You already know you've got me invested. So a bunch of questions about your HRT magic system, whenever you've got the time:
- what does the ritual actually look like/involve?
- does the process look the same for both feminizing and masculinizing, or are they different?
- are there any effects that can't really be achieved using this form of HRT?
- how long does it take to build up effects? will you see some changes immediately, or is it slower?
More to come later, I'm sure 😁🧡
suit up bitches it's time for all the trans magic lore
What does the ritual actually look like/involve?
Essentially, person performing the procedure uses magic to force the patient's gonads (testes or ovaries) to produce more of the desired hormone, whether it's estrogen or testosterone. Unlike in our world, where people on E need to take T blockers to ensure that they see results (since T has stronger effects), this change in what the body itself is producing means that T levels would naturally decrease since the testes are producing more E. The actual procedure usually just involves the one performing it placing their hands on the patient's back near their spine and carrying out the spell. This typically takes five or so minutes, depending on how much the patient's natural levels need to be adjusted. The spell only lasts so long, so after a couple weeks it will need to be cast again. The spells themselves are called estrogen/testosterone production stimulation, EPS and TPS for short.
However, as magic advances, beyond the point it's at in Castys's early story and the entirety of Erebus & Terror, a new method is developed that alters the hypothalamus and pituitary glands instead, since they tell the rest of the body of what hormones to produce. This spell, called hypothalamus pituitary direction alteration (HPDA) only needs to be done once as the effects are permanent in the sense that they don't wear off, even after decades. However, it's much more complicated to carry out, so it takes longer to cast and is usually more expensive. The procedure itself usually involves the caster putting their hands on the patient's head and doing the spell for about 20 minutes.
It generally becomes standard practice for a patient to undergo at least a year of E/TPS in order to find the right balance of hormones for them before getting HPDA. The effects of HPDA can be altered later, but it's complicated enough that it's best to get it right the first time, hence using E/TPS as a trial run of sorts to figure out the best fit for each individual person.
Does the process look the same for both feminizing and masculinizing, or are they different?
Yes and no. The actual process is very similar, since it's just changing what hormones are produced, but adjusting the AMAB body to produce E and the AFAB body to produce T are different enough that most doctors specialize in one or the other. There's a lot more nuance to it than just turning up the hormone dial, so specialists in one or the other are skilled at helping bring about the wanted changes and preventing certain negative side effects.
Are there any effects that can't really be achieved using this form of HRT?
Since it's pretty similar to HRT here, it has the same limitations and effects, for the most part. Magic can certainly be used to help with things like top and bottom surgery (which sometimes don't need to be an actual surgery and are just a magical procedure), but neither form of HRT discussed above will completely change primary sex organs or massively alter skeletal structure.
How long does it take to build up effects? will you see some changes immediately, or is it slower?
It's a slow change, happening over the course of years, just like it is for people on HRT in our world. The body takes time to adjust and change on its own, and forcing it to do so quickly can have drastic consequences. At the start of E/TPS, all changes are closely monitored so that the levels of hormone production can be adjusted in order to suit the individual patient best and prevent side effects like emotional instability and blood clots.















