Transgender affirming Physiotherapy
Your body. Your identity. Your care.
We provide trans-affirming physiotherapy that supports you before surgery, after surgery, or with no surgery at all. You deserve care that respects who you are.
Pelvic Health for transgender People
Historically called “Pelvic Floor” Physiotherapy this encompasses pain, injury, and dysfunction to both the internal and external urogenital and reproductive organs for men, women, and transgender people.
what is pelvic health physiotherapy?
Pelvic Health Physiotherapy helps with anything going on around your pelvis; whether it’s pain, tightness, trouble going to the toilet, issues during sex, or discomfort after surgery. We also support people with long-term pain in the lower belly or pelvic area that doesn’t seem to go away.
Everyone’s experience is different, so treatment looks different too. Sometimes, general exercise helps manage symptoms. Other times, we use pelvic floor exercises, hands-on treatment, breathing or relaxation work, and strategies that support mental and emotional wellbeing especially when stress or life circumstances are part of the picture.
We know this can be a sensitive area to talk about, so we work in a way that’s respectful, inclusive, and guided by what feels safe and right for you.
Mason Neal, our Pelvic Health Physiotherapist, continues to educate GP’s on care for transgender people.
THE NORTHERN BEACHES MOST TRUSTED physio CLINIC
Pelvic health for our diverse community
Physiotherapy plays a valuable role in supporting transgender people before and after gender-affirming surgeries, as well as those who do not pursue surgical interventions. Our care aims to affirm gender identity, reduce discomfort, and support physical well-being while being sensitive to experiences of gender dysphoria.
Trans-affirming physiotherapy services include:
Chest binding: best practices and pain minimisation
Tucking: best practices and pain minimisation
Chest masculinisation surgery rehabilitation
Chest feminisation surgery rehabilitation
Neovaginoplasty rehabilitation and dilator support
Phalloplasty (especially Radial Forearm Free-Flap) rehabilitation
These services are offered in addition to pelvic health care related to sex assigned at birth (as outlined on our Men’s Pelvic Health page). Because some procedures or discussions may be dysphoria-triggering, we welcome you to bring a support person and any affirming garments or aids you use regularly.
Please ensure you book with Mason, our pelvic health physiotherapist with training in transgender-affirming care.
Looking for care tailored to men's health?
CLICK HERE TO READ OUR MEN’S PELVIC HEALTH PAGE
FREQUENTLY ASKED QUESTIONS
Yes!
Female Pelvic Health Physiotherapy is what people traditionally thing of when they think of below-the-belt issues – ranging from pregnancy-related pain in the back and pelvis, prenatal physiotherapy to assist with changes in body size, pelvic dynamics, and bladder and bowel changes, and post-pregnancy rehabilitation to restore normal bladder and bowel function, reduce puerperal (post-delivery) pain and sensations of weakness or “instability” around the pelvis, and return to day-to-day life including work, gym, and sport.
Outside of pregnancy-related conditions, Pelvic Health Physiotherapy addresses both painful and frustrating conditions that can affect day-to-day life and bedroom endeavours, including:
- Endometriosis and PCOS
- Urinary Frequency and Urgency
- Proctalgia Fugax
- Pudendal Neuralgia
- Pelvic Myalgia
- Vaginismus and Penetrative Dyspareunia
- Vulvodynia, Vestibulodynia, Vaginodynia, and Culpodynia
- Pelvic Mesh and Fibroid Removal Rehabilitation
- Persistent Genital Arousal Disorder
Some of these conditions require external (and in some cases, internal) examination of the pelvic region during the initial assessment to adequately determine how to proceed and treat, so it is recommended to bring a support person or partner for the initial session to help with comfort and so that everyone involved understands what the rehabilitation may entail.
Yes!
To assist with minimising gender dysphoria, physiotherapy is involved in the care of Transgender folk both before and after gender-affirming surgeries, as well as those who identify as transgender but don’t commit to surgeries. Transgender-affirming services offered include:
- Chest binding best practice and pain minimisation
- Tucking best practice and pain minimisation
- Chest feminisation surgery rehabilitation
- Chest masculinisation surgery rehabilitation
- Neovaginoplasty rehabilitation and dilatation
- Phalloplasty (particularly Radial Free-Flap Phalloplasty) rehabilitation
This is in addition to the gender assigned at birth conditions mentioned in the male and female sections above that may occur. Because some of these transgender-specific and other pelvic health conditions can be dysphoric, it is recommended to have a support person through the sessions for comfort, as well as bring any support or structured garments you regularly use.
Pelvic Health Physio sessions are 60 minutes typically for the initial session, and then depending on the complexity of the case, follow-ups can be 30 or 45 minutes, however Mace will discuss in the initial session what the follow-ups will entail and how long they’ll take
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