Gender Affirming Care

Your pelvis is safe with us.

maryland urinary incontinence

A 2015 survey by the National Center for Transgender Equality found that 33% of individuals who saw a health care provider had at least one negative experience related to being transgender, which included being refused treatment, verbal harassment, physical or sexual assault, and having to teach the provider about transgender people in order to get appropriate care. In addition, 23% of respondents stated they did not see a doctor when they needed to because of fear of being mistreated as a transgender person.

 

Our Physical Therapists are the leaders of trans-affirming care in Maryland, having completed extensive advanced level trans affirming care coursework and continuing education to ensure we are providing the most up to date, affirming and evidenced-based care. Our goal is to empower you and give you a safe and supportive environment to receive the best possible care to reach your physical goals. We recognize that this type of care is multi-faceted and that everyone is at different stages in their transition. We are here to meet you where you are.

 

In addition to any of the conditions outlined on our website, transgender individuals may experience unique healthcare concerns related to pelvic and orthopedic health. These may include:

Common concerns for those who are pre-operative:

  • Pain or urinary complications (ie. hesitation, retention, leakage, etc) associated with tucking or packing
  • Side effects of  binding (ie. back pain, chest pain, poor posture, shoulder pain, numbness and scarring)
  • Digestion or bowel concerns associated with hormonal changes
  • Improvement in strength and coordination of the pelvic floor muscles to prepare for surgery

Common concerns for those who are post-operative:

  • Scar tissue mobilization following vaginoplasty, phalloplasty, metoidioplasty, chest surgeries, abdominal surgeries
  • Urinary concerns following vaginoplasty, phalloplasty, metoidioplasty
  • Dilator progression following vaginoplasty
  • Sexual dysfunction or pain following vaginoplasty, phalloplasty, metoidioplasty
  • Care of graft site
  • Improving mobility of the chest, ribs and spine following breast augmentation or removal

 

We treat anything regardless of gender, so we find that some individuals choose to see us for things like hip or back pain, so they can be treated 1-1 in a private treatment space and never have to educate a provider about gender. Our pelvic physical therapists are committed to constantly growing, learning, and creating a welcome space. If you have questions about the care you might receive or about pelvic PT pre or post operatively, regardless of stage, you can reach out to Dr. Kristen Joyce, PT, DPT, PRPC, at [email protected].