Gender-Affirming Care

At Healthy Pelvis Physical Therapy, we offer inclusive, personalized care for individuals experiencing pelvic floor dysfunction, particularly supporting the transgender and gender non-conforming community. We provide specialized treatment addressing both non-surgical practices (binding, tucking, packing) and post-surgical recovery.

Common Symptoms:

  • Pain from surgical scars

  • Discomfort or pain during vaginal penetration

  • Difficulty achieving vaginal penetration or orgasm

  • Urinary issues (urgency, frequency, hesitancy, incontinence)

  • Pelvic, chest, back, or shoulder pain

Common Causes:

  • Surgical scarring

  • Neovaginal stenosis or depth reduction

  • Pudendal nerve pain

  • Granulation tissue complications

  • Pelvic floor dysfunction

  • Compression issues from binding or tucking

  • Lower extremity muscle dysfunction

  • Postural issues

How We Help: Our pelvic floor physical therapists address these issues through targeted, compassionate care. We support safe binding, tucking, and packing practices to prevent pain, muscle dysfunction, and posture issues. Post-surgical therapy includes scar management, facilitating neovaginal penetration, enhancing sexual function, restoring urinary health, and alleviating pain. Therapy typically begins around eight weeks post-surgery, adjusted according to specific procedures.

What to Expect: Your initial appointment includes reviewing your medical history and performing a detailed pelvic assessment to evaluate posture, joint alignment, muscle health, and strength. An optional internal exam, conducted respectfully and comfortably, helps identify specific muscle issues. Immediate manual therapy treatments provide prompt relief, and personalized care plans ensure continued improvement. Most patients experience noticeable improvement within the first few sessions.