https://en.zity.biz/index.php?mx=docs;ox=showitem;id=7344 posted by agracier A family situation requires that an older unmarried lady take in her nephew for an indefinite period of time. The aunt, attending to her newly appointed duties as guardian and provider is not much enamored of her freshly acquired nephew. The lad himself is more or less of good will, but it is his inherent masculinity that constantly annoys his aunt, though she herself is not yet consciously aware of that specific fact itself. Rather she is put out, ill at ease and always finding fault with the nephew for any number of things. He himself is not sure what it is he is doing wrong, but his clumsy attempts at giving his aunt satisfaction come to little. There is a fundamental unease in the household, and yet the aunt cannot send the nephew away. She must learn to make the best of the situation. After she has unburdened her misgivings and dissatisfaction to one of her lady acquaintances, this good friend in a roundabout and non-intrusive manner gives the aunt advice to consult with a doctor-therapist. The lady friend can vouch for the physician’s ability and reputation in resolving just such problems as the aunt is now facing with her nephew. The lady friend gives subtle hints and allusions as to the doctor’s prowess and capabilities, refers to less conventional therapies and solutions that nevertheless give satisfaction. The doctor-therapist is lauded and praised, her female gender being yet another positive point in her favor. The aunt is intrigued and curious, also vaguely conscious of an undercurrent of indirect allusions and innuendoes of an oddly intimate nature. Nothing is said outright, but the aunt looks at the smug knowing smile on her lady friend’s face and knows that she will make an appointment with the doctor-therapist. This is quickly arranged and several days later the aunt is present in the doctor’s office. She is indeed impressed by the lady doctor’s demeanor and appearance. At first they have a general conversation in which information is exchanged. The aunt tells about her nephew, imparts particulars and facts pertinent to her concerns and wishes. The doctor listens, nods when necessary, smiles, frowns and looks grave at the appropriate times. She also reassures and imparts an air of confidence and competence. The doctor already knows how things will turn out. She has attended to other such cases as the aunt is now describing and knows just what it is that the aunt wishes to be done, even if the aunt herself is not yet conscious of her ultimate desire. It is almost as if a fixed scenario is unfolding, the parts and dialogue already rehearsed. The lady doctor begins with a general explanation of the physical condition of a typical youngster such as the nephew. Changing attributes and outward manifestations of such male individuals are discussed, clarifications about the respective impact on psychological comportment is brought to mind as well as a more detailed discussion on the implications of pubertal hormonal influences and the incumbent urges and yearnings. As the lady doctor’s explanation verges towards more specific issues and solutions, the aunt finds herself agreeing more and more with the doctor’s reasoning, which can be condensed into a simple and understandable analysis : the nephew is regrettably, but necessarily influenced by those physiological changes which naturally accompany a maturing into manhood. These are mainly caused by readjustments of hormonal balances and re-alignment and growth of bodily proportions and certain organs. By regressing these hormonal surges and physiological developments to more manageable levels it is therefore possible to eliminate many of the causes of the aunt’s dissatisfaction with her nephew’s comportment and appearance. The doctor explains that the therapy is not all that simple to put into practice. Her preferred method is an exhaustive and prolonged series of treatments in which many divergent and complimentary procedures and schedules are prescribed. Providing appropriate medication plays an important role in effecting the desired results, but attendant psychological factors need be encalculated as well. In fact, after a certain point these less exact issues will come to predominate the ensuing procedures and much will depend upon the goodwill and cooperation of both aunt and nephew. The lady doctor also provides insights and suggestions of a somewhat more personal nature and argues that many of the reasons the aunt is dissatisfied have to do with her nephew’s innate maleness. Were this to be reduced to more tolerable levels or even (dare she so suggest ?) reversed into a more docile feminine demeanor and bearing, then many causes for her current feelings of unease and discontentment would undoubtedly resolve themselves of their own accord. Now the aunt perks her ears and gives her full attention to the doctor. She listens yet more attentively, nodding and feeling the stirrings of an oddly pleasing sense of yearning from deep within her. Her eyes open wide as her inner thoughts set upon imaginings previously undisclosed and unconventional. Is she hearing correctly ? is the lady doctor, sitting behind the impressive desk actually proposing what she hopes ? Are such things done upon simple request by a guardian aunt ? She hesitates to inquire too deeply, but yet would like clarification. How to ask what is on her mind without appearing too eager or misunderstanding ? The aunt cannot contain her curiosity. - Dear me doctor, this all sounds so daunting. I hope you won’t mind if I ask to put it in layman’s terms ? - Not at all. Now mind you, this is just a preliminary proposal based upon your description of the situation. I shall need to perform an examination of your nephew to determine his suitability and to determine the appropriateness of the proposed therapy. So it would be best if you were to consider what we’ve discussed carefully after you leave here. Think upon this and deliberate with care. - I most certainly will. Should I discuss this with my nephew ? - That’s not necessary at this stage and not really advisable. Later on when … excuse me, I meant to say ‘if’ you decide to proceed with therapy, your nephew can be informed of probable developments on a piecemeal basis. And even then it is not recommended. For the moment the decision is yours to make. - I see. - Good. Now then as to describing the therapy in layman’s terms … How best to put it ? Essentially the medical segment is little more than the careful monitoring of a regimen of hormonal medication. - Oh. And how often must it be given ? - On a daily basis. Several compounds are involved and the optimal methods of administration vary. Depending upon circumstances I prefer not to administer the medication orally, but even so many methods can be safely handled outside a doctor’s office. - If the medication isn’t given orally, then how is it done ? - The largest proportion in volume is best given rectaly, via suppositories. That way, digestive mishaps are avoided. Then again other preparations are administered via inhalation, urethral lavage, application of ointments and injection. - Injections ? I don’t think I could handle that. Are they painful ? - Of course we don’t allow administration of injections except by accredited medical personnel. So that can only be done under supervision. But painful ? … That depends. Is your nephew overly sensitive or unnecessarily phobic ? If so, then it might be somewhat uncomfortable. Besides mundane intra-muscular injections, the therapy calls for several localized applications in more delicate areas. - Oh ? - Well, it goes without saying that the main hormone producing organs and areas will be targeted for treatment. Ultimately the aim is to block production of natural male hormones and gender- indicative secretions. That can only be done by direct methods, and needs be the general genital region is the logical target area. But it’s not necessary to dwell overly much on this aspect of the therapy. Direct testicular injections are no longer necessary and generally speaking, other parts of the male equipment are indirectly accessed. It’s not all that much of a hardship as it would seem at first. - Well. Hardship or not, if it’s part of your therapy it should be carried out … - A sensible attitude. - Thank you doctor. But I was wondering … Couldn’t you obtain the same results by performing … you know … a little operation ?” - Also a sensible question. The therapy involves no operational procedures as such, aside from possible correctional circumcision depending upon the degree of penile reduction. Orchidectomies however are not an elective procedure before the age of 30 and are otherwise not carried out without a clearly diagnosed medical indicator, such as say a form of testicular cancer or a serious infection. On the other hand in the way of registered delinquents, county officials grant us virtually carte blanche in instigating surgical procedures. But I take it your nephew is not a habitual offender or known troublemaker ? - Of course not. - Please take no offense. I was only trying to be thorough in my explanation. - I understand completely. But isn’t it less time-consuming and easier to perform an operation ? - That depends. In my opinion, in the long run it is better to go the way of a progressive and intensive treatment. Not only is the therapy virtually reversible upon cessation of medication, but all parties concerned usually find the treatment sessions and the attendant therapy and personal care to be quite intense and satisfactory, if at first somewhat unusual. The results are generally fulfilling and gratifying and since many procedures are of a somewhat intimate and embarrassing nature, experiencing them tends to forge bonds of dependency and trust between the subject and medical personnel and guardian both. I’ve even had patients who go through the therapy several times, more I believe because of the process itself than any aim to be permanently altered. - You make it sound so alluring. - Well, at first the effort is considerable and the initial hurdles can be quite daunting. But gradually we’ve found that as therapy progresses, most of our patients come to appreciate the attention they are receiving and to appreciate their … little transformation. The lady doctor and aunt discuss other various issues, but in her heart the doctor knows she has already won the newly appointed guardian aunt over. The doctor hands her papers containing information and treatment authorization forms. She gives advice to think things over and if the aunt is prepared to continue, to call back and set up an appointment, this time bringing along the nephew in question. Back home, the aunt does indeed ponder the questions raised, but not in quite so pensive a manner as one would think. Instead she begins to fantasize transfigurations and metamorphoses of her nephew into a tranquil and alluring youngster, one docile and obedient in nature, calm and courteous in demeanor and appearance, softer perhaps and filled out with a less overbearing presence of maleness and swagger. Her reverie goes further and soon she is imagining a nephew-niece of ambiguity and grace, rounded in feminine form and semblance, graced with an appealing softness and docility, a willingness to please. She closes her eyes and tries to imagine the import of the doctor’s description of the therapy and full meaning and implication of certain phrases and words. She knows she has heard correctly at the lady-doctor’s office and has re-read much of the same in the papers given to her for further perusal. Does it all mean what she imagines - hopes - it to be ? Penile and testicular reduction are quite clear terms, or so is her intake. Proposals of replacing male hormonal production with a recurring equivalent amount of female compounds sound equivocal and logical given the basic reasoning. The same applies to the likely incidence of side effects in the way of morphology. In the ensuing days she looks at her nephew with different eyes and begins to feel the emergence of an eagerness to start with treatments and therapy. There is a promise of involvement in intensely intimate procedures and the altering of situations and relationships. Perhaps these changes can lead to the good. So the aunt sets up another appointment with the lady-doctor after verbally agreeing to commence the therapy. A time and date are agreed upon, this time with attendance of the nephew required. The aunt wonders when best to announce this news to her charge : ahead of time or just prior to leaving ? Both choices leave room for unease and consternation on the part of her nephew, pleasant anticipation and reverie on her part. In the end she decides to wait until the day itself. With little explanation the nephew is bundled off into his aunt’s automobile and until he sees the lettering on the office door, he has little inkling of what his destination is to be. For in truth, his true journey of discovery is yet to begin. While waiting to be admitted into the office of the lady-doctor, the nephew is cautioned to be on his best behavior. His entreaties to be allowed to know the reasons for this unexpected doctor’s visit are left unanswered by the aunt. The doctor will explain, there is nothing to be concerned about. This is of course, all so much hot air, for not much will be explained and were he to know the intentions of doctor and aunt there would be much to worry about and contemplate. But if ignorance is not quite exactly bliss, then it is certainly an almost tolerable alternative. The nephew is surprised to see that the doctor is of his aunt’s gender. This is unexpected and odd in his experience. But she appears to be friendly, talks to him, tries to set him at ease. The aunt issues instructions along with a strict injunction of obedience and after exchanging several troubling sounding words with the lady-doctor and handing over a set of papers, she leaves the nephew alone with the physician. The lady-doctor begins by informing him that she will first conduct a general physical examination to determine his state of health. He does not like to hear the reference to ‘first’, which would imply that there is yet more to come afterwards, nor does he care to be told to undress. It is quickly established that the youngster and the lady-doctor have different notions on undressing. She insists on unconditional nudity, stating any other condition to be a hindrance to properly practicing medicine and a sop to outdated notions of modesty and meaningless demure pretensions of prudery. After all, her patients sport either of the two sets of gender specific organs and appendages, and she has seen more of these than the fellow can ever imagine. This established, she watches sternly as the nephew removes his last articles of clothing. He blushes and must be made to remove his hands from covering his genitals. As she takes a first look the doctor notices with a degree of gratification that he is not circumcised. So, this means that in the course of therapy there will be some snipping of the prepuce, a tentative trimming of excess foreskin, the removal of small adhesions or unsightly growths. These are all certain to be uncomfortable procedures, intimate, embarrassing and meticulously prepared. Further she notes that his public hair grows profusely, even though the genitals as an entirety are not overly large in proportion to his size and age. His general bodily build tends more to being slender rather than muscular, a positive portent for therapy. Nor is he obscenely hairy taken on a whole. His legs and thighs will certainly benefit from a depilatory treatment, but the doctor foresees no problems in that regard. There is much to be examined this first time, but even so parameters must be set establishing future conduct and demeanor. Therefore first the doctor commences by taking the nephew’s temperature. While not doubting his good health, this is a little procedure that is meant to initiate patients to docility and acquiescence, traits which the doctor considers essential to patients undergoing her treatments. She has the nephew take place on a table, laying stomach down and legs spread, an ideal position for the method she intends to use. Though any other method is just as accurate she prefers to measure temperatures rectaly. It is fitting and just that attendance in her office be initiated in such a manner, with a thick glass rod inserted up the anus. The nephew is astonished almost beyond words as he feels the penetration, minuscule though it might be compared to other future procedures. He is bright red from imagined shame, the more so as he feels the onset of an un-willed erection. But the doctor takes little note, smug in her knowledge of what is yet to come. Even so she moves the rod in and out and to and fro all the while keeping his thighs open spread. She grimaces somewhat at the sight of his growth of hair, it is regrettably normal for his age, both profuse and somewhat tangled. The doctor then checks the temperature, which as expected, is within normal parameters. But before he is allowed to stand up, she quickly and deftly inserts a suppository into his fundament, pushing it inwards with a practiced thrust of a finger. It is a medicinal compound of sorts, but one mainly intended as sedative and hypnoticum. It will serve to relax and calm the nephew, lower his inhibitions and make him more receptive to obeying the doctor’s instructions on this first day of therapy. The insertion of the suppository is another surprise, but it is over and done with before he realizes what is happening. He is then allowed to turn about and sit on the table, with buttocks clenched together to forestall any premature release of the rectal pill. As he sits thus, with erect penis jutting up from his lap, the doctor gives him a glass of water to drink. It contains yet another de-inhibitor and calming agent, a necessary precaution on this first day. While the doctor waits for the compounds to move throughout his system, the lady doctor prepares for the subsequent parts of the initial examination. She sets things ready and as she does so she has a conversation, after a fashion, with the nephew. - Well now, that wasn’t so bad at all, was it ? - (a tentative shaking if the head) - Of course it wasn’t. All patients must undress for a doctor you know. Especially for the reasons you’re here. From now on, you’ll be coming back here very often, at least once a week. Isn’t that something to look forward to ? - (not much of an answer) - Well, no matter. It’s all been settled. Your aunt has asked me to examine you and to start you out on some treatments for your health. At first they may seem just a little bit odd or unpleasant, but if you’re a good cooperative patient for me, I promise we’ll become the best of friends and you’ll come to look forward to your appointments here. - (a frown and a puzzled look) - My aren’t we talkative. But don’t you worry. We’re going to make you look and feel much better so that your dear aunt will be ever so much pleased with you. No more naughty attitudes or impolite behavior, no more slouching or slumping around. We’re going to examine you very carefully, give you some medicine to take and exercises to do and before you know it, you’ll be feeling much better. - But I don’t feel ill. - Well, maybe you’re not ill like you think, but you’ve been making your dear aunt very unhappy with how you behave. And unruly behavior is often the result of an illness of sorts, something that doesn’t make you feel ill, but that makes other people disturbed because of how you act. - But I haven’t been bad. - No, not exactly. But even so your aunt and I both think there is room for a lot of improvement in your behavior and in your comportment. I’ve treated many young gentlemen such as yourself so I know what I’m talking about. And if they set their hearts to it and cooperate with me, I can make things better for everybody concerned. Isn’t that something to look forward to ? - I suppose so. - Of course it is. So from now on there will be no more need to act shy or bashful. I’m going to have to look you over very carefully and that means inside and out. There’s nothing to be modest about when you’re in my office. And besides, when you go back with your aunt, she’ll be regularly doing things that can be done in the home, such as giving you your daily medicine and supervising your exercises and such. And that will be done just as it is here in my office. - What do you mean ? - I’m sure you already know very well what I mean. For most of your treatments, you won’t need to be dressed. - Not with my aunt. - Most certainly with your aunt. It’s nothing to be concerned about. From now on things will be different. Indeed they shall. But already the nephew is showing signs of succumbing to the sedating suppository and drink. He is visibly calmer, his mouth in less of a grimace and his eyes brighter. He makes less of an effort, quite ineffective in any case, of trying to hide his tumescent organ, he unclenches his thighs and appears much calmer. The doctor continues her informative conversation, subtly introducing the nephew to previews of things to come, trying to initiate an accustomization to new attitudes and situations. She also begins with a use of new words when talking to the youngster. With the grown-up aunt, the lady-doctor is of course replete with proper medical terms and phrases for all parts of the anatomy. With the nephew this is not so. For though he could easily understand whatever she would care to explain in proper scientific terms, she prefers to have patients such as the nephew hear less exact, but more significantly laden ambiguous and immature words and turns of phrase. In his complacent and receptive condition, this helps the nephew to regress and revert to younger mental states of mind and feelings. It is not wholly unpleasant and after a while this manner of speaking to him will come to infuse him with an almost immodest satisfaction and pleasure, all of which is the doctor’s intent. The doctor’s first task is to make a record of the nephew’s bodily condition before therapy. This means that a series of physical measurements and proportions will be taken along with a detailed set of photographs. The measuring is done with a varied selection of instruments ranging from a simple line ruler and tape measure to complicated appearing calipers and gauges. Height and weight are quickly established in the classical manner as are various girths and circumferences. The nephew’s nipples are given a careful inspection and measuring, a somewhat mysterious and odd consideration to the youngster. His waist and buttocks are carefully inspected with oversized and intimidating calipers, various locations being taken as reference point so allowing the calculation of an outline from narrowest to widest dimension and back again. When the thighs and legs have been measured, the doctor then proceeds to note a seemingly bewildering number of sacro- pubic measurements. This involves the nephew standing upright with legs spread akimbo, thighs apart, hands by the side. The doctor places one end of a large caliper on various spinal disks and then placing the other end on diverse parts of the anatomy such as the navel, upper and lower penile stem, perineum, anus and so on. It is an exacting procedure and mentally invasive, since needs be access to these intimate areas can only be attained by assuming unusual stances and postures. The doctor is fussy about finding the correct starting points and unconcernedly pokes about in the nephew’s anus and scrotum until she is satisfied. The nephew is somewhat less satisfied, but manages at least to retain his equilibrium and erection, if not his dignity throughout the measuring. The ensuing genital and anal measurements are if anything, to be yet more detailed. But before that can be done with the required exactitude, it is necessary to remove the growth of hair from his genital and anal region. Due to constraints of time, the doctor will use a fast acting depilatory cream, a further rigorous de-hairing of the rest of the body will take place during a future session, or perhaps it will be more accommodating to send the nephew to a beautician or a cosmetician. This is something that will be discussed with the aunt. Perhaps she will wish to do this herself. Whatever the outcome of those deliberations, for the moment the lady-doctor is only interested in what lies between the nephew’s thighs. She dons a rubber glove with an audible snap and commences to thickly apply a sweetly smelling ointment over his intimate areas. In several minutes, the mildly caustic preparation has begun to dissolve hair follicles. The doctor uses a curved spatula to scrape off the bulk of lotion and loose hairs. The rest is removed with a damp cloth, applied several times until the denuded skin appears clean and pristine, smooth and soft to the touch. A few stray hairs are zipped away by a safety razor and there the nephew stands : properly naked and nude for the ensuing medical proceedings. He himself is not sure what to think. True, a confusing acquiescence reigns somewhat muddily in his thoughts, but the sedating compounds are not overpoweringly strong and the nephew is all too aware of the wafting of air over previously hairy body areas. His organ, which by now the doctor has referred to by many childish names, is still stiff and sticks up at a proud angle. Now smoothly denuded, it appears to be even longer in length than before, a shaft of rosy-tinted alabaster or veined marble. This aspect he can appreciate, it feels strong and hard in this state, even more so whenever the doctor handles the organ. Underneath his balls hang tightly clutched in a scrotal sac, yet here too a cool breathe of air tingles and causes awareness of their loose dangling. So prepared, the doctor can now commence her genital measurements. She guides the nephew to an examination table and has him take place on the padded surface. He is made to lay tilted backwards and to raise his legs onto the supports. The doctor rotates and moves the stirrups into a position she considers appropriate; the nephew is spread open, thighs wide, hips raised, aroused genitals and anus on display. She will commence by noting dimensions in erection, afterwards the deflated state will be measured just as carefully. First off she notes the length of his penis, differentiating between the upper-length from tip to the pubis and under-length from tip to the scrotum and perineum. At various points up and down the shaft, she measures girth and diameter, using alternatively a narrow measuring tape and caliper. She pays careful attention to accurately measuring the size of the un-denuded glans, noting the marked difference in proportion between the penile rim and immediately lower area. Nor is the rim equidistant from the urethral opening, so a detailed measuring is done, using the urethra as fixed point. Not only is the measuring detailed, but the measured anatomy is sensitive and delicate. Nevertheless the doctor cannot afford to pander to any notions of delicacy, so she must insert an anchoring point into the nephew’s pee-hole, and necessarily the caliper’s opposing end must be tightly fit. Since the nephew still posses a prepuce, and one of considerable largesse as these things go, it must be measured as well. This poses difficulties of a different nature as the covering skin is elastic by nature and already it is stretched tightly over the tip of the nephew’s organ. But yet, the glans is not easily denuded, for while not phismostic, the foreskin has a narrow opening and does not naturally retract upon erection. This is not an optimal situation from a medical point of view, but for the doctor it is a welcome little detail to lavish attention on. She will justifiably be able to probe, poke, pull, open, retract, stretch and snip this little bit of sensitive maleness. Already the nephew’s eyes are smarting, and she has not yet even retracted the skin down to its fullest extent. The doctor smiles, pats, rubs and reassures, wondering if perhaps this first time she should apply a desensitizing lotion to the youngster’s delicate little knob. Perhaps it is better not to resort to such little tricks so early in therapy. She is not above applying a placebo however, and gently anoints the prepuce with a normal variant of skin cream. It is nothing more than a moisturizing and sweet smelling lotion, though she mischievously tells the nephew that the cream is meant to lightly anesthetize the tip of his organ. The power of conviction is conveyed and the nephew relaxes somewhat, enough so that the doctor can continue with her measuring of the glans penis. She now takes a bottle of lubricant with applicator and inserts the tip under the foreskin, pressing out a goodly amount of lotion between glans and foreskin. With her fingers she rubs the lubricating cream around the glans until an amount oozes out over the rim his foreskin. The foreskin is an elastic covering and can be stretched taut and tight, or conversely the aperture can forced open to allow measuring of an approximate maximum opening. The doctor takes a minute multi-bladed penile speculum and expertly inserts the smooth metal blades underneath the nephew’s foreskin. When in place, she flicks a ratchet and turns on an indented screw, which in turn forces the speculum blades to expand and move outwards, stretching the foreskin to its maximum extent. The nephew tenses from discomfort and his face distorts into a grimace. Surely he is not used to retracting his foreskin, for even now stretched to painful limits, the opening is not sufficient to allow a full denuding of the penile glans. This is in and of itself no great matter and will be resolved by the doctor during the ensuing therapy. But it is a useful metaphorical stick and as raison-d’être can be used to rationalize a surprising number of treatments. She notes the maximum diameter and then slowly compresses the speculum blades, finally retracting them with a delicate if unnecessary twist and flourish. She will subsequently take an unusual measurement using a very simple instrument. The nephew’s urethral opening is exposed and a small rounded metal cone, with a notched measuring scale, is inserted as far down into the aperture as it will go. This is a surprising and disconcerting manner of taking measurements, also somewhat painful. Needs be the instrument must be thrust deeply and snugly to its fullest possible extent. The urethra, essentially not much more than a flexible organic tube, can be stretched to a certain degree. The doctor can only measure the aperture at the tip of the penis, not the inner diameter further along the urethral tract, but that is sufficient for the moment. Later on during therapy she will look into the entire length of the urethral tubing and address any medical issues forthcoming. As she is holding the instrument in place and squinting at the small printed notations, she reassures the nephew that she cannot possibly be causing him any discomfort, knowing full well the exaggeration of her statement.