Summarize the following:
One of the symptoms of a full bladder (and bowels) is lower abdominal pressure and tightness, which can feel uncomfortable or ticklish if touched, palpated or probed by a doctor during a medical exam. Having to go to the bathroom urgently can also make you very anxious or nervous, which can heighten ticklishness. Therefore, empty your bladder (and bowels) before heading to your scheduled medical exam.  Avoiding caffeine, a diuretic that triggers frequent urination, for a few hours prior to the exam is also beneficial in this regard. Going to the bathroom prior to a gynecological exam is especially important because the bladder and urethra may be pressed upon directly. Being too cold causes shivering, which is your body's method of warming itself up. However, while you're chilly and shivering, your muscles are either contracting or at least under more tension, which can trigger ticklishness when touched, poked or prodded more easily. Thus, dress appropriately for your medical exam and plan for the office being a little too cool.  If the office is exceptionally cool, ask the doctor or nurse if the temperature can be turned up for your exam. If you have to wear an examination gown or robe, ask the doctor what you can leave on to remain warm — such as your socks, underwear, undershirt, etc. While your doctor is palpating various parts of your body to figure out what's wrong with you, distract your brain a little by rubbing or lightly pinching another part of your body, such as your hand. Distracting your brain by giving it different sensations to process is an effective tool to help reduce pain, sensitivities and even ticklishness.  While your brain is focused on processing the rubbing or pinching sensation that you're creating, it will have trouble registering the doctor's touch (palpation) as ticklish. Even just rubbing your fingers together might be helpful, or scratching the side of your leg. Apply enough pressure to your skin that it's not lightly ticklish, but not too much to cause pain.

Summary:
Go to the bathroom before the exam. Keep yourself warm. Rub or pinch your skin while being examined.