Gender Affirming Care
Whether you’re dealing general pelvic floor dysfunction and need safe support, or you’re navigating surgeries - we got your back.
Services
General Pelvic Floor Dysfunction
Helping you navigating symptoms around bowel, bladder, pelvic pain, or sexual dysfunction.
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Constipation
Pooping less 3x a week or less
Difficulty expelling stool
A lot of straining on the toilet or sitting on the toilet for 15+ minutes
Painful insertion
Urinary urgency - feeling need to run to bathroom
Leaking on the way to the bathroom
Peeing 10+ a day
Leaking with coughing, sneezing, laughing
Difficulty with arousal or orgasm
Pain anywhere around the pelvic region (genitals, low back, anus, perineum, tailbone etc.)
Surgery Preparation
Feel prepared for vaginoplasty, metoidioplasty, or phalloplasty.
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Anxiety and stress management techniques to feel as eased as possible going into the surgery process
Healthy bowel & bladder habits - this sets your pelvic floor, bladder, and bowels up for success and get’s you into habits that will help you after surgery
Muscle tension release - through trigger point release, stretches, breath and more, release tension in the muscles to allow for greater surgery success and decrease of pelvic floor symptoms (like pain, urgency, or constipation).
Learn core strength and coordination control to start practicing to assist with optimal post-op healing
Surgery Recovery
Supporting you through recovery from vaginoplasty, metoidioplasty, or phalloplasty and return to every day life.
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Help with symptoms that may have come about with peeing, pooping, pain, or sex.
Scar tissue management
Support through dilator protocols for vaginoplasty and incorporation into routine
Support through any changes in sensations
Navigation through new roles and routines
Sex & Intimacy
Coaching you through sex and intimacy concerns.
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Coaching through self discovery, desires, needs, preferences, and boundaries
Communication techniques to engage in with partners
Support through pelvic health concerns that can impact sexual function
Nervous system techniques to stay present and grounded
Plans that cater to your unique sensory preferences
Client Review
“I worked with Gina leading up to, and between, all 3 stages of my phalloplasty journey. This surgery is very physically, mentally, and emotionally draining but Gina was there with me every step of the way. She created such a safe and inclusive environment where we could discuss any fears or issues I was having with support and without judgment. She helped me prepare my body for the upcoming procedures and helped me learn to reconnect with my body after each surgery. It is very important to have a strong support system while going through this process and I am so thankful that Gina was a part of mine.” - Anonymous
Education and coaching to support you at any stage.
Gain techniques to feel safety and pleasure instead of anxiety and stress.
Build habits that stick and work into your routine.
Feel supported as you navigate new roles or transitions.
Accountability and structure to help you stay consistent.
Behavioral and lifestyle support for bowel and bladder health while maintaining consideration for surgical precautions, as well as identity.
Get help navigating desire and arousal changes, so you can feel confident in the bedroom.
Engage in self release techniques for tension or scar management, while maintaining safety in your nervous system.
Stretching routines that feel affirming instead of triggering.
Mind-body connection that is identity centric, and within your boundaries.
Build self-advocacy skills for both providers and partners.
Private support in a trauma-informed space
Flexible online support accessible from anywhere
Fast access care — no 3 month long waiting lists
Your Path to Relief and Connection
Coaching is customized to your body, your goals, and your nervous system.
Whether you’re working through difficulties with sex, pelvic pain, chronic stress and anxiety, bladder or bowel issues, or surgery support, you deserve support that meets you exactly where you are.
Step 1: Book Your Free Introductory Call
We will meet via video call for a 15 minute chat about your top concerns and what you’re looking for to make sure we are the right fit for each other.
Step 2: Deep Dive Starter Session
We will spend a full 90 minutes together to dive deep into your concerns, symptoms, history, and goals. ($225 USD)
Get personalized insight into what could be driving your symptoms and what’s needed to start finding relief.
You’ll walk away with an understanding of your path forward and practical strategies to begin using right away.
→ Based on this session, we’ll create a custom coaching plan that best fits your needs, whether that’s short-term support or a deeper transformation package.
Step 3: Choose Your Plan, Enjoy the Process, and See Results
After we collaborate in your Deep Dive session, I’ll send you custom plan options to best meet your concerns and goals. You can then choose the option that feels best for your needs, schedule, and budget.
All sessions are held virtually and tailored to your body, your nervous system, and your specific pelvic health needs.
I’ll be with you every step of the way, guiding and supporting you as you learn new ways to connect with your body. The beauty of coaching is that it gives you the power. The power to create change from within and build a toolkit that helps you not just stay afloat, but truly thrive.
If none of the available times work for you for the intro call, email me at hello@anxiouspelvis.com and we can work out a time.
Still have questions before booking? Email me or use this contact page.
FAQs
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Absolutely! Any concerns are valid concerns and I’m here to help. Even if you have no noticeable symptoms, you can always do ensure you are practicing optimal pelvic health to prevent symptoms from arising.
After all, prevention is very important!
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Not at all. You can access these services whether you’ve been formally diagnosed or just know something feels “off”. You don’t need to have all the answers before reaching out, that’s what we’ll explore together.
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If you’re having pain with insertion, you may have noticed the Less Pain Greater Pleasure program. This program is cis-woman centric, but it is accessible to those who are AFAB with natal anatomy engaging in front insertion.
The program uses natal language for anatomy such as “vagina”, “vulva”, and “clitoris”, however it only uses the word “woman” where specifically applicable. So take that information into consideration when you decide if it’s the right fit for you.
For trans women who have had vaginoplasty, a lot of this program would definitely feel helpful, however you likely will have a more specific dilator protocol to follow from your surgeon.
Overall the program covers background education on anatomy and causes to pain (vulvo-vaginal language used), nervous system regulation techniques, desire and sexual communication building, stretches, and trigger point release using hands, pelvic wands, and dilators (some vulvo-vaginal language used).
If you’d like to talk through if this feels like a good fit for you, you can schedule a free introductory call.
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This is not therapy/medical services, therefore cannot be processed through insurance.
Courses and coaching can sometimes be covered under HSA or FSA card, however sometimes you need a letter of medical necessity from your provider. Worth trying if you have one!
We do have packages for discounted rates, as well as a payment plans for most packages. -
No, this is not a medical service. This service is purely education and coaching. This service does not substitute as medical advice. Please see our disclaimer page for me.
This is coaching and consulting services for educational support and to coach you towards your goals.