I'm from the Midwest in the US and I'm used to it. I've had the same OBGYN for almost a decade and he's an older male. Nothing odd about it here, it's the normal for pap smears/annuals/first pregnancy visit and there is always a female nurse in the room while he's doing exams. Now had my Dr. made any lewd comments or was unprofessional about it I'd be concerned. (& if it's not the normal procedure where you live, then i would be off put as well.) I've always seen it as a good preventative measure against breast cancer/issues that could pop up.