Closed for Sidney_1
Dr. Simon Idris flipped through the charts, murmuring aloud his observations for the benefit of the young patient sitting across from him. "History of low energy . . . reasonable muscle tone and flexibility, but still underweight for your height . . . primary sexual characteristics normal, but secondary noticeably underdeveloped . . . below average libido . . . some difficulty in achieving orgasm . . . "
He paused to glance over the top of his reading glasses at the patient. She was a pretty girl, or at least showed the potential of one. But there was a thinness to her that didn't seem entirely healthy. An 18 year old ought to have a robustness to her. Mandy wasn't gaunt, but clearly a girl with her none structure needed more meat on her bones.
Idris continued murmuring as he flipped through the treatment history. "Diet and exercise provided slight improvement . . . supplements proved ineffective . . . medication showed little result and some adverse reaction . . . synthetic hormone treatment suspennded due to allergic reaction . . . no surgical options viable . . . too young for remaining treatment option. "
Idris resumed his gaze at the patient. "Of course, that last part isn't true now. As a legal adult, you can pursue intensive natural hormone therapy now, which no doubt is why you are here. I expect your pediatrician hasn't explained to you what is involved, though. Most generally find that discussion uncomfortable to have with a juvenile."
Idris set the patient folder down and leaned on his desk. "Your condition is caused by a hormone deficiency, so stimulating the requisite production is the goal. Serious cases like yours generally respond best to hormone stimulation, but your allergy precluded synthetic treatment. The natural method would have worked fine, but INHT has a somewhat sexual component which makes it inappropriate to prescribe to an underage patient, even with a parent's consent. Consequently, only now that you are of legal age can I discuss this treatment with you.
"Let me be explicit about this so there is no confusion. INHT will involve exposure to both female and male hormones through direct fluid exchange. Specifically, I refer to breast milk and semen. You will be exposed to both in a series of treatments. Probably two or three times a week initially and then perhaps less often as your body responds to treatment.
"You should start to notice a change within the first couple sessions. The effects accelerate thereafter for a time and then taper off somewhat. We can adjust the treatment somewhat to affect the outcome, but ultimately our control is limited. For example, you have had difficulty putting on weight till now and INHT will make that far easier. But will that mean you become more like the average for a woman your age and height? Or will you be prone to putting on fat? Or perhaps you will put on denser muscles?" Idris shrugged. " Your body is unique and I cannot tell you exactly how you will look months from now. "
"With that caveat, here are some likely changes. You will have more energy, particularly if you continue your current exercise regimen. You will put on mass. You may increase slightly in height, though that tends to be limited given your age. You should expect expansion in your breasts, hips, buttocks, and possibly thighs; again, I cannot predict in what ratios. You may experience more hair growth, though generally confined to your head and pubic region. You may experience some changes in the size, shape, and or coloration of your clitoris or vagina, but those tend to be less common. A stronger libido is typical. Heightened sensitivity in erogenous zones is typical. A greater propensity and intensity of orgasms is harder to quantify, but is generally reported by patients.
"Most of the side effects are mild, but you should be aware. You may find your skin more sensitive. Tissue soreness in areas of expansion is sometimes noted. Some aspects of the treatment may involve physical and or emotional discomfort. Inducement of lactation is not uncommon. While we will certainly take precautions against it, INHT does involve contact with semen and therefore a non-zero risk of pregnancy. All of this and more was included in the paperwork and liability waiver you filled out for my nurse earlier, but I always like to repeat the high points.
Idris sat back in his chair. "Do you have questions? Or would you like more time to review the materials? We can schedule an appointment to begin treatment if you're not ready. Otherwise, we can begin the first round if you are prepared to begin."
Dr. Simon Idris flipped through the charts, murmuring aloud his observations for the benefit of the young patient sitting across from him. "History of low energy . . . reasonable muscle tone and flexibility, but still underweight for your height . . . primary sexual characteristics normal, but secondary noticeably underdeveloped . . . below average libido . . . some difficulty in achieving orgasm . . . "
He paused to glance over the top of his reading glasses at the patient. She was a pretty girl, or at least showed the potential of one. But there was a thinness to her that didn't seem entirely healthy. An 18 year old ought to have a robustness to her. Mandy wasn't gaunt, but clearly a girl with her none structure needed more meat on her bones.
Idris continued murmuring as he flipped through the treatment history. "Diet and exercise provided slight improvement . . . supplements proved ineffective . . . medication showed little result and some adverse reaction . . . synthetic hormone treatment suspennded due to allergic reaction . . . no surgical options viable . . . too young for remaining treatment option. "
Idris resumed his gaze at the patient. "Of course, that last part isn't true now. As a legal adult, you can pursue intensive natural hormone therapy now, which no doubt is why you are here. I expect your pediatrician hasn't explained to you what is involved, though. Most generally find that discussion uncomfortable to have with a juvenile."
Idris set the patient folder down and leaned on his desk. "Your condition is caused by a hormone deficiency, so stimulating the requisite production is the goal. Serious cases like yours generally respond best to hormone stimulation, but your allergy precluded synthetic treatment. The natural method would have worked fine, but INHT has a somewhat sexual component which makes it inappropriate to prescribe to an underage patient, even with a parent's consent. Consequently, only now that you are of legal age can I discuss this treatment with you.
"Let me be explicit about this so there is no confusion. INHT will involve exposure to both female and male hormones through direct fluid exchange. Specifically, I refer to breast milk and semen. You will be exposed to both in a series of treatments. Probably two or three times a week initially and then perhaps less often as your body responds to treatment.
"You should start to notice a change within the first couple sessions. The effects accelerate thereafter for a time and then taper off somewhat. We can adjust the treatment somewhat to affect the outcome, but ultimately our control is limited. For example, you have had difficulty putting on weight till now and INHT will make that far easier. But will that mean you become more like the average for a woman your age and height? Or will you be prone to putting on fat? Or perhaps you will put on denser muscles?" Idris shrugged. " Your body is unique and I cannot tell you exactly how you will look months from now. "
"With that caveat, here are some likely changes. You will have more energy, particularly if you continue your current exercise regimen. You will put on mass. You may increase slightly in height, though that tends to be limited given your age. You should expect expansion in your breasts, hips, buttocks, and possibly thighs; again, I cannot predict in what ratios. You may experience more hair growth, though generally confined to your head and pubic region. You may experience some changes in the size, shape, and or coloration of your clitoris or vagina, but those tend to be less common. A stronger libido is typical. Heightened sensitivity in erogenous zones is typical. A greater propensity and intensity of orgasms is harder to quantify, but is generally reported by patients.
"Most of the side effects are mild, but you should be aware. You may find your skin more sensitive. Tissue soreness in areas of expansion is sometimes noted. Some aspects of the treatment may involve physical and or emotional discomfort. Inducement of lactation is not uncommon. While we will certainly take precautions against it, INHT does involve contact with semen and therefore a non-zero risk of pregnancy. All of this and more was included in the paperwork and liability waiver you filled out for my nurse earlier, but I always like to repeat the high points.
Idris sat back in his chair. "Do you have questions? Or would you like more time to review the materials? We can schedule an appointment to begin treatment if you're not ready. Otherwise, we can begin the first round if you are prepared to begin."