Exploring gender-affirming hormone therapy is a deeply personal journey. Whether you’ve known your identity for years or are just beginning to ask questions, you deserve healthcare that meets you with respect, curiosity, and compassion—not judgment.
At Harmony Roots Wellness, we believe that every person deserves access to affirming, evidence-based healthcare in an environment where they feel safe, heard, and empowered to make decisions about their own body.
We proudly provide gender-affirming hormone therapy (GAHT) for transgender women, transgender men, nonbinary individuals, gender-expansive people, and anyone exploring hormone therapy as part of their gender journey. We also care for people who are questioning their gender, restarting hormones after a break, transferring care from another provider, or seeking a second opinion.
Our approach is rooted in informed consent, shared decision-making, and individualized care. There is no “right” way to transition. Every body, every goal, and every journey is unique, and your treatment plan should reflect that.
If you’re looking for gender-affirming hormone therapy in Fort Collins, transgender hormone therapy that accepts Colorado Medicaid, or an LGBTQIA+-affirming healthcare provider in Northern Colorado, we’re honored you’re here.
Gender-affirming hormone therapy (often called GAHT or HRT) uses medications to help align a person’s physical characteristics with their gender identity and personal goals.
Hormone therapy can help reduce gender dysphoria, improve emotional well-being, and support people in feeling more at home in their bodies. For many individuals, GAHT is a life-changing part of their healthcare—not because it changes who they are, but because it allows their body to better reflect who they’ve always been.
Not everyone who is transgender or gender-diverse wants hormone therapy, and not everyone who seeks hormone therapy wants the same outcomes. Some people want significant physical changes, while others prefer subtle changes through lower-dose or “microdosing” approaches. Some people choose hormones for a period of time, while others continue them long-term.
There is no one-size-fits-all transition.
At Harmony Roots Wellness, your goals—not someone else’s expectations—guide your care.
Our clinic welcomes people across the entire spectrum of gender identity and expression.
We provide hormone therapy for:
Whether your goal is complete medical transition, partial transition, low-dose hormone therapy, or simply learning about your options, we’ll meet you where you are.
There is never pressure to pursue treatments you don’t want.
Healthcare has not always treated transgender and gender-diverse people with the dignity they deserve.
Many people have experienced being questioned, dismissed, misgendered, or told they needed to “prove” who they are before receiving care. Others have been required to navigate unnecessary barriers, long waitlists, or outdated gatekeeping practices.
At Harmony Roots Wellness, we believe something different.
You are the expert on your own identity.
Our role isn’t to determine whether you’re “trans enough.”
Our role is to provide accurate information, answer your questions, discuss benefits and risks honestly, and help you make informed decisions that align with your goals.
We believe healthcare works best when providers listen more than they speak.
Harmony Roots Wellness follows an informed consent model for gender-affirming hormone therapy.
That means we don’t require you to obtain a letter from a therapist simply to access hormone therapy if you have the capacity to make informed medical decisions. While mental health support can be incredibly valuable for many people, we don’t believe it should be a mandatory hurdle for everyone.
Instead, your first visits focus on education, conversation, and shared decision-making.
Together we’ll discuss:
You’ll have time to ask questions, think through your options, and decide what feels right for you.
For many people, hormone therapy can begin after the informed consent process is complete and any appropriate baseline evaluations have been reviewed.
We want every patient to leave feeling informed—not rushed.
One of the most common questions we hear is:
“Am I transitioning the right way?”
The answer is simple:
There is no single path.
Some people pursue hormone therapy and surgery.
Some pursue hormones without surgery.
Some choose only social transition.
Some use low-dose hormones.
Some start hormones later in life.
Some decide hormones aren’t right for them.
Every one of these journeys is valid.
Our goal isn’t to help you fit into someone else’s definition of masculinity, femininity, or androgyny.
Our goal is to help you feel more at home in your own body.
While evidence-based medical guidelines are essential, no two patients have exactly the same goals.
Your care plan should reflect:
Some patients prioritize emotional well-being.
Others focus on physical changes.
Others simply want to feel more comfortable looking in the mirror.
Whatever your goals are, we’ll build a treatment plan together.
Many of our patients tell us they came to Harmony Roots after feeling dismissed elsewhere.
They wanted a provider who would:
That’s exactly the environment we’ve worked to create.
We’re not interested in rushing appointments or fitting patients into a checklist. We believe that gender-affirming care is built through relationships, trust, and ongoing partnership.
Starting hormone therapy can feel exciting, overwhelming, hopeful—or all of the above.
Many patients worry about saying the “wrong” thing or not knowing enough before their first appointment.
Please know this:
You do not need to have everything figured out before coming in. If you are ready to schedule, click here.
Your first visit is a conversation, not a test.
We’ll spend time getting to know you, learning about your health history, discussing your goals, and answering your questions. We’ll review how hormone therapy works, what changes you can expect over time, potential risks and benefits, and any recommended lab work.
If hormone therapy feels like the right next step for you, we’ll create a treatment plan together. If you’re still exploring your options, that’s okay too. There is never pressure to begin treatment before you’re ready.
Our hope is that you leave your appointment feeling informed, respected, and supported—regardless of where you are in your journey.
In the next section, we’ll discuss the different approaches to gender-affirming hormone therapy, including feminizing hormone therapy, masculinizing hormone therapy, nonbinary and microdosing options, expected timelines for physical changes, fertility considerations, medication choices, and ongoing monitoring. We’ll help you understand what each option involves so you can make decisions that feel right for you.
Whether you’re seeking information, starting hormones for the first time, transferring your care, or looking for a provider who truly listens, we’re here to help.
Schedule your gender-affirming hormone therapy consultation today and discover healthcare rooted in compassion, respect, and partnership.
Some people want significant physical changes. Others are looking for subtle changes that feel more aligned with their identity. Some want hormones for a season of life, while others plan to continue treatment for many years.
At Harmony Roots Wellness, your treatment plan is built around your goals—not someone else’s expectations.
Together, we’ll discuss what changes you’re hoping for, your timeline, your overall health, and what treatment approach feels right for you.
Feminizing hormone therapy is designed for people who wish to reduce the effects of testosterone and encourage the development of more typically feminine secondary sex characteristics.
This may include transgender women, nonbinary individuals, transfeminine people, and others whose goals align with feminizing hormone therapy.
Treatment commonly includes estrogen and, for many patients, a medication that lowers or blocks testosterone. Some individuals may also choose progesterone as part of their care after discussing the potential benefits and uncertainties with their provider.
Every treatment plan is individualized.
Hormone therapy works gradually, often over several months to years. Everyone’s body responds differently.
Changes may include:
Some changes are reversible if hormones are discontinued early, while others—such as breast development—may be permanent.
We’ll discuss each expected change in detail before treatment begins so you understand what to expect.
Masculinizing hormone therapy uses testosterone to help develop more typically masculine secondary sex characteristics.
This treatment may be appropriate for transgender men, transmasculine individuals, nonbinary people, and others whose goals include masculinization.
Testosterone can be administered in several ways, including injections and topical gels. During your visit, we’ll discuss the advantages and disadvantages of each option and determine what best fits your lifestyle, comfort level, and insurance coverage.
Common changes include:
Many patients notice increased energy and a greater sense of alignment with their body as hormone therapy progresses.
Some changes begin within weeks, while others continue developing over several years.
Voice changes and genital growth are generally considered permanent, even if testosterone is discontinued.
Not everyone wants to fully feminize or fully masculinize.
Many people have goals that exist somewhere between—or entirely outside of—the traditional binary.
Some individuals want softer skin without breast development.
Others want voice deepening without significant facial hair.
Some wish to preserve aspects of their current appearance while gently shifting others.
These are all valid goals.
At Harmony Roots Wellness, we work closely with patients to create hormone plans that reflect their identity rather than forcing them into standardized treatment pathways.
There is no “correct” amount of transition.
Only the amount that feels right for you.
Microdosing refers to using lower doses of hormone therapy to produce slower, more subtle physical changes.
Some people choose microdosing because they are:
Microdosing does not guarantee that only certain changes will occur.
Hormones still affect the body according to biology, and everyone responds differently. Lower doses generally slow the rate of change but cannot selectively produce one change while preventing another.
We’ll discuss what microdosing can and cannot accomplish so you can make informed decisions.
Hormone therapy isn’t one-size-fits-all.
Together we’ll consider:
Your treatment plan can change over time.
As your goals evolve, we’ll adjust your medications, dosage, and monitoring accordingly.
Gender-affirming hormone therapy is safest when it’s monitored thoughtfully over time.
Routine follow-up appointments allow us to:
We believe monitoring isn’t about “checking up” on you.
It’s about partnering with you throughout your journey.
Depending on your treatment plan, laboratory testing may include monitoring:
Not every patient needs every laboratory test.
We’ll explain why each test is recommended and how the results guide your care.
One of the most important conversations we have before starting hormone therapy is about fertility.
Hormone therapy may reduce fertility, sometimes permanently.
Some people know they never want biological children.
Others aren’t sure.
Many simply haven’t thought about it yet.
All of those answers are okay.
Before beginning hormone therapy, we’ll discuss:
These conversations aren’t meant to delay your care.
They’re meant to ensure you have the information needed to make decisions that align with your future goals.
Gender-affirming care includes much more than hormones.
Depending on your anatomy and your healthcare needs, we may also discuss:
Our goal is to provide comprehensive healthcare—not just prescriptions.
One of the most common questions we hear is:
“How long until I look the way I want?”
The honest answer is:
There isn’t a universal timeline.
Genetics, age, medications, overall health, lifestyle, and many other factors influence how each person’s body responds.
Rather than comparing yourself to photos online or someone else’s transition, we encourage patients to focus on their own progress.
Transition isn’t a race.
It’s a process of becoming more authentically yourself.
We’ll be here to support you through every stage.
Our clinical recommendations are informed by current evidence, including guidance from organizations such as the World Professional Association for Transgender Health (WPATH), the Endocrine Society, and other recognized professional standards, while always centering care on your individual health, goals, and informed choices.
We believe the best care happens when clinical expertise and patient autonomy work together.
At Harmony Roots Wellness, you are an active partner in every decision. We are here to provide education, answer questions, monitor your health, and support you in building a treatment plan that feels right for you—not to dictate who you should be.
At Harmony Roots Wellness, we believe that gender-affirming healthcare is healthcare.
It should be compassionate.
It should be evidence-based.
It should be affordable.
And it should be available without unnecessary barriers.
Whether you’re beginning hormone therapy for the first time, restarting treatment, transferring care from another provider, or simply looking for a provider who will truly listen, we’re honored to be part of your journey.
Harmony Roots Wellness proudly accepts Colorado Medicaid for many gender-affirming healthcare services.
We know that finding providers who accept Medicaid for gender-affirming hormone therapy can be difficult. Many patients tell us they spent weeks—or even months—calling clinics before finding someone accepting new Medicaid patients.
Our goal is to make high-quality care more accessible, regardless of insurance status.
If you’re unsure whether your visit, laboratory work, or medications are covered, our team is happy to help you understand your benefits before your appointment.
Healthcare should never become another source of financial stress.
If you don’t have insurance—or if your insurance doesn’t cover the care you need—we offer our Community Pay Scale, a recommended honor-system payment model based on household size and income.
We don’t require pay stubs or tax returns.
We trust our patients to choose the payment tier that best reflects their current circumstances.
Some months life is easier.
Some months it isn’t.
At each visit, we’ll simply ask:
“Which payment tier would you like to use today?”
Because healthcare should be rooted in dignity—not paperwork.
To learn more about our payment options, visit our Affordable Care & Pricing page.
Many of our patients come to us after feeling overlooked, rushed, or misunderstood in other healthcare settings.
At Harmony Roots Wellness, we intentionally create an environment where patients can take the time they need, ask questions freely, and participate in every decision about their care.
Patients choose our clinic because we provide:
Our mission is simple:
Healthcare starts with being heard.
In most cases, no.
Harmony Roots Wellness uses an informed consent model. If you are able to understand the benefits, risks, alternatives, and expected effects of hormone therapy, a mental health letter is generally not required.
If additional support would benefit your care, we’ll discuss that together—not as a barrier, but as part of providing comprehensive healthcare.
Every situation is different.
Many patients are able to begin hormone therapy after completing the informed consent process and any recommended baseline evaluations or laboratory testing.
Our goal is never to create unnecessary delays while ensuring you have the information needed to make an informed decision.
Absolutely.
If you’ve already been receiving hormone therapy, we’d be happy to continue your care.
We’ll review your medical history, current medications, previous laboratory results if available, and your goals moving forward to ensure a smooth transition.
Yes.
Many people seek hormone therapy while they are still exploring their gender.
Part of our role is helping you understand your options—not pressuring you into any particular path.
Some patients choose lower-dose or microdosing approaches while exploring what feels right for them.
Yes.
Hormone therapy is your choice.
Some changes are reversible, while others are permanent. We’ll discuss these differences before treatment begins so you understand what to expect.
If you ever decide to stop hormones, we’ll help you do so safely.
Many transgender and gender-diverse people live with anxiety, depression, ADHD, autism, PTSD, or other mental health conditions.
These diagnoses do not automatically prevent someone from receiving gender-affirming hormone therapy.
We’ll consider your overall health, discuss any concerns, and work collaboratively with your mental health providers when appropriate—all while respecting your autonomy and goals.
Yes.
Many patients continue seeing their existing primary care provider while receiving hormone therapy through Harmony Roots Wellness.
If you’d like, we can coordinate care with your other healthcare providers to help ensure safe, comprehensive treatment.
Some patients also choose Harmony Roots Wellness as their primary care home, allowing us to provide both gender-affirming hormone therapy and ongoing primary healthcare in one place.
No.
Harmony Roots Wellness proudly serves people of all genders, identities, sexual orientations, family structures, and backgrounds.
We are committed to providing affirming, compassionate healthcare for everyone.
Yes.
Respecting your identity is a basic part of providing quality healthcare.
We’ll ask how you’d like to be addressed and what pronouns you use, and we’ll do our best to ensure that information is reflected throughout your care while also navigating any insurance or legal documentation requirements.
Questions are expected.
Starting hormone therapy is a significant step, and new questions often come up after you’ve had time to reflect.
We’re here to partner with you throughout your journey—not just write a prescription.
For most people, gender-affirming hormone therapy is very safe when prescribed appropriately and monitored by a knowledgeable healthcare provider.
We’ll review your health history, discuss potential risks and benefits, recommend appropriate laboratory monitoring, and adjust treatment over time to help optimize both safety and effectiveness.
You don’t have to have all the answers before scheduling an appointment.
You don’t have to know exactly what your transition will look like.
You don’t have to prove your identity.
You simply need a place where you’ll be listened to with respect, compassion, and curiosity.
Whether you’re seeking information, starting hormones for the first time, restarting after a break, or transferring your care, we’d be honored to walk alongside you.
At Harmony Roots Wellness, you’ll find evidence-based care, thoughtful conversations, and a provider who believes that the best healthcare begins with listening.
Because every person deserves to feel at home in their body—and respected in their healthcare.
Our approach to gender-affirming care is informed by current medical evidence and nationally recognized clinical guidelines, while always centering your individual goals and informed choices. We encourage patients who would like to learn more to explore trusted educational resources, including:
We believe informed patients make empowered decisions, and we’re always happy to answer questions about the information you find.
