Wow, I'm really in the minority. I always point up, it's more comfy. My wife hates diapers, so I'm the only one who ever diapers me, and she hates used diapers even more, so no worrys with leaks. I would prefer to use them pretty much all the time, but oh well. As for getting excitted, I sometimes do. If I'm ever thinking about my wife while getting into a diaper I always do.