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LGBTQ+ Care | Boston, MA

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About LGBTQ+ Care

Family physician Dr. Steven Zivich is proud to offer specialty healthcare to lesbian, gay, bisexual, transgender, queer, questioning, and nonbinary individuals. To help support your gender or nonbinary identity, Boston Direct Health offers hormone management therapy, also known as gender affirming hormone therapy (GHT). This treatment is a primary medical intervention that aligns with your unique identity. The goal is to manage hormone levels to assist in a gender transition or status. Reach out to our Boston, MA team to schedule a one-on-one consultation with Dr. Zivich. He looks forward to providing you with compassionate care to help achieve your health goals.

LGBTQ+ Care Services

First, Dr. Zivich will complete a thorough health assessment. During this time, he will discuss your health goals, concerns, medical history, lifestyle, nutrition, and current medications. He'll consider all aspects of your life to treat you as a whole. From there, he can discuss the different hormone therapy options and determine if this treatment is right for you. Gender affirming hormone therapy is usually a lifelong treatment that either involves testosterone or estrogen hormones. These hormones can be delivered as an injection, pill, skin patch, or gel.


What is gender-affirming hormone therapy?

Gender affirming hormone therapy involves the use of either testosterone or estrogen, alongside other hormones, to help patients align with their gender identity. This hormone therapy helps individuals achieve secondary sex traits (facial hair growth, breast development, etc.) included in their identity.

What is LGBTQ+ care?

At Boston Direct Health, our commitment to LGBTQ+ care includes compassionate medical and emotional support for all LGBTQ+ community members to affirm their identity, respect their voice, listen to their concerns, and address their unique healthcare needs. Dr. Zivich treats each patient as an individual, taking the time to get to know their needs and concerns on a personal, one-on-one basis.

At what age can you start hormone therapy?

In an ideal scenario, gender-affirming hormone therapy begins before the development of secondary sex traits during puberty. Often this can mean around the age of 16. Many trans boys and girls are treated with these medications to delay the start of puberty, allowing them to grow up in the gender they identify as.

How do I get put on hormone blockers?

According to the Mayo Clinic, four criteria must be met:

  1. Be able to demonstrate a long-lasting and intense pattern of gender nonconformity
  2. Have gender dysphoria that began and got worse at the beginning of puberty
  3. Have addressed any possible psychological, medical, or social issues and/or problems
  4. Be able to provide informed consent

Dr. Zivich will talk to you about all of these and more during your private consultation.

supportive gender affirming therapy

You deserve to be heard and understood. At Boston Direct Health, Dr. Steven Zivich will take his time to listen and form a close-knit patient relationship that focuses on your unique health goals. Our Boston, MA team is dedicated to providing the high-quality healthcare you need. To learn more about the LGBTQ+ care we offer, contact our medical facility today. 

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