I’m not sure what your point is, now? I’ve already pointed out that vaginal examinations performed without consent on anaesthetised patients is frowned on; that it isn’t widespread enough that I’ve had experience of it in 25 years of practice in 3 different countries, most of that in operating theatres; that I personally believe it to be very wrong and would put a stop to it if it came to my attention.
Representative experience from my current jurisdiction is here (link to a pdf). The small numbers of cases where there were examinations performed without consent led to adverse incident reports and the process was further tightened up to reduce the odds of a repeat.
Performing a procedure on someone without their consent is an assault. I’m committed to that principle, as are the vast majority of medical practitioners. I’m not sure what else you want? I can’t do anything about the USA —just point out that they are apparently out of step with the rest of the anglophone world in this area.