So what does she say?
"I'm sorry, I don't consent to this exam. Is there someone else I can speak to please?"
Yes? "Hello, is there someone else who could perform this exam today please?"
No to either question? "Okay, I'll leave it for now.. I'll rearrange mu appointment. Thanks!"
Bertrand there will always be people less able to consent. HCP are supposed to specifically gain consent for performing exams/anything that involves touching your body, which should make it easier for people to say no. They asked me every time they examined me when I was induced with my first. I don't suppose this is prevalent enough in the health service - I will happily campaign for HCPs to take seeking positive consent far more seriously so as to protect more vulnerable people.
So the conversation should go...
HCP: are you comfortable for me to perform this exam?
Me: Er, maybe, um, I don't know, I guess...
HCP: Okay, you have to be sure before I can do it. I don't want to do something you're not comfortable with.
Me: Okay...well, I'm... sort of comfortable... maybe.
HCP: Let me see if there is someone else here you can speak to before I proceed.
I had almost the exact conversation above with a male surgeon before my second section. He went to get a female doctor because he couldn't work out what I wasn't comfortable with (it was just last minute nerves) and didn't want to do anything without my full consent.