Title: Cómo Lo Hacemos (Chapter 6/?)
Rating: R/NC-17/M
Warnings: Bare-backing (in a long-term, monogamous relationship)
Summery: Kurt and Blaine return home from Lima, and start to deal with their problems head on, so to speak.
Disclaimers: The characters in the story whom you recognize are property of Fox. Only OC (Dr. Drayden and her receptionist) are my property. Absolutely NO profit is being made off of this story.

A/N: This is the longest chapter I've written in a long time! Thank you so much to those of you who have read, favorited and put this on your story alert list. It means so much to me! And a HUGE thank you to those of you who have taken the time to review. I really appreciate the feedback - it keeps me going.
A/N2: I also want to thank WPR404 for being my first beta ever. She was done with this in just about an hour, so that I could post it right away. Thank you for your editing prowess, and you wonderful encouragement. :)

In the week since Blaine and Kurt had arrived back home, both of the men had needed to catch up on work they had missed while gone for Christmas. Blaine had papers to grade before school started again and Kurt had multiple missed calls from work ("Who calls a business on Christmas day!"). However, in all of the chaos going on around them, there was a certain cloud 9 feeling that both boys just couldn't shake. Kurt knew his elation about the fresh engagement was mirrored by his partner every time he looked in Blaine's eyes. That's why Blaine was hesitant to once again broach the topic of a sex change, or a transition, as he had learned it was more commonly called while performing one of his many late night searches on Google. However, he knew that Kurt had brought it up for a reason. Even if he was still afraid, or embarrassed, or nervous, he had brought it up because some part of him, at least, was ready to deal with it. And Blaine felt that as Kurt's partner, it was his responsibility to make sure Kurt took care of himself and dealt with whatever was bothering him about this.

The boys were sitting on their couch one evening, watching a football game. Technically, Blaine was watching the game and Kurt was lying on his lap, flipping half-heartedly through a Vogue magazine, trying not to fall asleep. Halfway through the second quarter of the game, the show cut to a commercial break. Running his fingers through Kurt's hair, Blaine quickly muted the TV. "So," he cleared his throat, unsure of how to start. "I've been doing some…research."

Kurt didn't look up, but did close his magazine and drop it on the glass coffee table. "I told you Blaine, it doesn't matter how nice the hotel is, I just don't want to go to Nicaragua. Okay?"

"What?" He was caught off guard by the prompt and very off topic reply.

"At dinner, you said you wanted to go to Nicaragua for our honey moon. I think it's a horrid idea." Kurt sat up now, sensing that this was not the conversation Blaine had intended to have. He turned sideways to face the man, crossing his legs. "But that's not what you meant, is it?"

"No," Blaine shook his head. "Although I do still think it's a great choice," he grinned hopefully before moving on. "No, I meant I looked into a sexual reassignment surgery. The requirements, the risks, all of it. And I think, if this is really something you're considering, which I believe it is, we should find a good psychologist, and go in for a few sessions. From what I've read, their requirements for consideration of possible surgery vary, but most of them want to work with you for a few months, at least, before allowing you to start hormone replacement therapy."

Kurt looked at Blaine for a moment, before glancing down to pick at the hem of his t-shirt. "Yeah, I know." His toes curled a little as he considered how to respond. After a moment of silence Blaine reached out to grasp the still fidgeting hand, running a finger over the ring that sat there. Kurt sighed, squeezing his lover's hand. "I did some research, too. I think I'm going to make a few calls and see if I can find a reliable therapist. Because I'm not doing any of that real life experience shit. I think that's just cruel." Blaine nodded. He appreciated that Kurt had been forward thinking about this, too. He loved his fiancé more than he could say, but the fear that this would be his onus, and his alone, had been starting to suffocate him. The knowledge that Kurt was being proactive, too, and not just waiting for Blaine to make the first move gave him some confidence that they were doing the right thing.

"What I'd really like," Kurt said, almost as an afterthought, "is to meet someone who has already had the surgery. I'd like to hear about some experiences first hand." His voice quavered ever so slightly – someone who didn't know him well probably wouldn't have even heard it. But after years of being together, Kurt read like a very good and well-loved book to Blaine.

"I'm sure there are some support groups where you could meet some people." Their conversation stalled, and driven by a sudden, unexpected urge to fill the void between them, Blaine reached out to wrap his hand around the back of Kurt's neck, pulling him for a kiss. Kurt leaned over, putting one hand on Blaine's thigh to support himself. Their mouths met and Kurt quickly parted his lips, letting Blaine's exploratory tongue in. Blaine's fingers curled the small wisps of hair at the nape of Kurt's neck, pressing him in for a harder kiss. When Kurt finally pulled away for a breath, he smiled, his cheeks a bright flushed pink and his hair slightly askew.

"Do you want to watch the rest of the game?"

Blaine glanced at the TV, but before he could reply, Kurt's hands were already tugging at his zipper, undoing his button and removing his pants. Blaine was already half hard, and seeing Kurt instigating sex – not something he did often – brought him fully to attention. "I don't –" he stopped talking as Kurt dropped down on the floor, pushing the coffee table back, and moved to settle between his legs. He tugged Blaine's jeans and boxers halfway down his thighs, barely freeing his erection. He licked his palm slowly before wrapping it around Blaine's arousal. From where he was sitting, Blaine let out a shuddering breath and reached out to entangle a fist in Kurt's hair. But he stopped when Kurt turned to look up at him, smiling coyly.

"Now you don't have to choose." He moved his hand slowly and smoothly up and down Blaine's shaft a few times before curling over and lightly licking the tip. Blaine hissed audibly at the wet, burning hot contact as Kurt pressed down to take almost his entire length in his mouth. One hand stayed on Blaine's thigh while the other was pressed between Blaine and the sofa cushion, gently massaging his balls. Kurt's head bobbed up and down; the only noise in the apartment was the rustle of fabric and Blaine's sporadic whines and grunts. His hand was fisted tightly in Kurt's hair, but he kept himself from pushing on his partner's head – he never wanted to be that guy. When he knew he was close to climaxing, he whispered Kurt's name and suddenly the wet heat around his cock was gone. The cold air from the apartment made him moan and he bucked his hips forward, longing for Kurt's mouth once more. But Kurt rose from his kneeling position.

"Wha-" Blaine asked, still unable to form full words.

"Hold on," Kurt's voice was husky and low. Blaine liked to think, and was pretty sure, that he was the only person who had ever heard Kurt's voice at that octave. "I'll be right back." He turned and quickly headed for the bedroom. Truth told, without Kurt between his legs, Blaine felt a little awkward sitting in their living space, pants a quarter of the way down, with a football game on mute. He was about to pull his pants back up when Kurt came out of the bedroom, a bottle of personal lubricant in his hands. All of Blaine's prior concerns regarding his appearance, and appropriateness of the location, flew out the window when the young man came over. Kurt made quick work of his own pants, pulling them off (no underwear, Blaine noted, letting out a guttural moan). He covered his own finger in the lube, reached around behind himself and hissed. Blaine could see the reflection of what was happening in the TV, and swallowed thickly, moving to grab himself. Kurt shook his head, not saying a word.

After a moment – that seemed like eons for the extremely aroused and uncharacteristically impatient Blaine – Kurt moved to the couch pulling Blaine pants off all of the way. And then he turned and sat on Blaine, letting out a low groan as Blaine's member pushed into him. It was all Blaine could do to keep from coming right then. He wrapped an arm around Kurt's chest and reached the other hand around to grab the man's cock. Kurt's hands landed on the either side of the pair, supporting himself as moved languidly up and down on Blaine. In the corner of his mind, Blaine noted that his team had just run a goal. He moved his hand up and down Kurt's shaft in tempo with the beat they were keeping, pressing ever so gingerly on the tip ever third stroke or two – eliciting the whimpers from his fiancé that he lived to hear.

With a low groan and a whispered "I love you," Blaine came in a rush. His body urged him to collapse after, but he leaned his head down and planted kisses on Kurt's shoulder, ignoring his vibrating body. Soon after, hands balled into white knuckled fists, Kurt came, gushing into Blaine's hand and onto his own stomach.

"I love you, too." His words were a fast and violent rush as well. His hands relaxed and his body fell forward. After a moment, he let out a content sigh and pushed himself off a peaceful Blaine. "Guess I should take a shower."

"Me, too." Blaine grinned from his spot on the couch – legs splayed, shirt bunched up and damp with sweat.

"What about your game?" Kurt asked, bending to pick the clothes up off the floor.

Blaine reached out and picked up the remote. He turned off the TV and grinned. "What game?"

Dr. Drayden's office was anything but imposing. The sage green walls and deep brown, soft leather chairs invited her patients into the waiting room until she was ready to see them. Blaine was holding a coffee in one hand and Kurt's hand in the other when they entered the room. He walked up to the receptionist's desk and smiled his characteristic charming smile. "Hi," he greeted her as she looked up from her cell phone, "we're here to see Dr. Drayden. We have a 1 pm appointment." Blaine had taken the day off work to be at the appointment, much to many of his students' disappointment. He squeezed Kurt's hand reassuringly while the young girl behind the desk flipped through a day planner.

"She's just finishing with another client," she said, a slight southern twang detectible in her voice. "I'll let you know when she's ready to see you. Have a seat." She held out her hand to indicate the empty chairs lining the walls of the room. One set of chairs, on the far wall, did not have armrests. Blaine directed Kurt there, hoping the physical proximity would help to assuage his nerves. Kurt had not seemed overly nervous about today, but Blaine knew him like the back of his own hand, and he knew that Kurt could put up a very good strong front when he wanted to. He lifted their hands as they walked towards the chairs, and kissed their linked fingers. His affection earned him a quick glance and a small smile from his pensive partner.

While they sat, Kurt's knees bounced up and down as he stared at the space in front of him. His seemingly calm face did a better job of hiding his true feelings than the rest of his body. Blaine leaned over so he could whisper as quietly as possible, hoping the receptionist wasn't paying attention. "Are you sure you're ready? If you're not, it's okay. We can leave and come back another day."

"I'm as ready as I'll ever be," Kurt spoke a little louder than he intended to, surprising even himself with the high pitch of his voice. He shook his head and put a palm on his thigh to still his legs. "I'm fine," he said more to himself than Blaine, "I just want to get started." Blaine nodded but remained silent while they waited for the door to open.

Finally a young woman with curly red hair opened the large door that exited off the room. "Gentlemen," she smiled at both of them, "You must be Kurt and Blaine?" Kurt nodded before Blaine's mouth could form a response. "Wonderful," she clasped her hands together. "I'll be with a few moments, I just have to finish up with my other patient. Please feel free to head in." She gestured to the door through with she had come before walking down a small hallway past the receptionist's desk. Blaine stood and found he had to tug slightly on Kurt's hand to get him to rise as well.

"Come on," he urged, "I'll be with you the whole time."

Kurt had never been to a therapist before – although there had been a few times in the past when his father had wanted him to see one for all of the bullying he had been through – and from what he had seen on TV, their offices were usually dark and decorated with heavy, imposing furniture. So he was surprised when they walked into Dr. Drayden's office and saw a large white couch with yellow walls, vases of flowers, paintings and furniture to match the light, airy décor style. The far wall was entirely glass which let in a glorious amount of sunshine. The room immediately lifted Kurt's spirits. As he walked toward the couch, still holding Blaine's hand, he noticed in the far corner of the room, there sat a white piano. He already liked Dr. Drayden very much, he decided, sitting on the couch. Blaine noted that Kurt's legs were not bouncing violently up and down anymore.

After a few moments of soaking in the room, Kurt heard Dr. Drayden entered, a large and sincere smile on her face. "Sorry for that wait," she said heading over to them after closing and locking the door, "Sometimes I just can't push myself to make a patient leave once the 50 minutes is up. Sometimes you're making such good progress….anyways, here I go, rambling! My name is Dr. Drayden, as you know." She offered a hand to the boys. Kurt took it first and shook. "You must be Kurt," she said before turning to Blaine and shaking his hand as well. "And you're Blaine, right?"

"How'd you know?" Kurt asked.

"John told me you were the one with the style," she flashed a cheeky grin at him and walked over to the desk. "Alright, I'd like to get right down to business because I don't want to waste any of your time." She pulled out a notepad. "Now, I like to take notes because it makes it easier for me to pick up where we left off when we start a new session. I can promise you that my eyes are the only ones that ever see the notes, however if the idea of having what you say here written on paper makes you in any way uncomfortable, we can just forgo that part."

Kurt shook his head. "No, it's okay. I don't mind."

"Perfect. I want you to be completely at home and comfortable here. If there's anything I can do to make you feel more at ease, do not – and I mean do not – hesitate to let me know." She sat down on an easy chair that faced the couch at a slight angle and crossed her legs. She clicked her pen and jotted something down. "So first thing's first. I would like each of you to tell me why you're here. Why you think you're here."

Blaine took the reins, giving Kurt time to collect his jumbled thoughts. "Well, Kurt and I have been together for about 6 ½ years now. Recently, just before Christmas, he mentioned to me that he might like to look into getting a sex change."

"That must have been shocking for you," she intoned.

"Well, it was, but it was also nice to know how open he felt he could be with me." Kurt shifted quietly, and Blaine squeezed his hand reassuringly.

"There would still be a lot of adjusting for you to do with this, though."

Blaine nodded. "I was…still processing it at first. But I admired – and still do admire – Kurt's courage to come to me and say this was something I was thinking about. Anyways, we're here to kind of…figure out where to go from…well, here."

Dr. Drayden nodded and wrote a few quick words down before looking expectantly at Kurt. "And you, Kurt, why don't you tell me why you're here?"

"I am unsure of the degree to which I really want this. I don't know if it's just something I'm thinking about in passing or if I really need it to be happy. I just know it's been on my mind for a few years now, and I needed to talk to Blaine about it, because I felt like keeping it from him was just as bad as lying. It was difficult because I thought he was going to leave me – I was scared he would think I was a freak."

The last admission slipped out before Kurt could stop it and Blaine turned to him, mouth open in a quiet gasp. "Kurt, I would never think you're a freak. I love you."

"I know you love me," Kurt sighed. "But I was scared…this was a part of me he had never known before. And I'm still scared every day that I'm going to wake up and this will all have been a dream. I'll be alone in my apartment, facing all this by myself."

"Kurt, I would never do that to you." Blaine's hand covered both of Kurt's.

Dr. Drayden was letting the scene in front of her unfold, knowing that the young men were getting more out of the conversation they were having than they would if she were to interrupt them. She continued to write down small notes every now and then, but other than that, she was a silent and still observer. Only when she glanced at the clock did she realize the men's conversation had run them over their time limit. She waited until there was a break in their dialogue, and interrupted. "I think we're doing really well, you guys. We've made some great headway so far. I want to tell you a few things before I let you go, though."

Blaine and Kurt both turned to pay attention to her. They were some of the most well-mannered and polite patients she had ever had – and that was saying something. "First, I want you both to know I have worked with sex change applications before, so this is not a first experience with me. I try very hard to be fair and get things moving as fast as I can for you, but I also want you to know that you are ready. I need to know that you are ready before I will sign the script for hormone replacement therapy. For some people that takes months of therapy, for some people that takes years. I look at each person as a case by case basis, and I promise to treat you two as individuals, not part of a generic pack. I think it's important that each of you is ready for this change, should it happen to come about. So please continue this dialogue at home, and continue to be entirely honest with each other."

As she rose to show them out they both nodded quietly, realizing that they had spent the last half hour or so talking to each other and ignoring the therapist they had paid so much money to see. "And having a conversation between yourselves while in session is perfectly normal," she reassured them, seeing the look that passed between the two young men as walked to the door. "Not only that, but it really helps us progress in the right direction. I look forward to seeing you guys next week," she held the door open for them and they walked out hand in hand.

"Bye Dr. Drayden," Kurt turned around to wave at her, a half smile on his face. She nodded at him before shutting the door and heading over to her desk.

In the waiting room, Kurt and Blaine looked at each other, not noticing the few patients now sitting in the room. "I'm so glad we did this," Kurt said in a hushed voice. Their hands, parted during their conversation, found each other again as they walked towards the elevator.

"Me, too," Blaine replied, leaning in to plant a kiss on his fiancé's cheek.