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Transgender and Nonbinary Pelvic Health: Creating Competent and Affirming Care – Asheville, NC

July 20, 2019, 8:00 amJuly 21, 2019, 5:00 pm EDT

$457 – $557

*** Access to the course materials is granted with the receipt for payment. Also, note that the course material will likely not all be available until 2-4 weeks prior to the course.

Pre-Course Information, Manual and Slides
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Heather Edwards, PT, Sexuality Counselor and Educator, Founder of Vino & Vulvas, Author of Important Parts: A Coloring Book for the Crotch Enthusiast

Mx. Tuesday Feral, LPCA, NCC, Tranzmission Support Programs Director

Location: Haywood Regional Medical Center, Clyde, NC

Dates: July 20-21, 2019

There will be an optional special event Saturday night in Asheville with dinner and drinks available for purchase. For information, or to reserve your spot, please go to

Course Description:

This course is designed to be an authentic, educational conversation. We’re going to talk about some things that are challenging and work through some of our collective discomforts together in a safe, supportive space. When we can change our perspective, the nonbinary or transgender patient no longer seems like “the other”. Instead, we can learn to lead from a place where we offer all of our patients a chance to tell the story of their body on their own terms… knowing that the medical provider in front of them can treat them as the ENTIRE person that they are.

The research for pelvic PT on this population is lacking and instead of trying to piece together a very incomplete story, we’re going to focus on how the clinical skills we have and the research we know already apply. Potentially one of the most sensitive topics to discuss with transgender/nonbinary folks is genitals. Becoming more comfortable with this part of your evaluation and treatment is what we hope to facilitate during this weekend. There will be lab time, however, no one will have to get undressed for these labs.

Specific treatment techniques and options and extra considerations for any medical professionals who work directly with genitalia will be discussed.

It’s going to be fun and it’s going to be challenging. Come curious and with an open mind.

  • Participants will gain a basic understanding of common trans language including a basic understanding of the stages and types of transition.
  • Participants will be able to think outside of the “gender box” and gain a more foundational understanding of trans issues in regard to seeking and accessing medical care.
  • Participants will be encouraged to reflect on and challenge some of their own beliefs about gender and sexual orientation.
  • Participants will learn ways of doing our basic “pelvic PT education” in ways that do not use gendered language and even some ways to avoid challenging language barriers entirely.
  • Participants will gain a basic understanding of different types of genital reconstruction options and leave with a list of suggestions for working with trans women with neovaginas.
  • Participants will gain an understanding about ways that trans people use their bodies with sexual activity that might be different than how cis people use their bodies.
  • Participants will be able to discuss and ask awkward questions and practice saying some things out loud for the first time to make it easier when working with a patient.


“I couldn’t be more thrilled about how inspired I feel after working with Heather. She lovingly challenged me to think and live so far outside of the box that I couldn’t even tell a box existed anymore. I was able to turn around and immediately apply my knowledge and skills in working with two different clients identifying as transgender and it was a game changer for all of us. I felt grounded, confident, and empathetic to their needs, which spoke volumes to their experience with me as well. I couldn’t recommend her course highly enough. So don’t just sit there – sign up to learn from her as soon as you can!”

“I learned so much about the trans community throughout the course. I really enjoyed the presentation with Heather & Tuesday…so eye-opening and informative and FUN!”

“Fabulous mastery of the material. Great delivery of both where we stand and what we need more to know. Made a topic that was initially difficult to ‘wrap our heads around’ into a very approachable and (in the end) straight-forward topic (poor choice of words there, but you know what I mean….)!”

“Very well presented & I feel much more confident after this course – thank you for demystifying and breaking down the barriers.”

“This was all new information for me and gave me a new respect for the trans community. Thank you for sharing.”

“Thank you for sharing valuable information on helping an underserved population. Thanks also to Tuesday for their valuable contribution.”

“Incredibly enlightening.”

Heather Edwards, PT, Sex Counselor & Educator(she/her or they/them)

Heather Edwards, PT, MPT has been a pelvic physical therapist for 15 years in western North Carolina. She is a University of Michigan trained Sexuality Counselor and Educator. She founded Vino & Vulvas in 2015 and it quickly became her favorite thing to do. She teaches community classes such as “Field Guide to Your Crotch” and “How to Talk to Your Doctor about Your Nonbinary Crotch” for transgender and nonbinary folx. Heather created the Transgender Pelvic Health Survey (currently in progress) and teamed up with Nova Southeastern University and the Pelvic Health Research Initiative for its implementation and data analysis. In 2016, she presented at the Southeastern Transgender Health Summit on the topic of pelvic PT considerations for the surgical trans patient. She presented at the 2018 AASECT conference on the topic of BDSM/Kink and Pelvic Health.

Despite all the clinical stuff, Heather considers herself an artist… and if truth be told, she’d love to just draw fantastical crotch doodles and outside-the-box anatomy illustrations all day. This unusual hobby led to the creation of her first self-published book, Important Parts: A Coloring Book for the Crotch Enthusiast. She’s in the process of the second one in the series.

Mx. Tuesday V. Feral (they/them)

Tuesday is an artist, mental health professional, and educator and Support Programs Director for Tranzmission, an Asheville-based organization that does education, advocacy, and support for the transgender and nonbinary community in western North Carolina and beyond. They have worked with Tranzmission for the last ten years. Tuesday is passionate about building resilient networks of support within our extended community. To that end, they oversee the Asheville Transformers peer support and social group and the Youth and Family Program. Tuesday has trained on a national, state and local level with Tranzmission. Tuesday is also a frequent, and crowd-favorite panelist on Vino & Vulvas for their ability to present and package difficult concepts in such a tangible way that can easily be taken directly to heart.

Heather and Tuesday are so excited to bring this course to you!

  • Participants will have a basic understanding of terminology associated with gender identity, sexuality, and medical transition.
  • Participants will have a basic understanding of the social, emotional, political, and economic barriers to seeking medical care for the trans patient.
  • Participants will be confident in recognizing and responding to trauma responses.
  • Participants will be able to take a medical and sexual history without projecting cisnormative or heteronormative narratives onto patients, regardless of gender and sexual orientation.
  • Participants will demonstrate an understanding of pre-surgical care for phalloplasty, metoidioplasty, and vaginoplasty.
  • Participants will demonstrate an understanding of post-surgical care for phalloplasty, metoidioplasty, and vaginoplasty.
  • Participants will be able to name 3 considerations for trans bodies that might be different than cis bodies.
  • Participants will be able to name 3 ways to create a more inclusive clinical environment.
  • Participants will be able to advise uses of devices and equipment that may be used for transgender patients.
  • Participants will be able to recognize sexual health risks and advise safer sex practices to all patients.

Day 1

8:00 Registration

8:30 Intros

8:45 Trans 101 definitions and concepts

9:45 Gender Identity, Sexuality, Anatomy, and Expression Activity

10:00 Break

10:15 Technicalities, Laws, and Accessibility

11:30 Devices, Prosthesis, Binding

12:00 Lunch

1:00 Tucking and Muffing

2:00 STIs and public health concerns

3:00 Internal Monologue Exercise

4:30 Wrap up, discussion, and questions

5:00 Day End

Day 2

8:00 Nonbinary Anatomy Activity

9:00 Nonsurgical Concerns for pelvic and chest

10:00 Break

10:15 Surgical Options

10:45: Pre-operative considerations for vaginoplasty, metoidioplasty, and phalloplasty

12:00 Lunch

1:00 Post-operative considerations for vaginoplasty, metoidioplasty, and phalloplasty

2:00 Patient interviewing activity and processing

2:30 Sexuality Counseling without the heteronormative/cisnormative lens

3:00 Trauma-informed Care

3:30 Wrap-up and questions

4:00 Day End

This course is available to any medical professionals that need to discuss or assess genitals on people of any gender.


What is the refund policy?

Refunds are honored up to 30 days before the course and may be subject to a $75 administrative fee. Within 30 days before the course, refunds will not be provided.

If you’re unable to attend the course you purchased, you can also transfer to the same course offered later in the year (if available) for a $25 fee. Course transfers need to be done at the time of request and must be directly into a course that already exists (i.e. we can’t just keep it out there waiting for another course that might be scheduled next year). Transfers must happen within 1 year of the dates of the course that participant is transferring out of.

There is a $50 transfer fee to transfer to a different course (and price variations between the two courses may need to be addressed). Course transfers need to be done at the time of request and must be directly into a course that already exists (i.e. we can’t just keep it out there waiting for another course that might be scheduled next year). Transfers must happen within 1 year of the dates of the course that participant is transferring out of.

If the course does not reach a minimum number of students up to 30 days before the course, the course may be canceled, and a full refund will be provided.

What are the course hours?

Most Pelvic Guru Academy courses last two full days, typically from 8 am to 5 pm. Please review the course registration hours for specific hours for the course you are taking.

Will I get CEUs or a certificate?

Pelvic Guru Academy applies for PT/PTA CEU credits for each course we host in the state where the course is taking place. We will make a note at the top of the course registration page once CEUs have been approved for each course. If you are coming from another state, please check with your state on reciprocity for CEUs.

What if I have to leave class early, will I still get CEUs?

In order to get full CEU credit for the course, you will need to attend all hours of the course for each day. Please plan your travel arrangements accordingly. Having stated that, we are aware that sometimes there are circumstances in which you have to leave a little early on the last day of the course. Please let the instructor know during the course and put your sign out time on our forms. We may need to adjust education credits and will do this on a case by case basis.

Will there be a printed course manual or workbook?

Pelvic Guru does not print workbooks or course manuals for our in-person courses. All attendees will receive slides and any additional materials from the instructor prior to the course. If desired, attendees can print these and bring along to class or bring a laptop, tablet, or mobile device to follow along and take notes.

Is it okay if I use a breast pump during class?

Yes. We cannot guarantee a private room for use of a breast pump, but we can assure you that use of your breast pump is supported at any time during a Pelvic Guru course

If you have additional questions, please contact courses@pelvicguru.comfor more information.

The hotels listed below are 10 minutes from the airport on the west side of Asheville (within 2 miles of the Saturday night event that will be included in this course for those who want to attend). The clinic where the course will be is 20 minutes west of the hotels. There will be a carpooling document sent out to you prior to the course so rides can be coordinated if needed. The hotels listed are all within 0.5 miles. Sleep Inn and Country Inn & Suites have adjoining parking lots and are on a road that is not as busy. I’d recommend those two first.

The Saturday night event is currently scheduled for 7-9pm at Upcountry Brewing on Haywood Road in West Asheville. Dinner and drinks are available for purchase. The event will be an informal panel discussion about therapeutic uses of kink and BDSM.


Asheville Regional Airport


Sleep Inn Asheville – Biltmore West

Country Inn & Suites by Radisson, Asheville West

Comfort Inn Biltmore West

Holiday Inn Asheville – Biltmore West

We need locations that meet the following requirements:

  • Within 30 minutes of a major airport
  • Have hotels close by
  • Be able to host 30-40 people
  • Have about 15 treatment tables available for pelvic courses.
  • Have space for a yoga class of 30 people for Low Pressure Fitness
  • Have access to a CrossFit box that wants to host for Female Athlete

Meet these requirements? Fill out the form HERE. Let us know what courses you’d like to host!

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July 20, 2019, 8:00 am EDT
July 21, 2019, 5:00 pm EDT
$457 – $557
Event Category:


Haywood Regional Medical Center
75 Leroy George Dr.
Clyde, NC 28721 United States
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