Providing high quality and trauma-informed pelvic floor therapy for all genders.
Whether you’re going through gender confirmation surgeries or simply someone looking for a safe and inclusive space for your pelvic floor dysfunction, we’re here for you.
Your pelvic floor is the foundation of how you move, rest, and connect with your body. Pelvic floor challenges are common, but they are often able to be improved or eliminated entirely.
At Autonomy Pelvic Health, we focus on restoring comfort, function, and confidence so you can return to the activities and relationships that matter most to you.
Pelvic PT
Pelvic OT
Pelvic Floor Therapy
Pelvic floor exercises
Overactive bladder exercises
leaking exercises for pelvic floor
Conditions We Work With
Pelvic floor therapy can help with a wide range of concerns the LGBTQIA+ population face throughout life. Whether you are navigating recovery, managing chronic symptoms, or seeking preventive care, we’re here to support you and your goals!
Bowel &
Bladder
Urinary leakage (urgency, frequency, stress incontinence)
Constipation or painful bowel movements
Fecal incontinence
Overactive bladder
Straining or incomplete emptying
Pelvic floor dysfunction impacting voiding
Painful urination
Nocturia (frequent nighttime urination)
Post-surgical bowel or bladder changes
Difficulty with pelvic floor relaxation or coordination
Sex &
Intimacy
Pain with penetration (anal, vaginal, or dilator use)
Pain with orgasm or arousal
Erectile or sexual arousal difficulties
Decreased sexual sensation
Vaginismus or pelvic floor hypertonicity
Post-gender affirming surgery intimacy support
Scar tissue mobilization after chest or genital surgery
Post-orchiectomy sexual function support
Support for changes in desire or comfort
Tension or pain related to binding, tucking, or packing
Gender-Affirming Care
& Surgical Support
Pelvic floor preparation for birth
Pushing strategies and perineal protection
Pelvic, hip, back, sacroiliac, & tailbone pain
In-depth recovery following cesarean birth or vaginal birth, including scar management, core function, and more
Diastasis recti abdominis (abdominal separation)
Daily activity modification & adaptation as needed
Core weakness impacting lifting, carrying, or daily tasks
Guidance for continuing to exercise safely & confidently throughout pregnancy, and safely return to exercise and intimacy following birth
Athletes
Urinary leakage with exercise (running, jumping, lifting)
Core and pelvic floor weakness
Pelvic organ prolapse symptoms during activity
Hip, back, or pelvic pain
Tailbone pain from falls or sitting in sport
Pain with heavy lifting or high-impact movement
Difficulty coordinating breath and core during exertion
Pressure, bulging, or heaviness with workouts
Return-to-sport planning post-surgically
Injury prevention and performance optimization
Chronic Conditions
& Whole-Person Support
Chronic pelvic pain
Hip, back, or abdominal pain tied to pelvic floor dysfunction
Nervous system regulation for pelvic tension
Postural adaptations from binding or surgery
Support for trauma-informed healing
Breathing mechanics for relaxation and strength
Movement integration for comfort in daily life
Stress-related pelvic tension
Tailbone pain or perineal pain
Long-term pelvic health planning
“I can’t say enough good things about Audra and the incredible care she provides. She took the time to explain everything in detail, being highly knowledgeable and professional. If you’re considering pelvic floor therapy, I can’t recommend Audra enough. I’m beyond grateful for her expertise and care!”
How do we treat pelvic health?
Using a combination of manual approaches, behavioral strategies, exercises, treatment activities, and more, we create a whole-person treatment plan with you to help you achieve your goals. Treatment can include any or all of the following, and all of it is entirely up to you:
Myofascial release for pain or restriction
Internal pelvic floor muscle assessment and treatment (when appropriate and affirming)
External soft tissue mobilization for abdomen, hips, and pelvic region
Scar tissue mobilization (gender-affirming or other surgeries)
Training for pelvic health tools such as dilators and pelvic wands to improve pelvic floor function
Pelvic floor muscle training for strength and relaxation
Breathwork and nervous system regulation
Core and hip stability exercises
Bladder retraining for urgency, frequency, or leakage
Bowel regulation strategies and support
Pain management techniques for pelvic or genital pain
Nerve mobilization to reduce tension and sensitivity
Support for sexual health and intimacy concerns
Pre- and post-gender-affirming surgery rehab
Hormone-related pelvic health support (pelvic tissues, dryness, elasticity)
Education and self-management strategies tailored to your body and goals
