<Transcript provided by Phoenix's Light General Hospital.>
 
 
Good afternoon. I see once again my talk has drawn a standing-room-only crowd this year. Welcome to Medical Breeding 101.
 
 
I'd like to think that is because this is a multidisciplinary field with the science and practices behind it being new and fresh - the cutting edge, if you will. I'd like to think that, but I know for a certainty why a lot of you are here... so while there are a lot of things to go over I will cut to the chase and confirm it: Yes, the practice of Medical Breeding does indeed allow you to legally have sex with your patients.
 
 
There are a lot of caveats to that, though - I will say frankly that if you are here just because you are looking to have sex, you will likely be disappointed. You'd be better served seeking it out via normal means. Still speaking frankly, this is a medical procedure, and it is one that is designed with the patient's needs first and your own pleasure as a far distant priority.
 
 
And to continue along that theme - before we even get to the topic of medical breeding a large part of my talk today is going to be on history and terminology. Things you need to understand before you even consider becoming licensed in this practice.
 
 
The pre-apocalypse era. In those days, only biological females could get pregnant, and only biological males could impregnate them. Pregnancies lasted nine to ten months, had deleterious effects on the woman's body, and childbirth was an intense and fraught process. The systems for taking care of unwanted children were overburdened to the point of being tragically comedic, and despite all of this there was tremendous cultural and political pressure put on women to carry every child to term. Even ones that were the result of rape, or would be unwanted and go straight into the foster system, or even in cases where the pregnancy threatened the life of the pregnant woman - no, I am not exaggerating. It was in fact worse than that.
 
 
Post-apocalypse, our great-grandparents took the opportunity to rework certain things - the genetic re-engineering project, which I'm sure you've read about. One of those things being accelerating the gestation process so that it would take a flat four months instead of nine to ten, make the birthing process simpler - a number of other improvements, and also they managed to genetically program in some improvements that take place during the process. I'm not going to pretend I know the exact science behind it, but it's sort of like some extra protein instructions, extra bits of muscle mass or reinforcements that the body produces during gestation, similar to how the body is triggered to start lactating.
 
 
The other thing that changed is the foster care system - it actually being well-funded and well-regulated. I myself went through the system, so I like to think that I am a living breathing example of its effectiveness... So the usual byproduct of a pregnancy, a child, is not as much of a concern anymore - especially with the ongoing underpopulation crisis. It's to the point that I can indeed call children a 'byproduct' of pregnancy, arguably they are the main 'product', the main result of a fertile person taking in virile sperm and the main reason why many do, but the near-zero impact of a child the parent doesn't intend to raise means that, if we want, we can remove that from the 'equation'...
 
 
... Much like isolating a variable when solving a calculus problem. We can look at pregnancy not as a means of reproduction, but a biological process that has various effects on the patient. They grow a large mass of tissue that they must carry around with them and start lactating - an increased caloric requirement, must deal with various stressors, changes in diet and tastes, emotional swings... I can go into the specifics, but the key point is that all of those stress factors gradually intensify over four months and then abruptly stop - returning the patient to a baseline state of stress, but being used to a higher state of stress. It is something like a full body workout combined with a 'Burn-In' stress test.
 
 
The point that we're leading up to here: Is becoming pregnant good for you? There is a large body of research suggesting that yes, there is a measurable improvement in factors of health, stability, career performance, and other factors. There's a strong correlation between carrying a child to term early in life and long-term life quality, and a probable causation to short term life quality.
 
 
Now - it needs to be understood that the benefits of pregnancy are not unique. Someone could perform a regular workout of moderate intensity, enact reasonable changes to their diet, and engage in regular meditation and therapy sessions - and that would have the same effect over four months as a pregnancy. So why aren't we just doing that?
 
 
Show of hands for all of the doctors in the audience: how many of you have only patients who you trust to follow your orders and recommendations to the letter? A few hands, not many. How many of you have patients who you'd tell to start a four month workout routine and expect to see them follow through on it? That is what I thought, but just to prove the point further: How many of you have patients who forget to take their daily pills? Not even doing anything strenuous, just remembering to take a pill out of the bottle once a day and swallow it with some water? So, we can tell our patients to do all of those, and hope that they'll do them...
 
 
... Or we can rely on this automatic, involuntary process to do the literal heavy lifting. Someone does not need to wake up in the morning and remember to be pregnant that day, they just are. It just happens. The health benefits accrue over four months from a one time act - a one time injection of virile sperm.
 
 
And that is the theory behind health-based insemination. Not Medical Breeding, that is different, and I will get to that. Health-based insemination. Getting knocked up for the health benefits. I believe very strongly in this as a course of proactive treatment, and feel that it's an automatic recommendation for anyone who fits certain requirements - ages 18 to 21, no known risk factors, and has not been pregnant before. Even for those that don't fall into those categories there's benefits to it, but for those people I go on a case by case basis.
 
 
So. You have a patient who you believe would benefit from getting knocked up. Do you sleep with them at this point? No. No, no, no no no. If that's where you jump to, then you need to go take a cold shower.
 
 
You get someone else to do it, if at all possible. If they have a boyfriend, a girlfriend, mate, friend with benefits, anyone who in their opinion and your opinion would sleep with your patient and knock them up, you instruct your patient to go do it with them. Prescribe Fulbore, Genderon, and other virility and fertility enhancers if needed, and make sure they know how to use and read a pregnancy test.
 
 
And then follow up with them. Set up a phone appointment before they leave your office, if needed, to ask frankly if there have been any breeding attempts, and if they've borne any fruit. Press them to try again, schedule something with their partner, make a commitment.
 
 
Essentially, you're trying to reach one of four cases here. The first case being that your patient gets knocked up, becomes pregnant. That does mean that you don't get to sleep with them or father another child, to which I will remind you that that is not the point of all of this. Congratulate yourself on a job well done in the patient's best interests, then go find someone to have sex with normally, or masturbate till the frustration goes away, or take a cold shower, or do whatever you need to do to deal with it.
 
 
Only if you cannot reach that first case do you consider other cases. Those three cases are: The patient does not, despite your best efforts, make an attempt to be knocked up by their chosen partner. The patient makes an attempt to be knocked up by their chosen partner, but it does not take for whatever reason. Or the patient does not have a sexual partner - or at least does not have one they'd be willing to be knocked up by.
 
 
Then, and only then, once you've reached one of those three cases, do you step back and consider the quandary before you: a patient who should get knocked up, but is not getting knocked up. Only in that case can you decide it is time for a medical intervention, and prescribe what is known as a Medical Breeding.
 
 
Then do you sleep with the patient? No. Not quite.
 
 
First of all, you are not writing out a prescription that says 'sleep with your primary care physician', or whatever you happen to be. This is a prescription for getting knocked up by anyone who has passed the certification to perform a Medical Breeding - which is a fairly easy certification to get, I've made a study guide for it and have some hard copies that I can pass out once this talk is over. It's a written test, mostly covering patient rights and your responsibilities, and a physical test to make sure you're in good health. You can get it all done in an afternoon. Anyone with most medical licenses can apply for the certification - yes, including specialists like dentists, orthopedics, etcetera. To be clear to any dentists in the audience: you can't prescribe a Medical Breeding, you can only fulfill one. And if you're in a non-patient-facing position like a research doctor or a lab technician, you might not have as many opportunities to do so, but you never know when the opportunity might come up.
 
 
But, to the point for those of us who can prescribe one: if the patient opts to get it fulfilled by another medical practitioner with the certification to do so, you need to let them go do that. As far as we should be concerned, one certified medical breeder is as good as another - and once again, this is about the patient becoming healthier, not about you getting your rocks off.
 
 
But. There is one more important thing to consider here. If one certified medical breeder is as good as another, then as a primary care physician you have an advantage: you happen to be in front of the patient already.
 
 
This is an advantage to the patient, to be clear: you can make sure that they take their prescription by delivering the first dose to them yourself. Going and getting bred by someone can be an un-enticing prospect for some - it involves getting penetrated and then facing four months of child-bearing and then birthing. It is very, very easy for a patient to convince themselves out of this procedure - while driving home, while making the choice of where to go to get their prescription filled, while making the appointment or even while en-route to get it filled. They ask themselves, am I really about to let my pharmacist bend me over the counter, fuck me and cum inside of me, and knock me up? Is that really what I'm about to let happen?
 
 
And we can try to convince them, until we are blue in the face, that it is in their best interest, that they'll be healthier and happier at the end of it, that they'll be doing their civic duty to reproduce at the same time - and even if we do convince them, if they leave the consultation determined to go get knocked up. they'll lose their nerve leading up to the procedure. It's no far stretch to realize that we need to reduce the possibility of them changing their mind. The best way to do that is to eliminate as many points of failure as possible - do not even give them a chance to think about the prescription or the procedure.
 
 
What I'm leading up to is, of course, that you should make every attempt to knock them up during the same appointment that you tell them you're prescribing them a medical breeding.
 
 
So, yes, I am about to get into the details of that, finally.
 
 
You need to maximize your chances for knocking up your patient during this first interaction, because the more time that passes the less likely that you'll manage to get a bun in their oven - whether it is yours or someone else's. My preparations start long before the appointment - I ask my patients to include information about their sexual history and relationships in the information they provide to my office. This helps me get an honest opinion on how likely they are to get bred by a lover, if I ask them to - which, again, needs to be your first resort - and determine how honest they're being if they claim to have someone to breed them or if they're just trying to avoid me bending them over the exam table.
 
 
Then you should make your diagnosis before the appointment, not during it. Be prepared for it. Review your patient's notes before each appointment - which you should be doing anyway, as a doctor - and make your determination whether or not they should have a for-health insemination, and then further determine if they're a candidate for medical breeding or not. If you're making this determination in front of a patient, you're losing what is essentially the element of surprise. Go into the appointment with the decision that you are going to knock this patient up, and have a plan for doing so. Go in, envision them bent over, your cock shoved up inside of them, humping away and then releasing your seed into them, the patient swelling up with your child - and then make that vision into a reality.
 
 
... I should mention, yes, things get a little less than professional at this point in the descriptions. This is because we've arrived at the hard part - performing the procedure.
 
 
Did you think all of that history lesson and medical justification was the hard part? No. All of that is the easy part - the hard part is getting the procedure done. Because your patient is very likely not going to take warmly to the idea that you're about to mount them and impregnate them. They may think you're trying to trick them, or that the benefits to getting bred aren't all that great, or that they just don't want to do it. It is your duty, as a medical practitioner, to whip your dick out and stick it into them, and if treating it like a sexual conquest helps make that happen then by all means you should do it.
 
 
... Ahem.
 
 
The main obstacle to your patient's breeding is your patient. Medical Breeding is an elective procedure, meaning that you cannot mandate it, only strongly recommend it. Which means that if they say no, and are firm on that no... then there's not much you can do.
 
 
Which means, that when you announce your diagnosis, you need to do so in a way that does not invite them to say no. Speak authoritatively and, if needed, forcefully - speak as though there isn't actually a decision to be made, or that the decision has already been made, and this is just another routine procedure to be completed. Remember that you are the authority figure, and you should already have established a relationship with this patient, so they should be used to taking you at your word and following your orders.
 
 
If needed, go over the health benefits and go over the history and reasoning of the procedure - which, conveniently, you just learned about - for some patients that's all that they really need and they'll listen to your logic, and at that point you can switch to working on their reluctance to let you mount them and knock them up, if needed. Other patients won't listen to any amount of reasoning, though, and for those you need to use other tactics.
 
 
Something that I've found that works well is a sort of false choice. Phrase having sex with you as the lesser of several options - a selection of options that conveniently leaves 'saying no to the procedure' entirely off of the table. Tell them that there's artificial insemination, but it's not covered by their insurance and not as reliable as the natural method of breeding - which is true, by the way. Or tell them they can get their prescription filled out at the pharmacy instead, but the end result will be the same - someone's cock under their tail or between their legs. They could do those things, but you and they are already here in private, you're willing and ready, it's better to get it over with right away, and you're a professional.
 
 
If the answer is still no, then you need to make a call on what you do next. Sometimes it'd be best to cut your losses and drop the procedure - it might be that their answer will be no, no matter what you try or say. It might be that they genuinely need some time before they say yes - which is less likely, but I have had it happen. Keep in mind that if you push too hard then you'll risk your relationship with that patient... and while it'd be a shame for them to not experience the benefits of breeding, the interruption in their primary care would be worse for them. Also you'd lose a patient which isn't healthy for something else - your career.
 
 
If you have to take no for an answer, then still write them out a prescription for a medical breeding, in case they change their minds. As a silver lining, if they refuse to get knocked up at all, maybe you can use their refusal as leverage to get them to make changes in their diet and exercise plans - if they won't take the easy way of caring for their long term health, push them into taking the hard way of eating properly and exercising more. Even if it doesn't get you under their tails, consider that a win for yourself.
 
 
But assuming that you have a yes, or at the very least a reluctant or bewildered compliance: you need to perform the medical breeding itself. At this point you have a very narrow, focused goal: You need to deposit a fresh load of semen into the patient.
 
 
You are not doing this to enjoy yourself. To reiterate what I hope you've picked up on throughout this talk, and I hope you've been picking up on it because I've been explicitly saying it over and over: the whole point of this procedure is not about your enjoyment or the opportunity to sleep with your patient. It's all about kickstarting that natural biological process for them - which just happens to involve using their bodies for your own stimulation and gratification as a happy necessity. If you happen to have a good time in doing so then there's no harm in that, but it should not be your goal here.
 
 
So to that point: be quick, and be professional. Your patient can still change their mind, say no, decide that this isn't for them. The longer the procedure takes - for example, if you happen to be dragging it out with needless foreplay or taking your time in reaching climax - the more opportunities they have to change their mind, especially if you're relying on a strategy of pushing them into the procedure without giving them a chance to think it over first.
 
 
Get them up into a position to be penetrated. What position they take should be up to their preferences, but you should be on top unless you have a particularly enthusiastic patient. My preference is to have my patient bend over the exam table with their feet planted on the floor, which gives them a comfortable surface to rest their upper body on while I penetrate and breed them, and also gives them something convenient to hold onto while I thrust into them. Patient comfort is not essential but it does help the experience go more smoothly.
 
 
If you work in a gynecologist office you might consider using exam stirrups for the breeding, but I have heard mixed results on those. The time it takes to get a patient fitted into them can disrupt the momentum you've built up, and mounting a patient in the stirrups can be awkward if you haven't practiced doing so. I'd still recommend a regular old examination table or bed.
 
 
I've heard some doctors say they've had success in using restraints. The plus side is that once you have a patient's mouth and hands restrained, they are unable to withdraw consent - meaning that you can proceed to administer the breeding without worrying about them changing their minds. The tricky part is getting the patient to consent to the restraints, and continue to consent while you apply them. For some skittish patients it might be the best approach for getting them successfully bred - I keep a set of gags and wrist cuffs at my desk just in case, but I have yet to use them.
 
 
As soon as possible, once they're in position, you should penetrate your patient. Ideally you should be hard already from the anticipation, and not need any time to 'warm up'. This is part of why it's okay to think of them, in limited terms, as sexual conquests or as sexual partners - if it helps you get hard then it'll help the patient get knocked up, which as we've established is in their best interest.
 
 
Only if you can't get hard enough should you employ other methods. The procedure was written with a bit of leeway - if necessary you can make use of the patient's mouth prior to mounting them, but keep in mind that it's another chance for them to change their mind. Alternatively you can call in a willing nurse to help get you primed, but the patient might not appreciate having another person in the room. Overall it's best to just try to get hard quickly, using your hands or other self-stimulation as needed, than rely on convincing your patient to suck you off prior to their breeding session.
 
 
If needed, stretch your patient out using your hands and apply lubricant, and then move into position and push into them. Give them a warning if they're facing away from you - throughout this, make sure you're careful with your phrasing. Do not ask if they are ready to be mounted, say that you are about to mount them, about to push into them, about to start thrusting. Don't phrase it as if they have a choice in the matter.
 
 
By getting to this point, where you have a patient who has willingly gotten into a position that allows you to breed them, and having your shaft inserted into the appropriate orifice, you are on the home stretch. The hard part is done, and now you just need to finish...
 
 
... and this is the moment where all of that effort, planning, and maybe a bit of coercion and manipulation all pay off, all become worth it. The key to improving your patient's health is in your hands, and all you need to do is reach climax within them.
 
 
Your approach will depend on your patient's reaction. If you've got one that is moaning in pleasure or actively asking you to fuck them, then have at it. But more likely you have a patient that is still reluctant to either have sex with you, or to be bred by you. If they say no at this point, do not take a simple no as the answer, ask them if they're sure and remind them that they are almost there, that all they need to do at this point is to lie still and accept the breeding. They may still insist, but I find that once you do have your dick inside someone you can convince them to just get the rest of it over with, at least.
 
 
The goal now is to reach climax, and to do that you'll need to thrust into your patient, using their body to stimulate your shaft. How you can best get off is something you know more than I do, but I'd recommend slowly increasing your speed and intensity, letting your patient know what's about to happen at each step, until you have reached your preferred way of fucking them.
 
 
And then, of course, climax as soon as you're able. Don't draw it out. Don't give them a warning - this is just another opportunity for them to change their minds, especially if it hits them that this is their last opportunity to do so before they get a virile load in them and get knocked up. Just reach climax, and make sure that you do so while you are inside the patient. Stay inside the patient after you climax, to make sure that as much of your load goes inside and stays inside them.
 
 
Climax, and then remain mounted and inserted into the patient. I would recommend having a wristwatch with a timer preset for five minutes, to make absolutely sure that you remain inside the patient for long enough. After which it is safe to withdraw, clean yourself up lightly and do the same for your patient - having wet wipes and paper towels stocked inside your exam room is a good idea.
 
 
Your patient may have reached their own climax, or might not have - stimulating your patient is not part of the approved procedure. I'd recommend against further stimulation of your patient, for ethical reasons - you have made an insemination attempt, and the medical breeding session is over. Anything further is unapproved intercourse with your patient. You can provide porn and an opportunity for them to stimulate themselves, if you wish, but personally I don't see the need to.
 
 
At this point, do whatever is needed to wrap up the appointment... and prescribe further breeding sessions to your patient. I did say, earlier, that there was no guarantee they'd follow through on getting that particular prescription filled, thus the need to make an initial breeding attempt if at all possible... but with that attempt complete there's no harm and only benefit in making sure they get the prescription for further breedings. Even the most virile doctor has no guarantee on knocking up their patient on the first try.
 
 
And yes - you're being asked here to encourage your patient to go out and get bred by others than you. I will once again say this explicitly: the procedure is for the good of the patient, not for your pleasure or for giving you opportunities to father more children. If the corner store pharmacist mounts your patient in their employee break room and manages to knock them up, that is still a win for you. If your department's nurse bangs them on the reception desk and the kid comes out looking like her, that's still a win for you - and also makes your nurses happy, I should add.
 
 
And that's Medical Breeding 101. There's a few more things to go over, with the time left for my talk - starting with a personal strategy that not everyone is going to be able to use. Canines, like myself, have an enlarged bulb near the base of our cocks, which enlarges during sex - the medical term is coital lock. And coital lock is the sure-fire way to finish off a breeding attempt.
 
 
When coital lock happens, the doctor and the patient - I should say not just doctors and patients but anyone having sex with a canine in general - are almost always unable to separate. They are locked together, with the canine's penis stuck inside of their partner's orifice, and will remain so for about half an hour.
 
 
If you have a knot, then I cannot emphasize this enough: Get that knot into your patient as soon as possible. Don't warn them that you're going to knot them. Don't make reference to it - especially don't ask if they mind being knotted or bring it up, and if you can manage it don't even let your patient see your shaft before you start thrusting it into them. Ideally, your patient will not remember that canines have knots until you have shoved the aforementioned knot firmly inside of them.
 
 
There's several reasons why coital lock is so important. One of which is that when you do climax, releasing your seed into your patient, coital lock means it has nowhere else to go. None of it can spill out, meaning that your patient's system will absorb a large amount of it by the time the knot has deflated enough for you to dismount.
 
 
The second is that a coital lock is an effective 'point of no return' on the breeding, meaning that once it happens your patient's fate is locked in and the decision is entirely out of their hands... which may or may not be true, but most patients believe it, and tend to calm down once coital lock has been established, allowing you to finish the breeding in peace.
 
 
The third reason is that it is very easy to accidentally climax once coital lock has been established.
 
 
This is a bit of a gray area as far as the ethics of medical breeding are concerned, but as far as established law - you are not liable if you happen to climax against your partner's wishes after establishing coital lock. So if you knot your patient, they happen to abruptly decide they'd rather not finish the breeding, and you just happen to quote unquote 'accidentally' stimulate yourself enough to climax and finish knocking them up - you're blameless.
 
 
So in summation: shove your knot into your patient early and often. It's for their own good and in their best interests to get knotted.
 
 
Lastly, as soon as the appointment is done, make sure to write down your notes - be more thorough than you usually are, because you'll want to write down your best recollection of what you said to them, what actions you took, and how you handled their breeding session. You'll want to make sure to take thorough notes because, unfortunately, prescribing breeding sessions tends to cause a doctor to get a higher number of complaints than usual.
 
 
I can't imagine why that is.
 
 
Fortunately, you are protected - as long as you're following proper procedure. And only if you're following proper procedure. If you push for a medical breeding without letting your patient's boyfriend or girlfriend have the first shot at knocking them up, that's outside of the procedure - that's malpractice, and you're getting sued. If you ignore a patient's firm no, and pin them to the exam table and breed them - that's rape, and you're going to jail. If you and the patient start giving each other blowjobs once the breeding is complete then that's sleeping with a patient and - well, not actually illegal, but you might get called for a board review and lose your license if you're found out.
 
 
You'll have to know all of that backwards and forwards for the certification test, anyway. What you can get away with, if it's in the best interest of your patient, versus what'll get you in hot water.
 
 
And that wraps up my time. There's more I would have wanted to go over - like the best ways for non-primary-care doctors, pharmacists and others to perform breedings, and talk about specific difficult or interesting breeding attempts I've had to face, but there's only so much time allotted at these conferences.
 
 
There's study guides for the exam on the back table, and I'll be part of a group discussion on diagnosing early-onset osteoarthritis tomorrow morning - yes, I'm still a doctor who treats patients the normal way too.
 
 
Enjoy the rest of your convention, and good luck if you're starting your journey towards Medical Breeding.