Jack gripped his abdomen as he felt a painful cramping inside him. He cursed God or biology or whatever it was that made him born in the wrong body. Jack was a trans man, born as a female but he had taken many steps to change his body to be more masculine. Jack had taken hormones for a few years and grown chest hair and body hair. Last year Jack has top surgery, removing his breasts so his chest looked like that of a cis man. Jack was loving his body until he lost his job. He had to take a job in which he was barely scraping by, with no employe benifits and couldn't afford to see his doctor when it came time to renew his prescription. Jack wasn't able to be taking his testosterone for about a month now and his menstrual cycle had just started back with a virocirty like no other. Despair starting to set in, he started calling other clinics in the town to see if anyone could work with him. The phone calls all more or less went something like this;

Nurse: "hello this is x clinic how many I help you"

Jack "hi do you offer Hormone replacement therapy for transgender patients?"

Nurse "no we don't" or "yes but an appointment is $90 if you don't have insurance" which Jack didn't have $90 to his name.

Finally out of desperation he called the rundown clinic that something just felt off every time he went by it. The receptionist answered and said they didn't offer that service anymore but could give Jack a number for a doctor that used to work with them. Jack wrote down the number and thanked the receptionist. Jack gulped down a shot of whiskey and nervously dialed. A female answered "Dr Johnson's business line, how may I help you"with Jack said "Hi does Dr Johnson offer Hormone replacement therapy for transgender patients?" The nurse hesitated and then said"I'm not sure I'll have to ask" Jack heard the nurse put down the phone, but instead of music or any other on hold indicator he heard what sounded like a muffled screaming. For a moment it became clear that it was screaming and then muffled again. Then the screaming stopped and silence. A few moments later a male voice answered the phone. The voice was warm but professional. "Dr Johnson, can you please explain the nature of your condition". Jack sighed and said "I was born female and now I'm a man" The doctor asked "But you still have your vagina, uterus, ovaries?" Jack blushed and replied yes. The doctor said "so what exactly are you wanting?" Jack said"I need my testosterone prescription filled. I don't have insurance" Jack heard the doctor clear his throat and then say "I think we can arrange a payment method. I'll have to do a very thorough physical exam. My practices are a bit experimental so you will have to sign an NDA along with several consent forms." Jack feeling the shot in his stomach as another cramp hit him. He thought 'Well I kinda have no other choice' and then stammered out an ok. Dr Johnson said "I actually have an opening this afternoon, can you be here at 12p? Paperwork and it'll take me a good 4hrs to complete the exam" Jack was taken a back, 4hrs for an exam? But the cramping in his abdomen was like torture so he said " yes, I can make it." The doctor handed the phone to the nurse. The nurse gave Jack the address. Before Jack hung up he swore he heard the muffed screaming start back up. Jack took another shot and muttered to himself "what have I gotten myself into" Jack noticed it was then 10a. Jack went and made himself something to eat. After eating Jack slowly got ready to leave. Jack put on his black shorts and a green tank top. Jack was white, about 5 ft 5 in and had brown hair and brown beard and mustache. He thought he looked handsome and sexy. Before leaving his house, Jack went to the bathroom and put a tampon inside himself. He hated the way pads made him feel. Just to be sure he put on the absorbent underwear. Jack then left and headed to the clinic.