Our Services
Yes, you can just say it. The thing you actually want to ask your provider about.
Bywater Health offers integrated medical and psychiatric care for LGBTQ+ patients, delivered by clinicians who practice medicine in a way that’s rooted in understanding and celebrating your lifestyle and identity.
Our services are focused by design. We do the things we’re very good at, with clinicians who have spent decades caring for queer communities. The goal is simple: thoughtful medicine, fewer barriers, and care that actually fits into your life.
HIV Prevention & Treatment
Modern HIV care for real bodies, real lives, and real access.
Unlike online providers, Bywater Health gets to know both who you are and what you like. We provide a safe space to explore and ask questions about sex and how to stay healthy while having fun. Need a handout on better butt sex? We have that…
Services include:
Oral and injectable PrEP, including Apretude® and Yeztugo™
Daily oral HIV medications and long-acting injectable HIV treatment (Cabenuva®)
STI testing, treatment, and prevention, including DoxyPEP
Gay Men's Wellness and Preventive Care
Why settle for heteronormative medical care? We are your portland experts for evidence based gay men’s Preventive care.
At Bywater Health, our primary care services are based on the belief that seeing your healthcare provider for regular wellness focused visits is the best way to prevent illness and chronic diseases. Our Gay Men’s Wellness and Preventive Health program is your ticket to primary care where you can talk about your past, present and future without filters.
Psychiatric Care
Mental health care that gets the context.
At Bywater Health, psychiatric care is rooted in a deep understanding of queer lives as they are actually lived. Our model emphasizes relationship-based care, clinical rigor, and integration with physical and sexual health services.
We support patients seeking thoughtful care for depression, anxiety, ADHD, trauma-related concerns, and mood disorders.
Modalities include:
Medication management
Accelerated Resolution Therapy (ART)
Spravato (esketamine) for treatment resistant depression
Gender Affirming Care
Patient-led, evidence-informed care grounded in lived experience.
Gender affirming care at Bywater Health is shaped by decades of clinical practice and what transgender patients themselves have taught us. We provide medically supervised hormone therapy, surgical referrals, and insurance-required documentation for patients pursuing standard-dose gender affirming care.
Our approach prioritizes patient goals, informed consent, and flexibility within evidence-based medicine.
Services include:
Feminizing and masculinizing hormone therapy
Implanted testosterone and estradiol pellets
Surgical referrals
Letters of Support (LOS) for gender affirming surgery
Ongoing primary, preventive, and sexual health care for transgender patients
Aesthetic Care
Of course we do botox, darling.
Bywater Health offers Botox and Jeuveau neuromodulator treatments for the upper face, mid face, lower face, jawline, neck and trapezius muscles to reduce lines, look younger and feel lighter. Additionally we treat the underarms and palms for excessive sweating (hyperhydrosis). Provider-administered, personalized, and priced transparently at $13/unit.
Weight Loss
for your silhouette upgrade.
Your metabolism deserves a real-life expert, not an online AI chatbot— get a GLP-1 plan from a human provider who actually gets you.
Coming Soon: Lesbian Wellness and Preventive Care • • •
Coming Soon: Lesbian Wellness and Preventive Care • • •
Request an Appointment
Care that respects your body, your identity, and your autonomy.
If you’re looking for an affirming clinic that values expertise, transparency, and trust…well… what are you waiting for?!