Human Replacement Therapy

"So," My dad says, "you're really sure you want to go through with this? I understand that it has effects that are irreversible past a certain point" His eyes are full of concern. It is misplaced concern, I think, but I can tell he is trying to be as kind to my ambitions as he can manage.

"I've wanted this my entire life." I say. He nods and swallows, looking back and forth between myself and my mom, she was concerned too, but I had talked about it more with her. She's the parent I always confided in.

"Well, your mom and I can help you with the cost for now." He says.

It was one of the easier discussions I have had with him.


Informed Consent

The clinic was full of posters that sent tingles up my spine, medical conditions relevant to people such as myself, that were leaving the human species behind, genetically at least, socially, well, that seems more like a longer term arc.

The doctor looks between me and the paperwork that I had signed. I wish I had known that it was informed consent sooner, and the thought of that fills me with regret. "You understand the basic risks here, that there are changes that will not revert over time? That the treatment may cause blood clots?" I nod twice, the second concern was more common in the previous generation of treatments, but it seems easier to say yes than point that out. "Alright," She smiles at me and hands me a tablet, "There's a lot more options here than in human-biased gender dysphoria treatments; fill out this form, then we'll go over the risks of the specific treatments together."

The options were impressively diverse. Species, hybrids, and sex and gender characteristics of course. A disproportionately large number of therians, myself included have issues with that too. It was easy to select the species, but the other options had me flushing imagining the scenarios I could never have fulfilled as I am right now.

I went with a more 'feminine build', dual wielding.

The specifics selected, I hand the tablet back to the doctor, she reads over it, "Your libido will most likely be substantially different in general. The specific options you've selected with regards to digit structure may result in greater susceptibility to repetitive stress injuries, and ergonomic issues with common products. The changes in your skin will result in substantially decreased sweat production, which may lead to hyperthermia, so you will need to take effort keep cool. Your wings will result in increased shoulder and back strain, and you will need to be registered as an ultralight under FAA rules if you wish to fly in controlled airspace."

"Sorry, what?" I ask.

She looks at me very seriously, "The wash around helicopters and fighter jets is very dangerous so you don't want a run in with that sort of thing... Your reproductive cycle will result in periods of high libido coupled with high fertility so plan accordingly. There are no mechanisms that will prevent self fertilization so Plan Accordingly with sexual acts involving penetration. Is that all acceptable?"

I blush at that, is this really a life I want to live? It doesn't sound bad, or like I have to do anything that could result in that.

"Alright, I'll get your prescriptions delivered to your home—" She looks at me with a bit of concern, "You are in a place where that is safe for you, right?" I nod.

"Alright, I'm going to teach you how to do a subcutaneous injection and an intramuscular injection. Do you do know how a suppository works?"

If I'm honest, I love it. I feel like an experiment; tell me what to do so I can be your bat~


I am at home in my bathroom. The syringes and needles are out, the first one is a medicine sold as Pteroperine which apparently treats some unimaginably dire disease in cishumans, the sort of thing where if you come out of it with wings you're still grateful.

The other injection is a modulator of that to alter its expression a bit. The suppository was for the reproductive stuff, weird how that worked out huh.

I pushed the needle into my upper thigh, initially not getting much sensation, until suddenly a lightning bolt travels up my spine, I push the plunger in. Nerves aren't fun to hit. The subcutaneous injection is easier. The suppository just feels weird. Is that really the best way to take it? Searches on Internet 3(The one where you can mute America) found plenty of stories expounding how it worked sufficiently well swallowed, and also a few papers that said as much.

I rub at the area, the bleeding stops quickly. The site feels a little weird, but I haven't received enough injections to know if it's exclusive to this medication or not.

There still wasn't that much literature on the timeline that this stuff worked over, as the other uses were very uncommon and money for researching the needs of therians with it had only recently started to become plentiful.

I head to bed, with the dreams of what might become swirling in my mind.

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