The following morning, David was awoken by the sound of his alarm clock as it always did at 6am. He slowly opened his eyes and sighed, before reaching across to switch off his alarm. As he did so, however, he quickly became aware of a few things that were rather odd to him. The first thing he realised was how much more weight there appeared to be on his chest. Whilst not a great amount of weight, it was definitely greater than it had been the previous day. He felt the weight shift as he moved and he knew instantly without even looking, that his breasts had definitely developed further since yesterday.

“Well…it’s not like I wasn’t expecting this,” he pondered as he shuffled across to reach for his alarm.

As he sat up in bed, feeling something tickling the back of his neck, David was initially confused. He tried to brush it off, thinking it was just his imagination. But the tickling sensation persisted, becoming more and more noticeable. He couldn't resist the urge to touch the back of his neck, and what he felt shocked him - it was soft and delicate, like a feather caressing his skin.

Curiosity got the better of him and David quickly turned on the bedroom light. When he looked in the mirror, he was stunned. His once short hair had grown significantly overnight, now reaching a length that he had never had before. It was around six to eight inches, far longer than his usual two-inch cut. He couldn't believe it. It was as if he had been given a new head of hair in just one night.

But that wasn’t the only change he noticed. As he examined his reflection, he saw that his facial features had also become more delicate, his skin was now much softer and smoother. His once strong jawline was now softer, his cheekbones more defined, whilst his cheeks looked somewhat fuller. Even his eyes seemed bigger and more expressive, framed with longer eyelashes than he ever remembered. His lips, whilst still the same shape they always had been, now appeared to be ever so slightly more plump and full.

David couldn't believe what he was seeing. It was almost like he had woken up with a completely different face and yet, it wasn’t as though he was unrecognizable.

However, people had always remarked on how much he resembled, Alicia, his older sister, right now, David could see that resemblance, which was stronger now than ever before. Overnight, he had gone from looking fairly androgynous to now looking rather feminine in appearance. He ran his fingers through his hair, feeling the soft strands between his fingers. It was surreal, to say the least.

Finally, David looked down at his bare chest, confirming his suspicions. His breasts had in fact increased in size and definition. No longer were they just small buds, even though they were still rather on the small side, they were now fairly rounded and perky.

“I wonder if they’ll get any bigger?” he found himself thinking, softly cupping his breasts as he stared at his reflection.

As he turned to leave the mirror, David nervously decided to peer inside his boxer shorts to see if there were any other changes. And to his surprise, there were no major changes to his manhood, since the previous day. Inside, his penis remained, just as small and flaccid as it had been the day before. Although, his scrotum which had become an empty sack, the previous day, did appear to now be nothing more than a small fold of skin.

Seeing this, however, did send a cold shiver down David’s spine. Deep down he had anticipated these changes were coming, due to the nature of the drug trial, yet in his mind, everything would be almost instantaneous, rather than gradual.

With a mix of excitement and fear, David proceeded with his morning routine. He got dressed for work, adjusting his suit even more than the day before to try and make it fit his new frame. David looked in the mirror, checking over his reflection once more.

His suit was no longer sufficient enough to hide his physical changes. He couldn't help but feel self-conscious, wondering how his colleagues would react to his new appearance.

However, before making that trip to work, David had his first appointment with Doctor Maddox since the day he had been administered the drug.

As he was about to leave his apartment, David’s phone buzzed. He smiled as soon as he realised it was Hannah. She had sent her usual text message, checking in on him, wishing him luck at his appointment and also explaining that she would catch up with him at work. Whilst checking his phone, David also noticed that there was a notification from the group chat he had with the guys, Shane had left the group.

“Arsehole,” thought David as he made his way out to his car. “Some friend he is,” he pondered, reminiscing on the events of the previous evening.

 As David drove to the pharmaceutical facility, he couldn’t help but feel rather anxious. It was to be the first time anyone else had ever looked at his body in any detail since the changes had begun. So many questions raced through his mind; What would Dr Maddox say and think of his current physical appearance? Was everything fine?  Could he expect any more changes?

As he approached the gate, David's heart started racing. He pressed the buzzer and the receptionist asked for his name and the purpose of his visit. After confirming his appointment, the gates opened and he drove inside. The facility was impressive, with well-manicured lawns and a state-of-the-art building. David was intimidated by the grandeur of the facility, adding to his already anxious state.

As he pulled into a parking space, his hands were trembling as he sat tapping lightly on the steering wheel. At his first appointment with Doctor Maddox, he had been accompanied by Hannah. Her presence had made him feel more at ease, but this time, he had chosen to face his fears alone. He took a deep breath and tried to calm his nerves. He reminded himself that he had chosen to take this route and that the financial rewards far outweighed any fears or reservations that he had.

With a renewed sense of determination, David got out of his car and walked towards the building. With each step, his palms got sweatier, and his heart raced even faster. He could hear his heartbeat in his ears, and he wondered if it was audible to anyone else.

 

As he entered the facility and approached the reception desk, David could feel all eyes on him. His anxiety was at an all-time high.

“Good morning, miss,” said the girl behind the desk with a warm smile.

Hearing these words made David pause for a moment,

 “Erm…good morning…I have an appointment with Dr Maddox…David Sanders,” he mumbled nervously, avoiding eye contact.

The young woman behind the desk looked almost shell-shocked as she heard his voice.

“Oh…I’m terribly sorry...erm, I mean sir, I didn’t mean to…” mumbled the young lady.

David could see the genuine concern and compassion in her eyes, he could tell that she was trying her best not to make him feel uncomfortable.

“It’s erm…quite alright, nothing to worry about,” he replied with a smile.

The young woman began to type frantically on her keyboard before looking up at David once more,

“I’ve let Dr Maddox know you’ve arrived,” she said softly, “She’s just with a patient, so if you would please just like to take a seat in the waiting area, she will be with you shortly,” she added with a smile.

David thanked her and made his way to the waiting area. As he sat down, David couldn’t help but think about how the receptionist had mistaken him for a woman.

“That’s something I’m gonna have to get used to…that’s clearly how the world perceives me,” he pondered, “I mean…well…look at me,” he thought, looking down at his now, clearly feminine appearance.

As he looked around the waiting room, David took notice of the other people currently sitting patiently, waiting to be seen.

There was a beautiful young woman, who couldn’t have been much older than 20, sitting two seats across from him. She was dressed in a silk, white, button-up blouse, black skirt and black high-heeled shoes. Her long, dark brown hair was tied neatly on top of her head in a bun and her makeup applied flawlessly. Her overall appearance gave off an air of elegance and professionalism as she sat with her legs crossed, the light, shimmering ever so slightly on her legs that were covered with skin-coloured pantyhose as she flipped through the pages of a magazine with her perfectly French-manicured nails. On the other side of the waiting room was a bald, older man, he must have been in his forties. He was dressed in a pair of blue denim jeans and a white T-shirt. He too, looked rather anxious, constantly fidgeting, biting his lip as his leg bounced relentlessly up and down. Then, to the far right of David, he observed two women. One of which was clearly a patient of Dr Maddox, given away by the comments made by the woman sitting beside her.

“Honey, I promise you, you’ll soon get used to it all,” whispered the woman with a smile on her face as the other woman shifted around in her seat, tugging at her clothes.

“This bra is digging in,” said the other, fidgety woman, her voice sounding rather deep and gruff as she spoke.

“Remember sweetie, you wanted this, and I support you, no matter what,” said the calm woman beside her, kissing her on the cheek before smiling.

As David watched, he couldn’t help but notice that the woman who was fidgeting a lot, had somewhat of a 5 o’clock shadow peering through her makeup.

David quickly looked away as the fidgety woman looked in his direction.

Lost in his thoughts, David almost didn't notice when the woman next to him struck up a conversation.

“Excuse me, are you here to see Dr Maddox as well?”  she asked, her voice rather soft, polite and friendly, her accent made it clear that she wasn’t from the same town as David, yet still fairly local.

David looked up, surprised by her sudden interest. He nodded, unsure of what to say.

“I thought so,” the woman said with a smile, “I've been coming to this clinic for a while now. Dr Maddox is amazing, she's helped me so much.”

David smiled,

“How…erm…how long have you been coming…here?” he asked nervously, “That’s if you don’t mind me asking…that is.”

The young woman paused for a moment before she replied,

“Four and a half months,” she answered with a huge smile, “Wow, I didn’t even realise it had been that long since I became free,” she added.

Seeing the young woman's face light up, David couldn’t help but smile, but couldn’t help but feel intrigued by her words.

“What do you mean by 'became free?” he asked, curious to know more about her story.

The woman's face lit up as she began to explain,

“I struggled with my gender identity for years. I always felt like I was trapped in the wrong body. But thanks to Dr. Maddox, I am finally free to be myself.”

The woman fell silent for a moment, it was obvious that explaining her story was rather emotional for her,

“I am the person I always dreamed of being,” the woman continued. “I always thought it was going to be years of expensive hormone therapy and surgeries...but Dr Maddox changed all that,” she added softly.

 

 

David was taken aback by the woman's story. He never would have guessed that she had gone through such a journey. He couldn't help but admire her strength and bravery.

“Thank you for sharing that with me,” David said sincerely, “I'm happy to hear that you are finally living as your true self.”

“As you will be able to also, thanks to Dr Maddox,” replied the woman, “My name is Jessica, by the way,” she added with a smile.

“Nice to meet you, Jessica, I’m David,” he replied, Jessica looked rather shocked as he told her his name.

“So what’s your story, David?” asked Jessica, sounding rather curious.

“My story?” replied David.

“Yeah…like, have you always noticed you were…different?” Asked Jessica, “What brought you to Dr Maddox…my guess is…by the shrunken yet still present Adam’s apple…and the voice…fourth week?” she added.

David shook his head,

“Actually, this is my first appointment…I was administered the drug last week,” he answered.

Jessica looked stunned,

“Oh my god,” she exclaimed, “Only a week and…wow…you look incredible.”

David felt his cheeks begin to blush,

“Thank you…I think,” he replied, “And…as for my story…I kinda feel stupid…I can’t lie.”

Jessica looked at him quizically, her head slightly tilted to one side,

“Erm…okay,” she muttered in reply.

“I…I don’t have a story like yours…in fact…I’m perfectly happy being a guy,” clarified David.

“Oh…” exclaimed Jessica, looking rather surprised at David’s admission.

“I know it sounds weird…but…I’m not struggling with my gender identity…I’m just…in it for the money I guess,” David explained.

David's words hung in the air for a moment before Jessica burst out laughing.

“Well, that's definitely a first,” she said, still chuckling.

Jessica looked at David with a mixture of understanding and amusement, “Well, I can definitely relate to the financial incentive too,” she added with a giggle, “But I can’t say I’ve ever heard of someone agreeing to change genders, based on purely a financial reason.”

David laughed nervously,

“I know, I know, it sounds crazy,” he said, “But I guess it just shows the situation my life is in right now,” he added, “But I guess, unlike me…you won’t want to change back after the year is up.”

Jessica's smile faltered for a moment before she spoke. “No, I won't be changing back. But that doesn't mean I don't understand your reasons,” she said, placing a comforting hand on David's shoulder.

Just then, Dr Maddox came from around the corner, along with a rather tall man who also appeared to be rather young. His hair was slightly longer on the top and styled, whilst shaven rather short around the sides.

“That’s Lucas,” whispered Jessica, “He’s on the sister…or should I say…brother…drug trial,” she giggled.

“Wait…he was…” muttered David, looking rather astonished.

Jessica nodded,

“Mmhmm,” she muttered, “He’s been coming here just as long as I have. I remember how different we both looked in the beginning,” she explained.

Lucas looked across to where David and Jessica were sitting, he smiled and waved in their direction, clearly at Jessica, who quickly began to blush and rather sheepishly wave back.

David noticed Jessica’s blushing cheeks and smiled, it was rather heartwarming to see the exchange between the two.

“David,” Dr Maddox called out as she looked around the waiting area, clearly not recognising him.

“It was really nice to meet you, Jessica,” he said as he got up from his seat.

“You too,” replied Jessica with a smile, “I hope to see you again,” she added.

“I hope to see you again too,” David replied as he began to walk towards Dr Maddox, who looked rather astonished at David’s appearance.

“Wow, David, I barely even recognised you. You look incredible,” she said, gesturing for him to follow her into her office.

“So, I see you’ve made a friend out there,” said Dr Maddox, closing the door behind them as they entered the room.

“Oh, you mean Jessica,” answered David as he took a seat, “she seems nice.”

“Jessica is lovely, isn’t she,” stated Dr Maddox with a smile. “So, David, how have you been feeling since we last saw you?' Dr Maddox asked, sitting down at her desk.

David took a deep breath and told the doctor about the changes he noticed over the week, Dr Maddox nodded, however, she had a rather surprised look on her face.

“I see…And you’ve been keeping track of this, in the notebook I gave you?” she asked.

David simply nodded in response to the doctor's question.

“Good, do you have it with you?” asked Dr Maddox,

David pulled out the notebook from the inside pocket of his jacket and handed it to the Doctor.

Doctor Maddox then spent the next few moments reading over David’s notes. He watched as she flipped through the pages, reading his notes carefully as he sat nervously waiting in silence.

“Aha,” exclaimed Dr Maddox, closing up the notebook and handing it back to David.

“Is…everything…okay?” he asked rather anxiously.

'Yes, these are all normal changes we expected of the drug,” replied Dr Maddox.

David couldn't help but feel a sense of relief wash over him. He had been worried that something was wrong with him, but it seemed that everything was going according to plan.

“However, what I do find rather astonishing, is how quickly your body is reacting to it,' the doctor explained, “In fact, these changes are happening at a rate, far quicker than we predicted. Most patients by this point are at the stage you need down about having breast buds…and that was on day 6, I believe you noted.”

“Yeah, day 6,” David confirmed.

“So that would be yesterday,” said the Doctor, to which David nodded once more. “So, Yesterday morning, you wrote in your notes that you had breast buds, reduced 5 o’clock shadow, your penis and testicles had halved in size and a shift in body composition…then later that day, you noticed you had shrunk in height…Okay, let’s see where you’re at right now shall we,” Dr. Maddox said, motioning for David to stand up.

David hesitantly stood and removed his jacket,

“Okay…I can see straight away you now have more than just breast buds,” laughed the Doctor, before instructing David to get undressed completely.

David followed the Doctor’s instructions, stripping down to merely his boxer shorts. As he stood there completely exposed, David couldn't help but feel vulnerable. He had never been comfortable with his body, and now, even more so as it was going through such drastic changes.

The doctor then began to examine him, taking measurements and making notes as she did so.

“Your body is definitely responding well to the drug. Your chest will continue to grow over the next few weeks…or at your rate…it could be days,” stated Doctor Maddox with a reassuring smile, as she began to check David’s new breasts, making sure there were no abnormalities or complications.

“Right, everything seems normal there,” said Dr Maddox, returning to her desk, “There is just one more thing I’d like to look at, but for that, I’m going to require a chaperone, any objections David?”

David paused for a moment before shaking his head. He trusted Dr. Maddox and knew that whatever she needed to do was for his own good.

“Good,” said Dr Maddox, “I’ll just make a quick call,” she added, picking up her phone that was on her desk.

As soon as Dr Maddox hung up the phone, she turned to David,

“I thought to make things less awkward for you in future, I would call in Dr Gabriella Watson, our OB/GYN,” stated the Doctor with a smile.

David’s eyes widened in surprise. OB/GYN? As a man, he had never even considered the possibility of needing to see a gynaecologist. However, with his body undergoing changes typically associated with females, David was now faced with a new reality.

Feeling a mix of emotions, David nodded, not knowing what else to do.

“I can tell by your reaction, David, that you’re shocked at needing to see someone like Gabriella,” said Dr Maddox, “But, I can assure you she is one of the sweetest, most professional people, you will ever meet and changing as you are, we need to ensure we examine you thoroughly.”

As Dr. Watson entered the room, David’s nerves returned. Dr Watson was not what David was expecting at all, although, he wasn’t quite sure exactly what he was expecting. Instead of a stern, clinical doctor that David had envisioned, Dr Watson was a young, bubbly woman with a bright smile. She was much smaller than both David and Dr Maddox, she couldn’t have been much taller than 5ft 3 inches. She had an extremely petite frame and was fairly tanned in complexion and her raven black hair tied back in a ponytail.

“Hello, you must be David,” said Dr Watson, “I’m Dr Watson, but you can call me Gabriella,” she added with a warm and friendly tone, immediately putting David at ease.

“Thank you for coming Gabriella,” stated Dr Maddox, “I just need to examine David further and require a chaperone, but of course, I thought this would be the perfect opportunity for you two to get acquainted.”

“Of course,” replied Gabriella with a smile, “I know it's easier said than done, but you can relax, David. I don't bite,” she joked, trying to lighten the mood. “I have seen many patients like you, and I'm sure there will be many more.”

David couldn't help but let out a small chuckle. He felt a sense of relief knowing that Gabriella had experience in dealing with patients like him. She seemed to understand his feelings of vulnerability and was doing her best to make him feel comfortable.

“If you would please make your way to the bed please David,” stated Dr Maddox, gesturing to an examination bed in the corner of the room. “Please remove your underwear and lie down on your back for me,” she instructed.

As David anxiously followed the Doctor’s instructions, he watched as Dr Maddox put on a pair of blue, latex gloves and approached the bed where he was lying.

David closed his eyes as Doctor Maddox began to examine his genitalia. He could hear the pair exchanging medical terms as Dr Maddox poked and prodded around.

“Well… definitely more progress than the notes suggest,” said Dr Maddox.

“Yes…I see,” replied Gabriella, sounding rather curious, “Hold on…I just want to check something,” she added.

With his eyes still firmly shut, David listened as Gabriella’s footsteps retreated before quickly returning.

“Can you spread your legs, as best you can for me David and raise yourself gently,” instructed Gabriella.

David took a deep breath and nervously followed Gabriella’s instruction, spreading his legs as wide as he could. He then felt Gabriella slide a pillow beneath his hips.

“Okay, David, this may feel a little strange at first…okay…but I promise you, everything is normal,” said Gabriella. “One, two and…three” she added, on the count of three, David felt a finger as it slipped inside him and began to feel around. Gabriella was right, it did feel strange indeed.

“Oh…my…god…at first I thought she was inside my ass…but that’s definitely not my ass,” thought David.

As David could feel Gabriella probing inside of him, he was also aware that her other hand was pressing around gently on his lower stomach.

“Okay…feeling really uncomfortable now,” thought David, his eyes remaining tightly closed as he took deep breaths.

“Okay David, almost done,” said Gabriella, trying her best to reassure him. “Yeah, I think our appointments will be starting very soon,” she added, in a very, matter-of-fact tone.

“Already,” exclaimed Dr Maddox, “It was only a week ago he had the treatment,” she added, sounding incredibly surprised.

Finally, after what felt like an eternity, Gabriella removed her finger and removed her gloves.

David let out a huge sigh and opened his eyes,

“A week…that’s incredible,” said Gabriella, before turning to look at David. ““David, I have good news for you. It seems that everything is perfectly healthy and there are no signs of any abnormalities,” announced Gabriella, “And…” she added, “I’m sure Dr Maddox will agree, our appointments should begin next week.”

“Wait…what?” exclaimed David.

“Can I just ask David, have you experienced any pains or cramping from your genitals or lower abdomen?” asked Gabriella.

“Erm…no…why?” responded David, his face now a mix of confusion and terror, “I thought you said everything was fine down there.”

“Well, from what I can tell, we already have a vaginal canal and cervix at least. But obviously, I'd need to conduct an in-depth examination,” replied Gabriella, “Obviously with you saying you’ve had no symptoms of cramping or pains like others have, I’d say that’s all we have at this point, but as I said, I’d need to be more thorough.”

Hearing these words caused David to sit bolt upright, everything was progressing, way faster than he or even Dr Maddox had anticipated.

Gabriella could see the terrified look on David’s face,

“Everything will be fine David,” she said with a reassuring smile, “Trust me, you’re in safe hands.”

David got dressed and shortly after, Dr Watson left the room, not without saying goodbye to David and that she would see him next week.

David sat back down in the chair in front of Dr Maddox’s desk,

“Okay, David, whilst I am shocked by how fast things are moving forward, I am incredibly pleased that they are doing so without any problems whatsoever,” said Dr Maddox.

“Wow…yeah…fast is the understatement of the century,” said David, “first I have a pair of breasts…now…a vagina…talk about a crazy 24 hours.”

“I know it’s a lot to go through, David, but you’re truly doing so well,” said Dr Maddox, “That being said, our appointments will now be monthly, if that is okay with you. That’s of course, unless you need to contact me urgently, then you know where to find me.”

David nodded,

“Sounds okay, I guess,” he replied.

“But, you will obviously now have your appointments with Gabriella and I am also booking you in with a Psychologist. Dr Laura Kelsy, whilst she doesn’t work for us, I do send a lot of patients there,” explained Dr Maddox.

“A Psychologist?” replied David, looking rather confused.

“Yes, I think it’s for the best,” said Dr Maddox, “What with all these changes going on, especially so quickly, I want you to see her, just to tend to your mental well-being,” she added.

“Great, more appointments,” thought David.

“Well, thank you so much for coming in today David,” said Dr Maddox, “Just keep noting everything down and I shall see you in a few weeks, unless you need anything urgent, okay,” she added.

David thanked the Doctor and left the office with a mix of emotions. As he left, however, he looked across to the waiting area to see Jessica as Dr Maddox called her in. Jessica waved to Dr Maddox before hurrying across to intercept David in his tracks.

“You seem like such a sweet person and I thought that…know…maybe you could use a friend,” stated Jessica.

David looked stunned hearing her words as she handed him a small piece of paper,

“Okay…or rather I could use a friend,” she continued with a giggle. “So I hope you don’t mind…I wrote down my number…I’d really like to hear from you sometime…I mean…It’s up to you…so…yeah…bye,” she added, before hurrying off, over to Dr Maddox, before David could so much as utter a single word.

David looked across at Dr Maddox, who simply smiled and waved to David as she headed to her office along with Jessica.

“Wow…what a whirlwind,” thought David, as he made his way out of the building.