"I'm sorry, my first what now?"
 
 
This had supposed to have been a routine checkup. Raph had turned 18 last month, had applied for and had gotten an internship position at a scanning outpost, with a report-in date coming up soon. This was supposed to just be a physical for the fox, some last tests, and that was it.
 
 
He'd gotten an appointment with his regular physician, Dr. Torres, at the Phoenix's Light general hospital - most of which was taken up by the extensive maternity wards and pediatric care areas, which was understandable given that there was still a heavy focus on repopulating the world. The apocalypse had come and gone, and decades later the descendants of the survivors were still trying to rebuild. It did mean that even only having a third of the floor space and staff dedicated to things that were not 'children or childbirth' qualified it as a general hospital - but as it turned out, even for those outside of the maternity ward, certain things were still on their minds.
 
 
"Your first breeding," said Dr. Torres, the wolf not looking up from his clipboard. "It's recommended that everyone your age get bred at least once. To be honest, I was hoping you'd come in with a bump on you already."
 
 
"But - I'm a guy," said Raph, blushing a bit. "Shouldn't I be doing the breeding, not getting bred?"
 
 
"Nonsense," said Dr. Torres. "Well, not entirely nonsense. While I do encourage you to find a nice girl or other guy and father some children of your own, you've got a perfectly healthy body capable of bearing children with the right medications for your breeder. Getting knocked up will make sure everything's working properly, and carrying to term will help you put on muscle and fat in the right spots. Plus, with the population growth lagging behind the targets set, it'd practically be your civic duty..."
 
 
He flipped over a page on the clipboard, checking something on Raph's chart. "You listed on your paperwork - not in a sexual relationship right now? I want to prescribe you some Fulbore for your partner to take, and some Genderon if they don't have the right equipment... but if you don't have a regular partner who can knock you up that does present a problem."
 
 
"I... don't really have a steady partner, no," said Raph, blushing further. "I, um, could go get one? If I have to do this? I'd been thinking about installing some dating apps anyway, it's just that I've been focused on my career and this internship..."
 
 
"It's still recommended that you get bred by someone that you know and trust," said Dr. Torres, who nodded to himself as if reaching a decision. "A pre-existing relationship, with a known health record and a track record of healthy offspring, especially for your first breeding. It'll help us narrow down issues if anything goes awry."
 
 
Raph managed to push through the awkwardness of the situation for a moment. "Sorry, sorry - you're making it sound like I *have* to get knocked up. That this is mandatory. I don't *have* to, right?"
 
 
The corners of Dr. Torres' muzzle turned down a little bit. "This is an elective procedure, to be clear. But - you're working with scanning equipment, computers and the like, right? Do you know what a burn-in test is?"
 
 
"Yeah - you run the equipment on the highest settings for a while so you can identify problems that occur..." said the fox, trailing off.
 
 
"Think of this as a burn-in test for your body. Bearing a child, especially for a male, is a stressful extended event - one best done when you're young and in good health. We'll get a preview of any potential health problems that might occur to you later in life, and that'll let us act on them now instead of waiting for them to occur under... less intensive conditions. I highly recommend getting knocked up to everyone your age, but ultimately it's your decision...?"
 
 
The fox, after a long moment, nodded - somewhat reluctantly.
 
 
"But without a partner to take care of putting a fertile load in you, there's not much you can do on your own... but fortunately for you, there is a standard solution for such cases, a first-time breeding can be delivered by any licensed medical professional. So I am prescribing you a course of medical inseminations, delivered daily until pregnancy is confirmed, and we can deliver your first dose immediately."
 
 
Raph blushed further and sunk into his seat in the exam room. "Medical... inseminations?"
 
 
"To be started immediately. Please climb up onto the examination bed and take a comfortable position - I would recommend you remove your clothes first so that they don't get any mess on them."
 
 
There was a pause as the fox's brain disbelieved the fox's ears, and played back the conversation a few times to make sure it'd been heard right. "Sorry - are you asking me to - spread my legs and for you to fuck me?" he said, his voice rising slightly in pitch towards the end.
 
 
"I am not propositioning you, Raph, this is a medical procedure," said the wolf. "There are artificial options for insemination available, but there is a cost per dose which isn't fully covered by insurance, and overall it's simplest if I administer your first breeding here and now." He took a step back, gesturing towards the exam bed. "The natural way. By which I mean you climbing up onto that bed and allowing me to mount you."
 
 
When the fox hesitated, the wolf pressed further. "I'm serious that I think this is your best option, Raph. You can take the prescription I write out and pursue other options, but you're already here, we have a private room, and I'm a professional who has done this many times before - and as of this week I'm confirmed to still be very fertile. Aside from your confidential medical record and your child's birth certificate, none of what we do here is going to leave this room."
 
 
Reluctantly, Raph stood up and started removing his clothes, starting with his shirt. "Are - you sure you aren't just trying to get under my tail and father kids on me with this?" he asked.
 
 
"Raph, I won't deny that I will take some pleasure in this, as a necessity for me to impregnate you, but this is strictly a medical procedure for your own good. You'll thank me in four months once you've given birth and witness the health benefits first hand and the joys of motherhood. I've had patients come back already working on their second or third litters when I saw them again."
 
 
Slowly, the now-naked fox got settled, leaning over the edge of the bed. "Do... you need me to, um, get you hard? Suck on it first?"
 
 
"Raph, please, I'm a licensed medical professional. All you need to worry about is being as comfortable as you can while I administer your breeding," said the doctor, who didn't strip down at first - instead stepping over towards the fox and lifting up his tail with one hand while probing underneath it with his other.
 
"*YIP!* Hey!"
 
"Making sure you are properly stretched out... that should do," said the doctor, taking a step back... and then the next thing Raph felt was the doctor's cock probing under his tailhole.
 
 
"Are you really sure this is necessary..." muttered the fox, slightly muffled by his head being buried in his arms.
 
 
"Doctor's orders," said the wolf, as he started pushing inward. "There we go, nice and easy... You're being a very good patient for me, Raph. I understand getting bred can be scary, but you're taking it like a champ. I'm going to push my cock all of the way into your tailhole, let you get used to my size so I don't injure you while breeding you - no different than stretching out your muscles before a workout."
 
 
"I'm not a kid," muttered the fox. "You don't have to talk to me like one." He still wasn't sure that this was really happening, that his doctor that he'd been seeing for years had so readily pushed him into bending over and raising his tail - or that that same doctor was about to father kids on him.
 
 
"My apologies. What I meant to say is that a lot of my patients do tend to complain loudly when I start breeding them, so one that can take it without complaint is a nice change. It's not a complicated procedure, but it is one that goes a lot more smoothly with a cooperative partner." The doctor moved his hips a little bit, as if testing something. "Okay, Raph, I think we're all warmed up... so I'm going to start thrusting now. Again this is not for my own enjoyment, but I do need to properly stimulate myself enough to climax inside of you and knock you up, and doing that might leave you a bit sore. Are you ready?"
 
 
The fox nodded slightly, head still buried in his arms.
 
With that, the wolf took hold of his hips, and started pulling back and pushing forward, dragging his cock against the fox's insides. "Going to speed up gradually here, let me know if it's too much for you..." He reached up and gave his patient a pat on the back, running his hand over the bare fur. "And I must compliment you on your tailhole, you'll make a guy or a girl very happy some day..."
 
 
"... Thanks," said Raph, who despite himself was starting to get into it a bit. Between his legs his shaft was emerging from its sheath.
 
 
"And after you fill out a bit more from carrying my children to term, I think you won't have any problems in the dating department - possibly even before. Girls find guys who've been bred attractive, after all..."
 
 
"... Raph, going to have to speed up a bit and really start humping you here, alright? Hang onto the edge of the bed if you need to - there's a handle there if you need it."
 
 
With that, the doctor gripped onto the fox's hips again and pulled them up, giving himself a better angle as he continued to move his own hips, speeding up a bit more till he was really starting to thrust into his patient. "There we go - proper stimulation, it shouldn't be too long now... Just think, in a few months you'll get a preview of what your kids will look like, when you do settle down and start fathering or mothering more of your own... Ah, here we go, get ready."
 
"Ready for what- *YIP!*"
 
The wolf had thrust all the way in - his knot pushing its way into Raph and starting to inflate.
 
 
"Ow... More of a warning would be nice..." The fox tugged on his hips a bit, confirming that he was indeed stuck to his doctor.
 
 
"You would have tensed up," said the doctor, matter of factly, who'd paused his thrusting for a moment. "And that would have hurt harder when I thrust my knot into you. Or you would have asked me to cum in you without knotting you, and made a big deal of it - but coital lock has been proven to increase effectiveness of breeding, so getting knotted is in your best interest. We have you on a course for daily breedings, but personally I like to make sure I knock up patients in one shot. And speaking of-"
 
He moved his hips a bit more, and then there was a rush of warm fluid into the fox's rear. "- ah. There we go." The wolf didn't so much as gasp or make any other noise as he climaxed, as if releasing inside the fox was just like any other task. "And the coital lock helps cut back on any last minute regrets or attempts to avoid the insemination - we're unable to separate, and my seed is right now being absorbed by your system with nowhere else for it to go, which can be comforting for skittish patients. Knowing that they're past the point of no return on their decision, I mean. But, very good, Raph. You really did take your first breeding like a champ."
 
 
"Um, thank you - could you... do something about mine?" asked Raph, who was trying to reach down and touch his own shaft, finding that a more pressing matter. "I haven't gotten off yet."
 
 
"No, Raph. While I've tried to make this as comfortable for you as I can, I am still your doctor, not your bed partner," said the wolf. "You can take care of that once my knot has gone down. In the meantime I'm going to prescribe you a few things and wrap up our appointment..."
 
 
The doctor got his clipboard again, and flipped to his prescription pad on it. "Home pregnancy tests, a referral to a maternity specialist, and just in case I'm also prescribing a full course of daily medical breedings - which you can get fulfilled by making an appointment at the front desk here before you leave, or at most pharmacies. Make sure that they've taken Fulbore earlier that day, and-"
 
 
"Wait, it's an actual *prescription*?"
 
 
The wolf stopped writing. "Yes, Raph, I'm serious about getting you bred - did you seriously think I was just trying to get under your tail or father more children? I was just the most convenient source to father children on you, and this way I can make absolutely sure the procedure gets carried out."
 
 
"... Not that I minded the opportunity," he added, as he started writing again. "But you need to take a Fulbore-enhanced load every day for the next six days, or until you get a positive result on a pregnancy test. If a week passes and you're not knocked up, schedule a follow-up appointment, and we'll get you on some fertility enhancers and try again..."
 
 
---
 
 
Some months later, Torres was going through old patient records in his office when he paused, seeing some updates that he hadn't looked over.
 
 
There was a familiar looking fox, Raph - he'd transferred his primary care to a hospital closer to his new job, but Dr. Torres still had access to his records. From what he could tell, the fox had been diligent - the breeding prescription had indeed been used twice, once with a pharmacist and then again with a nurse, and then he'd set up an appointment with the maternity specialist...
 
 
... And four months later, gave birth to a healthy young male wolf. Dr. Torres smiled for himself as he read the details and the rest of Raph's health records, confirming to himself that the "burn-in" test was successful... and that the doctor had, indeed, knocked up his patient on the first shot.
 
 
A beep from his phone knocked him out of his reminiscing - he had another appointment with a different patient starting in a few minutes, and needed to review her notes before then. He switched the files over, talking to himself as he read...
 
 
"Let's see... routine physical... just turned eighteen..."
 
 
"... In good health, and her fertility tests came back green across the board, but... well, now's the time to make sure of that, isn't it..."