You know, I wondered about that.
I said to the Mrs when I got home that maybe someone else should've been present in the examining room - shy, retiring, delicate wallflower that I am.
The doc' said she had to make sure that I had a vas deferens tube on each side to avoid unnecesary incisions so she first examined the right then the left. Then she pressed down on the whole package with the palms of her hands and asked me to cough.
We could barely look each other in the eyes afterwards.