Pelvic Health Has No Gender

July 14th is International Non-Binary Day. All individuals, regardless of gender assigned at birth have a pelvic floor and may therefore subsequently experience pelvic health dysfunction.

In a healthcare system still largely structured around binary definitions of sex and gender, non-binary individuals often face unique and under-discussed challenges—especially when it comes to pelvic health.

Common Issues in the Non-Binary Community

Whether a person was assigned male or female at birth, pelvic floor dysfunction does not discriminate. Yet for many non-binary patients, navigating pelvic pain, incontinence, sexual dysfunction, or complications from hormone therapy or gender-affirming surgeries can feel isolating. Language in medical settings may feel alienating. Intake forms rarely offer inclusive options. And physical therapy for pelvic health—already intimate in nature—requires nuanced, affirming care.

Research is limited, but emerging data and patient reports point to common patterns. For example, binding practices, while essential for gender affirmation, can contribute to restricted breathing patterns and tension in the thoracic and pelvic floors. Individuals on testosterone may experience pelvic pain or dryness, while estrogen use may affect tissue elasticity and bladder function. Post-op physical therapy treatment is available to help improve pelvic floor health and function.

Pelvic Health Physical Therapy

Pelvic health physical therapists are increasingly training in trauma-informed and LGBTQIA+-affirming care to meet these needs. A thorough evaluation focuses on muscle function, posture, and pressure management—not gender identity. But the delivery of care must honor pronouns, provide consent at every step, and recognize the impact of dysphoria on treatment adherence.

The pelvic floor is, at its core, a set of muscles—not an identity. For non-binary individuals, access to compassionate, inclusive pelvic PT may be not only therapeutic—but deeply affirming. We are a clinic that cares about seeing and treating each person as in individual. We have a combined over 30 years of experience of working in pelvic health conditions. All of our treatment rooms are private and we have an in-house mini gym. Call us today to schedule an appointment or a phone call with a pelvic health physical therapist if you have a specific question or concern.