his tip to his taint. He's never felt his asshole do that before. He thought he'd lost all control and that would have been really embarrassing.
The urethra will need to be milked for any leftover semen or discharge with the gloved thumb and forefinger starting from the base of the penis and the prepuce cleaned with a tissue or at least wiped with the rubber glove in my other hand. The exam should be put on hold as some patients may feel tenderness or pain in the testicles and won't want anyone feeling or squeezing them, or they're too shy to continue. They'd certainly have a hard time meeting my eyes.
I'd need to find out things: I didn't think you were hard, does this happen often? How long do you normally last with a partner? Is this a problem for them? Was it the way I touched you? I don't think it was my fault. It's pretty normal for, I mean... no, I'm not going to say it. Fine. Normal for little boys. I couldn't help but think it when you made little noises and covered your face, and when I had to wipe you with Kleenex. Look, it's just a fact, pal. You had a little accident. Own it. There are treatments I can help you with.
Or having to explain that it's a normal function of the penis and not to be scared. He's not in any trouble. Asking if it hurt. Telling him that doctors check all their patients for that, measuring how much comes out, if his testicles are doing a good job, and that it'll happen next doctor visit too.
If the patient is irresistibly cute, though, and flustered and apologetic, I might get him to open his mouth and stick out his tongue. Good boys clean up after themselves and I need every inch of my gloves made squeaky clean.




















