The subject line of the last cursed email that Stephen received read "Make your vagina look and feel 5 years younger with our patented rejuvenating cream."
Stephen quickly looked down at his crotch expecting to see his penis gone and a pussy in its place. He was relieved when he saw that his penis was there even though it was still tiny thanks to the previous email about having a small penis. He guessed that since he didn't have a vagina, that one hadn't affected him. He was a little worried when he felt a tingle between his legs, but he didn't see anything changing so he wrote it off to his imagination.
He took stock of all of the changes that had happened to his body thanks to the Spam faerie. The smaller penis, while embarrassing he could probably hide easily enough. The weight loss he could always claim had happened naturally. The breasts and hourglass figure though would be hard to explain.
As he contemplated ways to hide his changes, Stephen realized that he needed to pee. Getting up, and carefully stepping over the pizza box that was still on the floor, he made his way to his small bathroom. He stood in front of the toilet and grabbed his penis. Well, he tried to grab his penis. He hadn't accounted for its diminished size so he actually missed completely. 'That is going to take some getting used to if I can't find a way to change back' Stephen thought to himself as he grabbed his penis and began emptying his bladder.
Stephan was shocked a moment later when he didn't hear any splashing water from the toilet but instead felt a warm wetness running down his legs. He looked down again and saw that no urine was coming from the end of his penis, instead it seemed to be coming from somewhere between his legs. He quickly lowered the toilet seat and finished peeing while sitting down.
After he was finishing he took a closer look at his groin. He lifted his penis and inspected it. It looked fairly normal (except for the size) at first until he noticed that there was no urethral opening at the tip anymore, the end of his penis was completely solid like it was a large clitoris instead of a penis. Below his former penis he saw that his diminished balls were gone; in their place were two fleshy lips that he quickly discovered covered the entrance to his brand new vagina. Apparently that last spam email had changed him after all.