Your body. Your story. Your care — affirmed. Always.
Gender-Affirming Pelvic Health Care
At Next Level Therapy, we know that gender-affirming care is more than medical support — it’s about being seen, respected, and cared for as your full self. Pelvic health therapy should never add to the stress or vulnerability of your journey. Here, you’ll find a space where your identity is honored, your voice matters, and your goals guide every step.
Why Pelvic Floor Therapy for
Transgender and Nonbinary Individuals?
Gender-affirming care often includes unique experiences — whether it’s navigating hormone therapy, preparing for or healing after gender-affirming surgery, or managing changes that come with tucking, binding, or long-term stress on the body.
Pelvic floor therapy can play a vital role before and after surgery to support your comfort, recovery, and overall well-being:
Pre-Surgical Prehab
Strengthening and coordinating your pelvic floor muscles before surgery can help reduce complications, improve healing, and make post-op recovery smoother. Prehab often includes breathwork, gentle strengthening, and learning how to relax muscles that might otherwise hold unnecessary tension. We’ll also talk through positioning, movement strategies, and self-care tools you can use right away after surgery.
Post-Surgical Recovery
Whether you’re healing from vaginoplasty, phalloplasty, metoidioplasty, hysterectomy, or another procedure, pelvic therapy can support scar tissue mobility, ease muscle tightness, and improve comfort with sitting, walking, or daily movement.
Chest & Core Health
Long-term binding/tucking isn’t something you just have to “live with.” We use a combination of gentle manual therapy, scar tissue mobilization, and relaxation techniques to ease nerve sensitivity and reduce muscle tightness. These approaches don’t just target symptoms — they help your body find new patterns of movement, release tension, and restore comfort. The goal is always to give you practical tools and relief you can feel, both in and out of the clinic.
Hormonal & Muscular Changes
Whether you’re on hormone therapy, preparing for surgery, or navigating the natural changes that come with living in your body, we’re here to support you. Pelvic health can be deeply impacted by gender-affirming care, and you deserve a safe space to understand, heal, and thrive. Together, we’ll look at how these changes affect your pelvic floor, address any challenges that come up, and create a plan that keeps you comfortable, confident, and connected to your body — in a way that honors your identity and your goals.
Pain Management & Sensation Changes
Many trans and nonbinary individuals experience changes in sensation, discomfort, or nerve-related challenges after gender-affirming surgery — and that can feel overwhelming or isolating. You deserve support in this healing process. We work with you to gently improve body awareness, decrease pain, and restore comfort. Whether it’s navigating scar tissue, calming nerve sensitivity, or rebuilding function, our goal is to help you feel at home in your body again — with care that honors your identity, your journey, and your goals.
Scar Tissue & Soft Tissue Mobility
Gender-affirming surgeries are powerful steps toward living in alignment with yourself, but recovery can come with challenges like scar tissue, tightness, or changes in tissue mobility. At Next Level Therapy, we use gentle, effective techniques to support healing, ease restrictions, and restore comfort. Our approach not only helps your body move and feel better, but also honors the significance of your journey — creating space for you to reconnect with your body in ways that feel safe, affirming, and empowering.
Pelvic Floor Health
Your pelvic floor is part of your deep core system — which includes your breath, abdominal wall, and back muscles. When these areas are out of sync, it can impact stability, balance, and even how grounded you feel in your body. Through breathwork, gentle strengthening, and posture training, we help you reconnect with that system so it supports you in daily life. The result isn’t just better stability and strength — it’s a way to feel more at home and more confident in your body.
Sexual Health
Your sexual health and comfort matter — full stop. Pain with intimacy can show up in many ways, whether from scar tissue, muscle tension, or even just feeling disconnected from your body after big changes. We take a whole-person approach, combining education, gentle pelvic floor work, and movement strategies to help reduce pain and increase comfort. Just as importantly, we create a safe, affirming space to talk openly about your goals and your experience. Together, we’ll work toward helping intimacy feel good again — on your terms, in your body, and in a way that supports your confidence.
Changes from surgery, hormones, or even years of holding tension in your pelvic floor can affect the way your bladder and bowels work. If you’re dealing with leakage, urgency, constipation, or difficulty starting/stopping, know that it’s not your fault — and it’s not “just how it has to be.” Through coordination training, gentle retraining of the muscles, and strategies for daily life, we’ll help you build confidence in how your body functions, so bathroom trips feel less stressful and more predictable.
Bladder & Bowel Function
Inclusive, Trauma-Informed Care
We understand that medical spaces haven’t always felt safe for trans and nonbinary people. At Next Level, your session is about collaboration. Nothing happens without your consent. We’ll move at your pace, discuss options openly, and respect your boundaries every step of the way.
Your Body, Your Comfort
We know that talking about pelvic health can feel deeply vulnerable — especially in medical spaces where affirming care has not always been the norm. At Next Level Therapy, Lisa is committed to changing that. As a fierce ally of the LGBTQIA+ community, she creates an environment where your identity is respected, your voice matters, and your care is guided by compassion and collaboration.
Here’s what that looks like in practice:
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Using language that honors and aligns with your identity.
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Explaining every step of care before assessments or treatments so you feel informed and in control.
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Offering modifications that prioritize your boundaries and comfort.
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Holding space for your story in a judgment-free, validating environment.
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Lisa believes everyone deserves trauma-informed, affirming pelvic health care — and she advocates for that both in her clinic and by educating other providers. You deserve to feel safe, supported, and empowered on your healthcare journey, and she’s here to walk beside you every step of the way.
Resources & Additional Support
At Next Level Therapy, we recognize that gender-affirming care is about so much more than pelvic health. While our specialty is helping you heal, strengthen, and reconnect with your body, Lisa is also committed to ensuring you feel supported in every part of your journey. That’s why we connect our clients with trusted resources, including:
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LGBTQIA+ health organizations and community support networks.
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Mental health providers experienced in gender-affirming care.
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Surgeons and medical providers specializing in affirming procedures.
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Practical guides for navigating post-op recovery and self-care with confidence.
Lisa’s goal is not just to provide pelvic health therapy, but to advocate for your whole self, making sure you have the tools, care, and community you deserve. If you’re looking for more information, she’s here to guide you toward resources that truly align with your needs.
Your next step toward healing starts here.
Prioritizing your pelvic health should feel empowering, never overwhelming. At Next Level Therapy, you’ll find a safe, affirming space where your story matters and your goals come first. Whether you’re preparing for surgery, seeking support for pelvic health concerns, or simply curious about what care could look like for you, we’re here to walk beside you every step of the way.
You deserve care that sees you, affirms you, and helps you feel at home in your body no matter what stage of your transition you're in.
LGBTQ+ Support & Resources in Ohio
You deserve affirming care. Always.
🌈Affirming Resources for the LGBTQIA+ Community🌈
At Next Level Therapy, you’re not just a patient — you’re a whole person who deserves care that affirms who you are.
Lisa Loveless is a fierce ally of the LGBTQIA+ community, deeply committed to making sure you are seen, respected, and supported in every part of your health journey. She not only provides trauma-informed, gender-affirming pelvic floor therapy directly to clients, but also advocates and educates other providers on the importance of affirming care. Her mission is clear: to ensure that every individual has access to safe, compassionate, and respectful healthcare.
Because affirming care goes beyond the therapy room, Lisa has pulled together a list of trusted resources to help you connect with providers, support networks, and organizations that understand and respect your identity.
Healthcare & Mental Health
LGBTQ+-affirming providers, clinics, and therapists who understand your unique needs.
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Cleveland Clinic Center for LGBTQ+ Care
Comprehensive, compassionate gender-affirming care.
• Avon – Richard E. Jacobs Health Center, 3100 Cleveland Clinic Blvd. Avon, OH 44011
• Lakewood Family Health Center, 14601 Detroit Ave. Lakewood, OH 44107 -
Equitas Health
Primary care, gender-affirming care, HIV services, and mental health support across Ohio. -
Planned Parenthood of Greater Ohio
LGBTQ+ healthcare, hormone therapy, and sexual health services. -
The Trevor Project
Crisis support and counseling for LGBTQ+ youth (text, chat, or phone). -
TransOhio
Resources and referrals to affirming providers.
📧 TransOhio@transohio.org | 📍 P.O. Box 18272 Cleveland, OH 44118
Community & Support Groups
Safe spaces to connect, belong, and be supported.
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B. Riley House – LGBTQ+ & Ally inpatient services, PHP, IOP, peer recovery.
📧 Intake@brileysoberhome.org | 📞 216-417-4831 -
Studio West 117 – A whole neighborhood of inclusive and affirming spaces.
📍 1384 Hird Ave, Lakewood, OH 44107 | 📞 216-712-6687 -
A Place for Us – Senior apartments for LGBTQ+ affirming living.
📍 11610 Madison Ave, Cleveland, OH 44102 | 📞 (844) 329-9215 -
Colors+ – A youth center providing safe, affirming support.
📧 info@colorsplus.org | 📞 216-200-8426
📍 21430 Lorain Road, Suite 400 Fairview Park, OH 44126 -
Kaleidoscope Youth Center – Programs and support for LGBTQ+ youth ages 12–24.
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LGBT Community Center of Greater Cleveland – Groups, youth programs, mental health services.
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Stonewall Columbus – Advocacy, social events, and LGBTQ+ resources.
Legal & Advocacy
Know your rights. Access the support you deserve.
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Equality Ohio – Legal help for LGBTQ+ discrimination & policy advocacy.
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TransOhio Name Change Program – Help with legal name and gender marker changes.
Crisis Hotlines & Immediate Support
If you need urgent support, these organizations are here for you 24/7.
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Trevor Lifeline – Call 1-866-488-7386 or text START to 678678
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Trans Lifeline – Call 877-565-8860 (peer support from trans volunteers)
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Crisis Text Line – Text HOME to 741741
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Ohio Domestic Violence Network – Call 800-934-9840
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Northeast Ohio Coalition for the Homeless (NEOCH) – LGBTQ+ affirming homeless services: street outreach, resources, & advocacy.
neoch@neoch.org | 216-432-0540 | 3631 Perkins Ave, Suite 3A-3, Cleveland, OH 44114
You Deserve Care That Affirms You
Finding the right care can feel overwhelming, but you don’t have to do it alone. Lisa and the team at Next Level Therapy are here to connect you with affirming resources, compassionate care, and a community that has your back.
You deserve care that truly sees you.
Whether you’re preparing for surgery, healing post-op, navigating hormones, or just wondering if pelvic floor therapy could help—you don’t have to figure it out alone.
At Next Level Therapy, Lisa provides a safe, affirming space where your identity is respected and your concerns are heard. She’ll meet you exactly where you are, with care that centers your body, your boundaries, and your goals.
Ready to take the next step? Book your session today and begin your journey toward comfort, confidence, and connection with your body.
Not ready to schedule? That’s okay. Start with a free consult call with Lisa—a chance to ask questions, share your story, and learn how affirming therapy can support you.
Our Certifications Include:
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