Stigma-Free Health Care in New England

Trans Care & Gender Affirming Hormone Therapy

Pathway To Better Health provides trans-inclusive sexual health and gender affirming hormone therapy services

At Pathway to Better Health, we extend a warm welcome to all individuals who identify as nonbinary, transgender gender-diverse, gender-non-conforming, or genderqueer. Our specialized services cater to the unique healthcare needs of this diverse community. We employ an informed consent model for gender affirming hormone therapy, ensuring that our patients, aged 18 years and older, have access to comprehensive information to make informed decisions about their healthcare journey.


At the core of our approach lies a deep commitment to patient empowerment and autonomy. We provide a warm and welcoming environment where individuals feel safe and supported throughout their gender-affirming care experience. We provide referrals for gender-affirming surgical consultation and write letters of support for those seeking gender affirming surgery. Our dedicated healthcare professionals prioritize the holistic well-being of every patient, fostering a sense of inclusivity and belonging. Through personalized treatment plans and compassionate support, we strive to empower each patient to embrace their authentic selves and live life on their own terms.

Gender affirming care

Our gender affirming hormone therapy services include:

  • Feminizing hormone therapy, including estrogen and spironolactone
  • Masculinizing hormone therapy, including testosterone

We also offer other gender-affirming care services, including:

  • Anal health exams and anal paps
  • Vaginal and front-hole exams and paps
  • HPV vaccines
  • Doxy PrEP: for prevention of bacterial STIs in high-risk populations
  • STI screening: in-office screening, take-home, and self-collection options are available
  • HIV PrEP: oral (Truvada/Descovy) and long-acting injectable PrEP (Apretude)
  • Access to on-demand PrEP
  • HIV treatment, including oral and long-acting injectable ART (Cabenuva and Sunlenca)
  • Viral hepatitis screening and treatment
  • Substance use disorder treatment for stimulant use disorder, opiate use disorder, and alcohol use disorder
  • Harm reduction services, including overdose prevention, Narcan, syringes, condoms, etc.
Gender Affirming Transcare

Here's what you can expect when you visit us:

  • Individualized care plan
    We will work with you to develop an individualized care plan to help you reach your desired treatment goals.
  • Regular check-ins
    Patients newly starting on hormone therapy will be evaluated with lab work and check-ins, either virtually or in-person, at 3 months, 6 months, and 12 months to monitor for any side effects and desired outcomes over the first year. Once stable, monitoring can be extended to every 6-12 months.

At Pathway To Better Health, we are committed to providing our patients with the care and support they need to live their best lives. Contact us today to schedule your appointment and take the first step towards a more affirming healthcare experience.