Star gestures to Sable. "After you."

Up she gets and in she goes. "Nice to meet you." She looks for an appropriate place to sit.

There is a long bench, covered in soft cushions, and atop that a layer of paper.

Star takes a side chair in the consultation room. 

Holly stands, but pulls out a computer screen on an extensible arm. "Alright, so, let's start with reviewing your numbers from the fingerstick test certain officials I shall not name forced on you while you were out. Not a move I'd approve of but apparently it was necessary as part of decontam." She rolls her eyes. "Anyway, flagrant breaches of professional ethics aside, I'd like to discuss where you are right now and where we can go from there."

Sable nods, sitting on the bench. 

"Alright, so, bad news first.

"Firstly, you're on the wrong sex hormones right now. Testosterone doesn't suit your body chemistry and it's no doubt causing you dissociative symptoms, which is always no good for physical pleasure. We will fix this."

"Secondly, you have taken some erogenous system damage from the application of a libido-suppressant drug, likely some form of SSRI. I think it's fairly clear what I think about trying to treat dissociation with a libido suppressant but suffice to say that would be malpractice in this world. Fortunately, we have cycloterine. I can't wholly repair the damage but I can definitely boost your libido back to a higher level if you wish me to."

"Thirdly, for some reason your penis has had the foreskin surgically removed. I also do not understand this and my arguments against it would fill a book. Nonetheless. Surgical restoration is an option here and may restore significant sensitivity, but I suspect you may prefer a more general reconstructive surgery to give you genitalia you are more happy with. We can discuss the options here as well."

"So to summarize — your past life has done significant damage, but it should all be able to be treated. You will not have to suffer all these effects on your sex life indefinitely."

"Wow. It's... different, to be in a world where y'all can actually quantify and care about the damage done to my libido." She blushes and nods. "Yes to the hormones, yes to the libido boost, yes to the general reconstruction."

"Alright. Then the easy part is to prescribe you estrogen, an anti-androgen, possibly progesterone, and cycloterine. Cycloterine is a pill, but estrogen and anti-androgens can come in multiple forms. This early in your hormonal journey we likely want to work with gum-applied or injected estrogen and oral anti-androgen; for longer term work there are medical implants, but they generally require an established level of daily estrogen to be effective. Injected generally gives better transition results but is more of a hassle; gum-applied is less effective but much more convenient and less painful. It's your decision."

"Then we should discuss anti-androgens. I generally recommend a mild anti-androgen like feminase - please disregard the terrible brand name - because having some additional available testosterone can help to boost the libido even in trans women. If you'd rather, I can use a more intense antiandrogen such as cyproacetate and then give you a higher dosage of cycloterine to bring your libido back up, but that's a little more fragile in some ways." 

Sable hums for a moment. "Probably the injection, we're willing to put up with a lot of nonsense to get better results, and injections aren't that big of a deal. And I think if y'all have sufficiently effective and lasting hair removal treatments, then we'll go with the feminase."

"We do. Feminase it is then. So next we should talk about a referral for surgery - that's specialist work for an erogenic surgeon, I know some of the basics but it's an advanced topic - and to prepare for that we will need to have a sensation map of your present organs, and an updated one of any rewiring occurring due to hormonal feminisation. So I'm going to shoo Star out of the room now." She looks over at star and makes a small shooing motion. "Out. Unless Sable would actively like to have you watch while I probe her genitalia with a variety of instruments, which may or may not be her kink." 

Star gets up and glances over at Sable with a smile on her face. "Yeah, uh..." She doesn't quite move for the exit.

Sable blushes.

"Um."

Honestly having a hot girl present will only help, right?

"She can stay."

Star laughs, comes over and offers a fistbump. "Alright, if you'd like that!"

Nervous fistbump.

Star sits back down, and watches.

Holly retrieves a small selection of implements from a drawer in the wall; a latex glove, a wartenberg wheel, a small bullet vibrator, and a rather chunkier large vibrator. She settles them into a tray that slides out from the wall and sits down next to Sable, and then extracts two additional items — a small metal buttplug, and a finger pulse monitor.

"Alright," she says. "So, the most accurate readings will come from measuring pelvic floor contractions along with heart rate and breathing, for which an internal sensor is best." She taps the buttplug. "However, if you would prefer to have an external sensor that's also possible, it'll just make the data a little less accurate. I'd attach an electrode to the perenium in that case. Either is a reasonable choice; are you willing to accept a probing for the cause of better data?"

That blush is just not going away. "Um. Never done that before, but..."

Fuck. She had to make it about better data.

Nervously, "Okay, I'll try it."

"Alright." Holly nods. "Proud of you for taking the plunge, and keep in mind that you can stop at any time if you want, alright? Do you know the stoplight system?"

"Heard of it, haven't had much chance to use it. Red, yellow, green for stop, caution, go?"

"Yes. Seems some things are the same between our worlds. Alright, get as nude as you feel comfortable getting — I'm going to need access to your genitals for this, of course, as well as your ass."

She flushes again and hops off the bench, shimmying her skirt and underwear down and stepping out of them.

Clematis gathers them and puts them in a bag, which she puts on a hook on the wall. 

"Alright," she says. "Clip this on your finger." She hands over the finger-clip, which is probably an oximeter and pulse rate monitor. Then she slips on the latex glove and pours a little bit of slick lube onto it and the probe. 

"Now, to loosen you up for the probe I'm going to use my fingers. Yes, I'm aware there may be fecal matter, don't worry, I am beyond used to it at this point. Just try your best to relax and not clench - it's instinctive at first but you can get used to it, many couples do." 

Sable clips the monitor onto her left middle finger, flushes, and leans over the bench a bit, trying to relax. "Okay." She takes a couple slow breaths to brace herself.

Clematis very gently reaches in with her latex-gloved hand that's not lubed, and steadies her, then carefully slips a lubed finger into her and waits until she stops clenching.