Itâs been getting worse lately.
Youâre not really sure when it started. A couple of weeks ago, maybe? A month or more? Youâre not too sure. All you know is that what started out as an odd intermittent bug has slowly turned you into a moody, nauseous, tired, sore, bloated boy. Thereâre only so many months you can put these concerns out of your mind and pray like fuck that youâll wake up one morning and theyâll all be gone. You donât want to, but after you throw up for the second time that day, you reluctantly make a doctorâs appointment for the next morning.
You show up early and sit in the waiting room. You sit next to snot-nosed kids and their overworked parents, varsity boys with their obviously broken wrists and ankles in cotton bandages, and nervous teenage girls who look as though theyâre really hoping for a female doctor.
You flip through an early noughties magazine. You havenât been sick this morning â miraculously â so youâre a lot calmer than youâd expected to be. Youâre still scared that the doctorâs going to force you to remove your binder and chastise you for wearing it so much, but youâre getting a lot better at reacting to that sort of thing. Youâre not afraid to shout and get belligerent with them. At the very least, it stops them from treating you like a mild-mannered little girl.
Finally a GP comes out and calls your name. âAlexandria?â
You wince hard. You push yourself up onto your feet and smile thinly at her. âItâs Alex,â you correct testily, and you watch as her eyes widen and take all of you in: your grey sweats, your fuck-off army boots, your hoodie with the expletive you had to cover up yourself, your drab knit cap. She canât even take you through to her office; she just stands there and stares at you like youâre from another world. You know this wouldnât happen every time if you just used your family doctor and didnât go through the public healthcare system, but you donât want your medical records so easily accessible to your parents.
âM⊠My mistake, Alex,â your doctor finally says, and she makes a gesture for you to follow her down the corridor. You shut the door behind you and take a seat as instructed. You admire all the neat equipment on standby and all of the educational wall poster promotions as she types out a few things on her computer before turning back to you. âNow then Alex, how can I help you today?â
You take a breath and exhale like youâve had a doozy of a day, but itâs not even noon yet. âWell. I think Iâm sick.â
âUh huh.â She nods. âAnd what kind of symptoms have you been experiencing lately?â
Where to begin. You scoot down further in your chair, lounging in it, treating it more like a physiatristâs recliner than a patientâs chair. âIâve been sick â as in throwing up â on a semi-regular basis for the past⊠few weeks now?â You make baffled gestures at her to show that youâre not too sure on that one. âBut yeah. Usually mornings. Iâve gone through like⊠eleven different breakfast foods, and each and every one of them has made me hork, so.â You shrug. âSometimes I just wait and skip over to lunch and I still get sick.â
Sheâs writing this all down as you go, nodding profusely. Sheâs frowning in concentration, brain probably hard at work, but it still makes her look angry with you. âRight⊠and, in the evenings? Can you keep food down then?â
âYep. Thatâs when I get most of my eating done, the evenings.â
âAny nausea?â
âYeah.â You smile at her lopsidedly, but thereâs nothing to smile about. âA lot of the time. Makes it hard to drive any more than five minutes, yâknow.â
More nodding. More typing. âAny other symptoms?â
âErr, well Iâve been really tired lately.â You shrug, looking off to the side. âIâm not really sure if that counts as a symptom, but⊠I mean, I donât do sports or anything. I just get tired.â
âTired, as in-â
âAs in physically fatigued and weakened,â you tell her. âAnd I guess⊠I get kind of, um, tetchy too? Iâve been told I get a lot tetchier now.â Honestly, you hadnât really noticed it. Youâd just assumed that people were doing more to piss you off, not that your tolerance for stupidity had recently had its wick cut short.
âAlright. Anything else?â
You noticeably hesitate and she turns her full attention back to you. Youâre reluctant to talk about it â youâre not even sure if itâs related to your mysterious illness â but you suppose you ought to say something more about it, in case you get misdiagnosed and have to sue the place or some bullshit like that.
Your voice is lower and your eyes are down as you tell her, âMm⊠Iâm um⊠Iâm getting kind of fat. And my chest kind of hurts.â Thanks to your binder, your chest always kind of hurts, save for bedtimes when you take it off and give your chest some desperately needed respite before it caves in or whatever. But lately, even hours after youâve taken the binder off, even the slightest pressure on your chest still aches. And the little tub on your usually flat stomach isnât much better either. Youâve never had to suck in any fat before and youâre obviously terrible at it because now you canât wear wife-beaters anymore.
The doctor just stares at you for a long moment in complete silence, to the point where it makes you uncomfortable. She removes her glasses and puts one of the temple tips in her mouth thoughtfully. Taxpayers give her money every hour to do this, you think incredulously. The obscure diagnosis she comes out with had better be good.
She sighs and sets her glasses aside. âAlex⊠Iâm sorry â I have very little experience with people like you and the sensitivity of it â can I ask, are you a girl?â
âIâm a boy,â you say irritably.
âBiologically speaking?â
You roll your eyes. Youâre forced to admit, âIâm dfab.â
She stares at you blankly. âWell whatâs that?â
âDiagnosed female at birth,â you tell her but she still doesnât get it. Youâre not fitting so neatly into either of her two completely segregated categories and itâs clearly confusing her. You practically seethe, âI have a vagina,â and only then does understanding seem to colour her expression.
âOh, I see. Iâm sorry if that came off as rude; I really donât have any experience with any, uh, âdfabsâ or anything like that.â She clears her throat a little. You opt not to be a huge dick about it and just let her get on with it so that you can leave faster. âSo, if you have a vagina, Iâm assuming that means you menstruate?â
You toss your head back into your chair, feeling your whole face heat up. You hate doing this. If anythingâs wrong with you, your period is always a doctorâs go-to explanation. âYes,â you admit through gritted teeth.
âAnd youâre regular?â
âWhat? Ugh, I donât know,â you groan. You donât keep track of that sort of thing.
âNo complications at all? Any missed periods?â
âLike I said,â you say, actually somehow managing to meet her eyes for a split-second, âI donât know. I donât⊠mark dates on my calendar or whatever it is people do.â
The GP turns back to her computer for a moment to type out more personal, private facts about you, and youâre thankful that sheâs taken her eyes off of you. Youâd like to think that the invasive questioning has stopped but you fucking know better than that by now.
âAre you sexually active?â she asks and you groan, loudly, hiding your beetroot red face in your hands. âWith males, I mean. Ah, males with penises,â she clarifies, in her efforts to placate you and look more politically correct, probably. âHave you had penetrative sex before?â
Youâre still hiding your face. Youâre usually so mature for your age but when it comes to this, youâre like an embarrassed ten year-old who canât even say the word âsexâ without cringing. âYes,â you admit to her and she interrogates you further.
âUnprotected? Was it fairly recent, say, a couple of months ago?â
You take your hands away. You try harder to look like someone who wasnât just asked about their sex life and fazed by it. Youâre not entirely sure what to tell her. Youâve only had penetrative sex a couple of times before â the first because you were curious; the second because Dominick lied about it being his birthday â and the rest of your sexual endeavours were all fingers and tongues and toys. You show your guilt as an answer and your GP sighs and murmurs âokayâ as she reaches for a little form on her desk.
That word that she used though⊠âUnprotectedââŠ
Youâve heard it before.
Your body starts to convulse and react to the revelation before you can even fully comprehend it yourself- before you can even put all the pieces together- before your GP can even deliver the news.
âAlex, I have absolutely no idea how to tell you this, and⊠I canât imagine youâd be very happy to hear this either, butâŠâ She lays her eyes on you, her smile halfway between sympathetic and gormless. âYouâre pregnant.â
The news hits you hard, like a punch to the stomach.
Which is really what you fucking need, right now.
âOh my god,â you breathe, feeling winded, and you stare wide-eyed and scared at your GP like you want her to do something about it- anything to relieve the sudden colossal discomfort youâre now feeling in your stomach. You feel like youâre on the set of a new Alien reboot and youâre sure as fuck not playing Ripley.
She continues, âYour breasts are probably sore because they tend to swell up in the early stages, yâknow, in preparation for lactation...â She notices the look of abject horror on your face and holds off on any other facts that she mightâve wanted to share. She leans a little closer and asks, âAre you okay?â
âDo I fucking look okay?â you snap back at her because- God, could she have asked a more stupid question other than how exactly youâre planning to deliver? Youâre shivering and swallowing back sobs and you feel as nauseous as you do in the mornings. Your nails are digging hard into your thighs but itâs only to stop your hands from beating relentlessly down on your stomach, or to pick up that lovely fat paperweight on the GPâs desk and club the sea monkeyâs head in before it can even grow a skull.
Your doctor surely sees now that you want to do violence to yourself; she abandons her chair and rushes to your side. âAlex,â she says, her voice a forced kind of calm, âAlex, itâs going to be okay. Plenty of young women have- ugh, I mean boys, who- noâŠâ She sighs and begins again. âThis is nothing new. Youâre not the only one. You have many options available to you-â
âI donât want it,â you interrupt, basically shouting. Youâre so upset; you canât even control the volume of your voice.
âWell we do have a few abortion clinics here-â
âI want it fucking gone.â
The doctor sighs, her sympathy for you running out fast. She puts a hand on your arm to comfort you but you scoot away from her, flashing her a dark look as though this is all her fault, somehow. But you know that thatâs unfair and completely wrong.
You know whose fucking fault this is.
âIâm afraid youâve passed the threshold for a medical abortion; youâre going to have to have surgery, if thatâs what you choose.â She goes back to her desk and starts scribbling something out on a new bit of paper. âIâll just write down that clinicâs details for you⊠Youâll need a parent or guardian to give their consent for you.â She tears off the bit of paper and hands it to you. You take it like youâve just been handed your brotherâs death certificate. âAnd itâs recommended that you seek out your own social support before taking up this option. Abortions can be quite traumatic for some.â
âI think pregnancy is traumatic,â you counter in a weak voice.
She blinks at you. ââŠYou never even knew you were pregnant up until moments ago.â
Sheâs right. But now that you know, it feels like thereâs a parasite inside you.
She frowns at you. âDid your school not teach you about safe sex and female contraception and all that?â
âItâs not exactly applicable to me,â you seethe at her.
She sighs. âAlex⊠You may be a boy, but as long as you have a healthy womb and engage in penetrative sex, itâs still applicable to you. Would you like to go on the pill?â she asks, turning to a new bit of paper. âIt may be a good option for you if you are sexually active; I can write up a prescription-â
âNo,â you sigh, getting to your feet. You sling your satchel over your shoulder and shake your head. âI canât do this now. I justâŠâ It takes you a couple of seconds to clear your head and keep the tears out of your eyes. Youâre not fucking crying yourself hoarse in front of a GP; youâre just not. âI think Iâll⊠deal with the⊠thing first. Thanks.â
You turn for the door when she calls for you. âAlex?â
You face her, tired and upset. You just want to leave. Youâve suffered enough.
âHow are you getting home?â
An exhale, a shrug. âA bus? A train- whateverâs faster.â
âI realise itâs eleven, but is there anyone you can call? A parent or a friend, perhaps? Someone to pick you up?â She tilts her head a little pensively. âYour partner? Can he take you home?â
âI can take myself home,â you inform her rudely.
âI was only asking. Most teenagers usually-â
âYeah well, Iâm not âmost teenagersâ, am I?â you snap back. You stare down at yourself, trying hard not to let your voice crack. âIâm a⊠fucking pregnant boy. Iâm a freak. Okay? You really think I want my âpartnerâ,â you use inverted commas, âto know that right now? Seriously, just⊠Thank you, but, leave me the fuck alone, please.â
You burst out of her office before she can say anything more. You storm through the clinic, glancing over only to see that the waiting room is a hell of a lot more full than it was before. You find yourself steering towards the bathroom more so than the exit, because youâre starting to seriously have your doubts that you can keep your tears in until you get back to the reclusive safety of your own bedroom.
You get in a disabled bathroom, slam the door shut, fumble the lock in place, and then you cry. You cry hard and helpless, like a kid whoâs lost his parent, and you sink down the wall until youâre slumped on the floor, hand over your mouth, trying hard to keep anyone out there from hearing how pathetic you sound right now. From outside you hear kids complain that the bathroom hasnât been free in a while. Tough shit. This is your bathroom. Youâll die in here if you have to.
It takes you over a half-hour to leave the bathroom, but eventually you do, ten times more fatigued than you were when you first walked in.














