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Writer's pictureLiz Brown

Embracing Your True Self: How Pelvic Floor Physiotherapy Supports Transgender Health

When it comes to affirming your true self, transgender health and wellness encompass a wide range of essential services, from mental health support to hormone therapy. One often-overlooked yet incredibly impactful aspect of this journey is pelvic floor physiotherapy (PFPT). This specialized therapy can play a crucial role in enhancing the quality of life for transgender individuals. Let’s explore how PFPT can be a game-changer in this journey!


What is Pelvic Floor Physiotherapy?


Pelvic floor physiotherapy focuses on the muscles, ligaments, and tissues that support the pelvic organs. These muscles control essential functions like urination, bowel movements, and sexual activity. For transgender individuals, PFPT can address various issues related to gender-affirming surgeries, hormone therapy, and overall pelvic health.


Image source: Healthline

Supporting Post-Surgical Recovery

Gender-affirming surgeries, such as vaginoplasty, phalloplasty, and metoidioplasty, involve significant changes to the pelvic region. PFPT can aid in post-surgical recovery by:


  • Reducing Pain and Discomfort: Specialized techniques can help alleviate pain and manage scar tissue.

  • Improving Function: Therapy can assist in restoring urinary and bowel function, ensuring a smoother transition.

  • Enhancing Mobility: Exercises and manual therapy can increase pelvic muscle strength and flexibility, supporting overall recovery.


Alleviating Hormone Therapy Side Effects

Hormone therapy, a critical component of many transgender individuals’ transition, can have various effects on the pelvic floor. For example, testosterone can lead to vaginal atrophy in transmasculine individuals, while estrogen can affect muscle tone in transfeminine individuals. PFPT can help manage these changes by:


  • Maintaining Muscle Tone: Customized exercises keep pelvic floor muscles healthy and functional.

  • Addressing Discomfort: Techniques to alleviate pain or discomfort related to hormone-induced changes.


Enhancing Bladder and Bowel Health

Bladder and bowel health are essential aspects of overall well-being, and PFPT can significantly improve these functions:


  • Urinary Incontinence: Post-surgical changes or hormonal shifts can lead to urinary incontinence. PFPT can strengthen pelvic floor muscles, reducing leaks and improving bladder control.

  • Bowel Control: Surgery and hormone therapy can impact bowel function. PFPT offers exercises and techniques to manage constipation, fecal incontinence, and bowel urgency.

  • Pelvic Organ Prolapse: Transgender individuals might experience pelvic organ prolapse, where pelvic organs descend and press into the vaginal or rectal walls. PFPT helps by strengthening or relaxing the pelvic floor, to optimise support and alleviate symptoms.


Supporting Sexual Health

Sexual health and satisfaction are vital parts of overall well-being. PFPT can address issues such as:


  • Erectile Dysfunction: Techniques to enhance blood flow and muscle strength for transmasculine individuals.

  • Vaginal Health: Ensuring proper dilation and flexibility for trans women post-vaginoplasty, aiding in comfortable and enjoyable sexual experiences.

  • Libido and Comfort: Addressing any discomfort or pain during sexual activity, enhancing overall sexual satisfaction.


Image Source: BBC article / Ziya Paval Instagram

Enhancing Mental Well-being

The benefits of PFPT extend beyond the physical; it significantly impacts mental health by:


  • Boosting Confidence: Improved pelvic health can lead to increased confidence in everyday activities and intimate moments.

  • Reducing Anxiety: Addressing physical discomfort can alleviate anxiety, leading to a better overall mental state.

  • Empowering Self-Care: Taking an active role in your health journey fosters a sense of empowerment and self-assurance.



A Holistic Approach to Health

Pelvic floor physiotherapy embodies a holistic approach to transgender health, recognizing the connection of physical, mental, and emotional well-being. It’s a reminder that every step of your journey is important and deserves attention and care.

So, whether you’re preparing for surgery, navigating hormone therapy, or simply looking to improve your pelvic health, remember that PFPT is a valuable resource. Embrace your journey with confidence, knowing that there’s a supportive therapy designed to help you thrive in every way.


Book a Pelvic Assessment with Caroline or Liz at Alma Physiotherapy (25 Lower Redland Road, Bristol, BS6 6TB) to start your pelvic health journey.


Book a FREE 10 minute Discovery call via pa@almaphysiotherapy.co.uk or text or call 07942 494506.

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