The first time I had that kind of appointment the DR was great with me. I am someone who needs to know what is going on every step of the way so I can anticipate and feel in control for asking about it or to change it in some way if possible. My Dr. was very good about that. I also had a "mother figure" with me holding my hand at the time. She kept her back to the Dr so it wasn't like she was seeing anything but she was a HUGE help. Just think about what might make you feel most comfortable and have the courage to ask for it.