Let’s Talk Gender S2E7: Living in the World as a Nonbinary Person

Hi everyone. Welcome back to Let’s Talk Gender.

This episode is about living in the world as a nonbinary person including what ‘passing’ means for nonbinary people, navigating public washrooms, going to the gym, and how a nonbinary perspective can influence how you interpret other aspects of society. 

PASSING AS NONBINARY

Passing typically refers to the idea of ‘blending in’ with one of the binary genders, or being consistently recognized as the gender you identify as (assuming it’s one of the binary options). In Western society, we are trained to categorize everyone as male or female as quickly as possible because we learn from a young age that this is a vital piece of information that we need in order to interact with people. Since ‘nonbinary’ isn’t a gender that people assign to strangers, passing doesn’t exist in the same way for nonbinary people

Some varieties of passing that might apply to nonbinary people are being read as female in one situation and male in the next, or causing confusion and hesitation when the cues they typically use to gender you are conflicting.

I have found that some of these cues are stronger than others. Voice is one of the strongest. Luckily it doesn’t come into play until you interact with someone but this can be very frustrating over the phone, radio, or at a drive through. Another strong one is whether you have a curved or flat chest. There is some variability to this one depending on body size and structure but a chest that is curved or rounded, as when pushed up by a bra, is, in my experience, exclusively read as female where a flatter chest does not signal male nearly as strongly. On the flip side, having facial hair strongly signifies male, especially if it is darker, thicker, and more widespread, whereas having no facial hair does not necessarily signify female. A slightly less strong cue is bone structure, particularly of the face, presence of an Adam’s apple, a person’s stature, and shoulder to hip ratio. And lastly, clothing and hairstyle can have a significant effect from farther away but are easily overridden by the other cues above. 

I don’t mean to list these as a way to trigger dysphoria in anyone. It’s more a way of expressing my frustration that society is so hung up on these aspects of how we look and present that they can completely hijack a stranger’s brain into categorizing us a certain way regardless of our efforts to flag our gender. 

I also think about the list of cues above as a guideline of how to mess with the gendering system in other people’s brains. If I avoid the cues that have a stronger effect in either direction by flattening my chest, speaking in the lower range of my voice, wearing clothes that look boxier, and keep my hair short, maybe I will have a stronger effect. Or for someone else, this may look like having facial hair, wearing more feminine clothes, and maybe even a padded bra or breast forms. 

Unfortunately, if you can’t be easily categorized into male or female, you tend to stand out and draw attention to yourself. Always feeling like you stand out just for being who you are can be exhausting and often we end up compromising our personal comfort in order to blend in, even if just temporarily. This can be for safety reasons or to have one day where we don’t get second glances, stares, and looks of confusion. Some days I’m able to reframe the double takes as a positive thing, that who I am is showing through and challenging their binary views of gender, but most of the time it just feels like unwanted negative attention. 

ASSUMED CIS

Passing is usually referred to in a way that makes it sound like trans people are attempting to hide i.e. be ‘stealth’, trying to trick cis people, or frames passing as the goal of transitioning. These perspectives can be very toxic to lots of people, but especially nonbinary people. 

Instead of using the term ‘passing’ to mean ‘being identified by stranges in alignment with my identity’, which doesn’t feel like it will ever apply to me, I prefer to use the term ‘assumed’. Most of the time, I am assumed to be female by strangers, acquaintances, co-workers, really anyone I’m not out to. There has been the occasional time when I was assumed male and got called sir. One of these times they ‘corrected’ themself and changed it to ma’am when I turned around and spoke. The other time I was so surprised, in a good way, that I couldn’t remember my breakfast order and my husband ordered for me while trying not to laugh at my deer-in-the-headlights reaction. 

Anyway, I much prefer the term ‘assumed’ to ‘passing’. Not only does it relate much more strongly to my experience as a nonbinary person, but it also assigns the action to the stranger rather than to me. This is also much more accurate to my experience. I am living my life, presenting and interacting however is most comfortable for me and it is the people around me who are assuming that I am a cis woman. 

PUBLIC GENDERED BATHROOMS

There are some specific situations where not blending in with either binary gender can make life a lot more difficult. Namely, public gendered bathrooms and gym changing rooms. Let’s start with bathrooms.

When it comes to using a binary gendered public washroom, I have a few different options. Choosing either binary gendered washroom comes with the psychological impact of having to misgender myself in order to use the bathroom. I can use the bathroom I’m guessing that most people are assuming is in alignment with my gender regardless of how I’m feeling (usually the women’s which is lucky because it has a lower safety risk). I can use the bathroom that most closely aligns with my gender at that time to minimize the psychological cost (but if this happens to be the male bathroom I am trading the psychological cost for a much higher safety risk). Or I can avoid going to the bathroom until I have access to a gender neutral, all-gender, or non-gendered washroom with the increased risk of getting a UTI if this becomes a regular occurrence. When I’m out, having a friend to go to the washroom with can help protect against the safety risk posed by strangers but it doesn’t take away the impact of having to misgender myself in order to use the bathroom. 

As you can see, none of these options is great. But it has led to me making note of every business I come across that has non-gendered washrooms. 

GOING TO THE GYM AND OTHER PHYSICAL ACTIVITY

Going to the gym includes a few different things I want to talk about. The first is the changeroom situation. This closely mirrors the things I talked about related to public washrooms but with a few extra points. We aren’t just using a stall at the gym, we’re actually getting changed, often in view of strangers. This can be terrifying for anyone who’s body doesn’t fit the gendered expectations associated with the space they’re in. Getting changed is also often a trigger of dysphoria for lots of trans and nonbinary people. So overall, this experience sucks. 

On the plus side, most change rooms include bathroom stalls or changing stalls. This added privacy can definitely help with the safety risk. There are also often family change rooms that are single use. I know it feels weird to use those as a single person (maybe this is one of the random benefits of being a parent as a nonbinary or trans person?). I’ve done it when my dysphoria was too bad to feel comfortable using the women’s change room (and there’s no way I look like I belong in the men’s). It feels like everyone is watching you and judging you for using the one family change room as a single person but I know it’s what I need to do sometimes so I change as fast as I can and try to ignore the feelings of guilt. 

Then there’s the working out part of going to the gym. Let’s ignore for a minute that there’s a global pandemic and lots of areas have gyms closed or many of us are choosing to work out at home instead. Some of this will still apply. 

Gyms often have at least one wall made of mirrors. This sucks for a lot of people with dysphoria. Though I have found that sometimes, if my dysphoria is mostly social in nature rather than physical, seeing my body do something strong and personal and gender-affirming can actually help mitigate dysphoria or increase euphoria. 

The physical activity involved in working out can have lots of positive effects on our bodies in terms of endorphins, health, mood, energy level, and a sense of control over our physical being that we often feel so at odds with. All of these things can help improve our resilience and resistance to the negative effects of dysphoria. Unfortunately, with the nature of lots of types of physical activity, we can’t use some of our dysphoria management strategies such as binding, tucking, or packing. And feeling parts of our body move around that we don’t feel should be there in the first place can make certain types of physical activity a strong trigger of dysphoria.

Luckily there are lots of different types of physical activity to choose from. And that’s the last part of going to the gym, or in this case, even working out at home, that I wanted to talk about. For me, different types of physical activity feel more or less affirming depending on how my gender feels at the time. Whether it’s social conditioning or something inherent in the types of movement and how they feel in my body, stretching, Pilates, and low impact or endurance cardio feel more feminine to me, kickboxing and Thai chi feel more neutral, and weight lifting and higher intensity cardio feel more masculine. I can choose the type of activity that feels most in alignment with my gender at the time or I can choose a type of activity that will temporarily make me feel a different aspect of my gender to increase my sense of balance. 

THE POWER OF A NONBINARY PERSPECTIVE

Discovering you are nonbinary starts with questioning the gender binary. But living as a nonbinary person and challenging the gender binary on a daily basis also gives you the skills and awareness to recognize other binary situations and systems that you are uniquely equipped to navigate in a new way. 

For example, we have the saying ‘there are two sides to every story’. But what about a third or fourth interpretation? What about recognizing that those two sides overlap? What if neither side is wholly correct or wholly incorrect? 

In divisive politics and crisis situations, there is often a rhetoric of ‘you are either for us or against us’ or there being a ‘right way’ and a ‘wrong way’ to react to a situation. A perspective derived from a nonbinary view of gender teaches us that there is lots of space for middle ground, other options, and nuance. 

And lastly, when it comes to emotions, we often struggle with so called ‘conflicting’ emotions – grief and gratitude, love and anger, excitement and frustration, relief and shame. We often express these emotions by saying something like ‘I’m so excited to get my new ID but it’s taking forever!’ or ‘I will really miss my grandmother but I’m glad she’s in a better place’. We use the word ‘but’ between concepts that feel like they conflict because the two can’t possibly exist in the same space at the same time. This would be equivalent to me describing my gender by saying ‘I’m female but I’m also male.’ Instead, what I say and what feels true for me is ‘I’m both female and male.’ Applying a nonbinary perspective to conflicting emotions teaches us that just because these emotions are different from each other does not mean they are in opposition, in conflict, or are mutually exclusive. Just as various experiences of gender can exist in the same person at the same time, so can various emotions. Try listening for the times when you use the word ‘but’ and switch it out for the word ‘and’. You might be surprised by how this little change in phrasing makes the experience you are describing feel more whole and valid. 

REACH OUT!

If you have other thoughts on how being nonbinary has influenced your perspective on the world or you’re struggling with the day to day experience of living as a nonbinary person, send me an email at letstalkgenderpodcast@gmail.com. I’d love to hear from you and help if I can, or connect you to other resources. You are not alone. 


That’s it for Episode 7 of Season 2 of Let’s Talk Gender.

The music for this podcast is by Jamie Price. You can find them at Must Be Tuesday or on iTunes.

Coming up in Episode 8 I will be talking about pregnancy and parenting as a nonbinary person including navigating the incredibly gendered world of fertility and pregnancy, the physical experience of being pregnant, and my thoughts as I look ahead to parenting.

Talk to you soon.


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Let’s Talk Gender S2E3: Nonbinary Gender Presentation and Expression

Hi Everyone. Welcome back to Let’s Talk Gender. 

This episode is about nonbinary gender presentation and expression and how to figure out what works for you. 

EXPLORING MY GENDER PRESENTATION AND EXPRESSION

I think of presentation as things people would see in a picture – clothes, hair style, makeup, facial hair, accessories. Expression is everything else – behaviours, voice, how you walk, gesture, and move, conversation style, word choice.

As I was raised female and I am generally identified as a woman by strangers, I started by adopting a more masculine clothing style. I did this before I even knew it was a gender thing. This was a fairly low risk change in presentation because it is acceptable for women to dress more masculine in my social culture. However, the same is not true for someone who is typically identified as a man by strangers who wants to dress more femininely. For that person, a change in clothing might come much later in the process of exploring presentation and expression.

Body hair was another aspect of my appearance that I figured out fairly early on. I was never comfortable with shaving my legs and intermittently comfortable with shaving under my arms. So I followed my instincts with those, again, well before knowing it was even a gender thing. 

I have never had facial hair and haven’t experimented with it since I never felt like I wanted any though I have been thinking more about it lately and might try some experiments with makeup in the future. 

My hairstyle was next. I had always had longer hair but kept it tied back. I cut it shorter for cuts for cancer one year and loved it. I never went back to having full long hair but didn’t have the guts to keep it short either. Then the undercut style came into fashion which was prefect for me – the one time I actually wanted to follow along with a fashion trend! I slowly went from an undercut to a side cut, to just cutting the whole thing short. This was the single most euphoric thing I have done in terms of presentation. Even now, about two years later, every time I get a haircut it feels great. 

As someone who has breasts, I also wanted to try a binder. Having experienced my husband using a binder during his transition, I already knew that I would love how this looked and felt. Unfortunately due to a medical condition, I can’t wear it for very long or for more than two days in a row but this usually suits me fine as my gender fluctuates somewhat and usually doesn’t stay in the ‘male’ range for very long. I have since experimented with Trans Tape as well which definitely has a learning curve but on the third try I got a good result that I was comfortable with and will definitely keep it as an option in the future.

I have also experimented with wearing a small packer. This is something that was especially terrifying in public but I have come to realize that it is much more noticeable to me than to anyone else. So I mostly do it for the feel rather than the look. I find it particularly useful when I can’t wear my binder due to pain or length of time before I’ll have a chance to change, but I’m feeling more male and have moderate physical dysphoria. 

In terms of expression, I always naturally had a more neutral or masculine interaction style and didn’t have to work particularly hard to get rid of the more feminine mannerisms. However, I have noticed this to be more of a struggle for some nonbinary people, especially those who were socialized male. Often we are unaware of which of our mannerisms are being read as masculine or feminine by those around us until it is pointed out so if changing your expression is important to you, I recommend finding a trusted friend who is typically read by strangers the way you want to be read and have them give you feedback on your behvaiours, mannerisms, and conversation style. 

One aspect of expression I did specifically work on (and am still conscious of) is the pitch of my voice. As I’ve mentioned before on this podcast, when my husband’s voice lowered when he started taking testosterone, my voice sounded high in comparison. I worked at lowering the range of my voice and speaking in the lower part of my range until it became natural. Luckily I did have some singing training so I had lots of exercises that I knew how to do to strengthen or change the range of my voice. But if you don’t have this type of training you can definitely look up apps that will take you through these exercises.

I also became more conscious of how much I was apologizing and how often I would move over on a sidewalk or in a hallway, especially if a man was walking towards me and tried to avoid doing these things if they were unnecessary and simply a programmed reaction from being socialized female. 

THERE ARE NO RULES

The practical aspects of what you want to change about your gender presentation and expression and how you explore that are going to be different for everyone.

When I was looking for ideas of what to try that might feel good for me, I found Instagram to be very helpful. I followed nonbinary hashtags and found people to follow who had a look that I wanted to emulate. 

Remember there are no rules when it comes to nonbinary presentation and identity, despite what the media tells us. Nonbinary does not equal young, thin, white, assigned female at birth. Nonbinary presentation does not have to equal androgyny.

There is no such thing as ‘presenting as nonbinary’. Presentation and identity are two separate things. Do what feels right for you. 

HOW TO EXPLORE YOUR PRESENTATION AND EXPRESSION

But how do you figure out what feels right for you when the options are limitless? I’ll talk you through a step-by-step approach that we used during my husband’s transition and I used to experiment with some aspects for myself. 

Start by making a list of everything you can think of that you want to try. The questionnaire from Dara’s book that I talked about in Episode 2 helped me out with this a lot. Try to break it down as much as possible into small pieces. For example, say you want to try wearing nail polish. Clear nail polish is much more subtle than a brightly coloured one and black nail polish generally signals something different again. So if wearing a bright colour seems too scary or obvious, maybe add ‘wear clear nail polish’ to the list and start there. 

Next, make a hierarchical list of environments including a variety of places and the people you would be around from most safe to least safe or most scary for you. This can include at home by yourself, at home with your partner or family, at a trusted friend’s house, out in public with a trusted friend or your partner, at work, around extended family, etc. 

For each thing on the list, match it up with an environment that you would feel ok trying it in first off. Some of the more covert things might feel fine to do in public right from the start where some of the things on your list you might need to start by trying it in your most secure environment on the list. 

As you’ve probably guessed, the next step is to start trying things. Start with something that doesn’t feel too scary to you and slowly work your way through your list. 

First, I recommend trying each thing separately and later you can try combining parts of your presentation to see if that changes how you feel about a particular aspect. So for example, if you didn’t like wearing a skirt, that didn’t feel very good to you, later on, try wearing a skirt but with a more masculine top, or after you’ve cut your hair short, or while you have facial hair. Maybe the skirt will feel different in that context.

Once you’ve tried a few things in safe environments and figured out what you like, start trying them in the next environment down the list. 

This type of practical experimentation can feel exhilarating. It is scary but also euphoric. Sometimes it’s uncomfortable and exhausting. Whichever way each experiment goes, it is definitely emotionally draining. So make sure you have a good self-care strategy in place for before, during, or after if needed. This can be a phone call check in scheduled with a trusted friend, meditation or journaling about the experience, making yourself your favourite meal afterwards, whatever works for you. 

As you figure out what you like, what feels authentic, and what is comfortable even if it’s too scary to do in public just yet, keep adjusting and adding to your list. Start looking for interesting combinations to try or something you had rejected a long time ago, before even becoming aware of your gender identity. 

For me, this was trying on a dress for the first time since high school prom.

PERSONAL EXAMPLE: WEARING A DRESS

I had this dress in my closet that my sister had given me that I really liked.

I was expecting to feel very uncomfortable and dysphoric when I put it on so I collected a bunch of my more masculine jewelry and a leather bomber jacket to wear over top. I also made sure I was home alone and would have some personal time afterwards if I needed it. 

I brought everything to a room of the house that didn’t have any mirrors. And then I tried on the dress. At first it did feel uncomfortable. So I put on my jacket over top. That felt enough better that I wanted to take a picture of myself to see what I looked like. To my surprise and encouragement, I looked like my nonbinary self in a dress. I didn’t look like a woman I didn’t recognize. I had this irrational image in my mind that as soon as I put on the dress I would all of a sudden have long hair again, I would maybe have makeup on… Obviously, none of that happened. I still had short hair. I still looked like myself.

So I stepped out into the hall to see myself in a mirror. I spun in a circle and played with the skirt of the dress. I took off my jacket and looked at myself again. Yup, still nonbinary. 

While this experiment was a success in terms of turning out to be affirming and decreasing my fear of trying something, I still wouldn’t choose to wear a dress in public because of what it would signal to others. While I still saw myself and felt like my typical nonbinary self, it’s unlikely that strangers would when they read me as female when I’m wearing my most masculine clothes. 

But maybe, some day, I will feel comfortable going out in public wearing a long flowy skirt and a button up shirt with a binder or tape on and my leather bomber jacket on top. 

MANY REASONS FOR CHANGING YOUR PRESENTATION

There are lots of different reasons for presenting in different ways. Making yourself feel as comfortable in your own skin as possible is one of them. 

Safety is another one. Maybe it’s not safe for you to outwardly present in the way that would be most comfortable due to the threat of physical violence or the risk of losing your job, housing, or other forms of support and stability. In this case, you may choose to present in a way that blends in and find subtle or covert ways to present differently such as having your legs shaved or unshaved and wearing long pants most of the time, or wearing a more gender affirming style of underwear. Cutting or growing out your hair can also be less of a flag for people as it is much less tied to gender than many other aspects of presentation. 

Another reason to alter your presentation may be for social attention or visibility, or so we can be more easily identified as queer to others in the community. 

And sometimes we want to influence how people perceive us so they interact with us differently. I’ve noticed that people are less likely to interact with me in a feminine way or expect me to interact in a feminine way if I’m presenting more masculinely. This can help a lot with social dysphoria. I have definitely had days where I didn’t have a lot of physical dysphoria around my chest but I wanted to get people to interact with me as though I was male as much as possible so I wore a binder anyway. 

NONBINARY PRESENTATION IS LIMITLESS

Unfortunately, in the binary society we live in, strangers will always try to categorize us as either male or female. For this reason, there really isn’t such a thing as ‘passing’ as nonbinary. The closest thing I have seen would be making people confused or hesitate, or passing as male in one situation and female the next. 

Some people may find this inability to be recognized as who they are frustrating. Sometimes I do too. But I also find it liberating. If the goal isn’t to ‘pass’ as either male or female, you can do what you want. There are so many varieties of nonbinary presentations that I have seen. 

There’s something like me which is kind of androgynous, kind of masculine some days. I like wearing more fitted tank tops with more baggy bottoms, that type of thing.

There’s having a flat chest (either due to not having grown breasts, having had top surgery, or wearing a binder or tape) and wearing more feminine clothes and makeup.

There’s having a full beard (either due to having a body that naturally produces testosterone, taking testosterone as HRT, or wearing a fake beard or makeup) and then also wearing a dress at the same time.

You can present differently day to day or find something that is fairly consistent. 

You can take hormones to alter your presentation and expression in certain ways and then counteract some of the effects if they’re not for you such as wearing a binder or getting top surgery after taking estrogen or getting electrolysis to remove facial hair after taking testosterone. 

If you’re afraid of what a more permanent change might mean, look at both types of typical binary transition as well as nonbinary presentations. Maybe following a more typical binary transition will actually work for you. That doesn’t mean you are any less nonbinary (unless you decide for yourself that that label no longer fits). 

There are no rules. Don’t let anyone tell you differently. If you’re feeling lost, send me an email at letstalkgenderpodcast@gmail.com. I will try to help you connect with others that share your experiences or just be a sounding board if you need someone to listen. You are not alone. 


That’s it for Episode 3 of season 2 of Let’s talk gender. Among the resources for this episode are two blog posts I did on wearing a binder – the first one on physiological effects and the second on recommendations and exercises you can do to minimize these effects so check those out if you or someone you know wears a binder.

The music for this podcast is by Jamie Price. You can find them at Must Be Tuesday or on iTunes.

Coming up in Episode 4 I will be talking about how to navigate names, pronouns, and other language as a nonbinary person. As other nonbinary people will attest, there is way more gendered language out there than you realize! Talk to you soon.


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Wearing a Binder: Recommendations and Exercises

If you haven’t read it yet, check out Wearing a Binder: Physiological Effects. I will refer to the same areas of the body and some of those effects in this post.

GENERAL RECOMMENDATIONS

  • Try to wear it as short a time as possible. Most recommendations state no longer than 8 hours but if you work 8 or 10 or 12 hour days, that just isn’t possible. Just know that the longer you wear it, the worse the above effects will be.
  • Try to wear it as few days as possible. If you have severe dysphoria and can’t leave the house without a binder on, try to have one day a week where you stick close to home so you can stay binder free. Or try other slightly less compressive options as many days of the week as possible.
  • Avoid exercise while wearing a binder. Your lungs cannot expand the way they need to during exercise which forces your heart rate to go up significantly more to compensate. Also, you will have poor spinal and shoulder mobility, causing stress and damage to other joints, muscles, and tendons.
  • Do not bind while sleeping. When we sleep we are not aware of discomfort. You could be causing damage and not know about it. Also, while you are unconscious and thus not aware of dysphoria, this is the ideal time to take a break from binding.
  • Never bind with ace bandages. The tension in the wrap can shift over time causing one layer to loosen and another to tighten beyond what is safe.

EXERCISES

Deep breathing

Benefits lungs, ribs, and pelvic floor.

For the following exercises:

  • Best done in a seated position but can be done lying on your back.
  • If you start to get light-headed, breathe normally until it clears.
  • If you have COPD, skip the first exercise and focus on breathing all your air out between each deep breath in.

Active Breathing Cycle

  • Take a deep breath
  • Hold it in for 2-3 seconds
  • Let all the air out by compressing the lungs until they are empty
  • Take a full deep breath, then breathe normally for 5 breaths
  • Repeat 3-5 times

Diaphragmatic breathing

  • Place a hand on your upper belly, just below your breastbone
  • On each breath in, take a deep breath, pushing your tummy out into your hand
  • Try to minimize the rise or widening of your chest
  • Try to only move your tummy to breathe
  • Cycle of 5 belly breaths and 3 regular breaths
  • Repeat 3-5 times

Lateral Costal Breathing

  • This one is a little harder and may take some practice
  • Place your hands on the sides of your ribs (either by bending your elbows or giving yourself a hug)
  • On each breath in, take a deep breath, trying to make your chest as wide as possible and pushing your ribs out into your hands
  • Try to minimize the rise of your chest and the expansion of your belly
  • Cycle 5 wide breaths and 3 regular breaths
  • Repeat 3-5 times

Spine and rib movements

Restores general mobility to the spine and ribs.

Thoracic Side Bending

  • In a seated position, hold on hand on your ribs at the side.
  • Bend towards that hand, bringing the other arm up and over your head.
  • Hold stretch for 10-20 seconds while breathing deeply.
  • Repeat to the other side.
  • Repeat each side 3-5 times.

Thoracic Rotation

  • In a seated position, cross your arms high on your chest so you’re grasping your shoulders.
  • Gently rotate as far as you can one way, and then slowly as far as you can the other way.
  • As you go, you should feel less resistance and be able to rotate a bit further without pain or muscle cramping.
  • Repeat 15-20 times.

Flexion and Extension

  • In a seated position, reach forward, curling your neck, shoulders, and upper back as you breathe out.
  • Take a deep breath in, opening your arms, pulling your shoulders back, and arching your upper back.
  • Complete 5 repetitions, take a break to breathe normally for 3-5 breaths, then repeat 2 more times.

Spinal Twist

  • Lie on your back on a carpet or mat with your knees bent up and your arms spread out on the floor.
  • Keeping your shoulders flat on the floor, let your knees, hips, and lower back rotate down to one side.
  • Take a deep breath in and out, then pull your knees up and rotate them the opposite direction.
  • Alternately, you can start by lying on one side and, keeping your knees on the floor, lift the top arm and rotate your shoulders across to try and get them flat on the mat and then repeat on the opposite side.
  • Repeat 5-10 times.

Neck Range of Motion

  • Tip your ear to your shoulder, roll your head down to the middle, then the opposite ear to your shoulder, and back up to the middle.
  • Breathe slowly and evenly throughout.
  • Pay attention to where you feel muscle pull. Don’t force the stretch in these areas but pause in the circle to take a full breath in and out in these areas.
  • Repeat 5-10 times, alternating direction.

Chin Tuck and Neck Extension

  • Without looking down or bending your neck forward, tilt your head to tuck your chin in (like you’re trying to create a double chin).
  • With one or both hands, grasp the back of your head and gently pull up. You should feel a stretch right at the base of your skull.
  • You can also add a bit of sideways pull.
  • Hold the stretch for 5-10 seconds. Repeat 3-5 times.

Spine mobilization

Targets the thoracic (mid) spine and posterior ribs to decrease stiffness and stretch the ligaments.

For the following exercises:

  • You will need a foam roller
  • You will be lying on your back on a carpet or mat with your knees bent up and your feet on the floor with the foam roller horizontal under your spine.
  • Only put pressure on the spine where the ribs connect to the spine, not down on the lower back or up on the neck.

Spine Rolling

  • Lift your hips of the mat so the only place of contact is your feet and the roll.
  • With your hands behind your head or crossed over your chest, gently roll up and down the roll by walking your feet along the floor while breathing deeply.
  • Spend more time in areas that feel stiff or sore.
  • Repeat 10-15 times.

Foam Roller Extension

  • Place the roll just above your bottom ribs.
  • Take a deep breath in, then slowly arch back over the roll as you breathe out. Only go as far as you are comfortable.
  • In the arched position, take a full deep breath in and arch a bit more when you breathe out.
  • Return to the start position and move the roll slightly higher on your spine. Repeat.
  • It should take 4-6 repetitions in different spots to cover your spine up to the shoulder blades.
  • Repeat the whole spine 3-5 times.

Shoulder mobility and mechanics

Shoulder and Arm Circles

  • Roll your shoulders forward, up, back, and down. Repeat 10 times.
  • Picture a clock face on your shoulder where 12 is up, 3 is forward, 9 is back, and 6 is down. Pull your shoulders into the 10:30 position. Hold them there while you raise your arms up to the sides.
  • With your shoulders stable and your thumbs pointing up, move your arms in circles from big to small and back to big. Change direction and go big to small to big again. Repeat 3-5 times.

Protraction and Retraction

  • Give yourself a hug, grasping your shoulders and pulling them forward to stretch your back. Take a deep breath in and out.
  • Pull your arms back and squeeze your shoulder blades together, stretching your chest. Take a deep breath in and out.
  • Repeat 5-10 times.

Overhead Reach with Scapular Rotation

  • Raise one arm out to the side and overhead.
  • Focus on rotating your shoulder blade so the point of your shoulder moves towards your ear.
  • Place your other hand just below your armpit. You should feel the edge of your shoulder blade push into your hand.
  • Repeat 5-10 times each side.

Don’t feel like you have to do all of these every day. Pick a few and do what is manageable. Focus on the ones that treat the area that is causing the most pain for you. The more you do them, the better.

If you have any questions, please leave me a comment and I will clarify or provide modifications. If you have any other exercises that you have found helpful, please also share those in the comments!


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Wearing a Binder: Physiological Effects

Wearing a binder is sometimes the only way that a person with dysphoria related to having breasts can leave the house. The psychological and emotional impacts of dysphoria are often worse than the physical discomfort from the binder. But that doesn’t mean we should ignore the binder’s effects on our body.

I strongly believe that the more you know about something, the more you can do to make it better.

If you are someone who wears a binder, occasionally or regularly, and just suffers through the physical discomfort in order to manage dysphoria, I’m here to tell you there are ways to make the physical pain less. I can’t guarantee the strategies I talk about will get rid of it, but they will prevent worsening and decrease the pain.

This post is not designed to scare you. It is designed to give you accurate anatomical and physiological information about the various ways a binder can affect your body. In the next post, I will give you concrete ways to minimize these effects.

Disclaimer: I am a physiotherapist and as such have a strong understanding of anatomy and physiology. I am someone who wears a binder and has experienced these effects. I have not done any scientific research on the effects of binder use nor read any scientific research on this topic. I have attended a lecture by researchers who have looked at binder use and I have talked to many trans people about their experiences.

LUNGS

Your lungs are like an upside down tree. They have a main trunk, large branches, then smaller branches, all leading to little round bubbles called alveoli. They are roughly pyramid shaped with the smallest part at the top by your collar bone and the largest part in line with the bottom of your breastbone. They are a self-cleaning organ that requires a consistent exchange of clean air to remain healthy.

When you wear a binder, your lungs cannot expand to their full capacity. The restriction is mostly in a circle around the widest part of the lungs. In order to breathe, you have to expand more through the upper parts of your lungs which are much smaller. This restricts your body’s ability to get more oxygen when exercising and can make you lightheaded. The parts of your lungs that stay closed can become sticky and develop mucus which holds and breeds bacteria. Without taking time to fully expand your lungs when you take off the binder, this could develop into a chronic cough or pneumonia.

SPINE

Your spine is made of vertebrae stacked on top of each other with discs between the bodies and many ligaments and muscles connecting them together. It has a natural inward curve in the neck, outward curve in the upper back, and inward curve in the low back. The different areas of the spine are designed to move in different ways but over all it can bend forward and back, side to side, and rotate. These large movements are created by a small amount of movement between each vertebra.

When you wear a binder, it restricts the movement in the mid spine or upper back forcing the areas above and below to compensate and move more. The areas above and below become hypermobile which can cause pain. Because of the lack of movement in the mid-spine (the section under the binder), the ligaments and muscles become tight, short, and weak which will cause stiffness and pain even when not wearing the binder.

RIBS

Your ribs connect to your spine in the back and your sternum in the front. The joints in the front are more flexible than the ones in the back. The ribs are designed to move out and up when we breathe in. They have ligaments connecting them to the spine, cartilage connecting them to the sternum, and muscles connecting them to each other.

When you are wearing a binder, your ribs are restricted and compressed. The ligaments and muscles can tighten and shorten over time, decreasing your lung capacity even when not wearing the binder. The joints at your spine stiffen up, forcing the joints at the front to move more than they should in order to expand your chest to breathe. This can cause sharp pain by the sternum, or costochondritis. If you use something other than a safe binder to bind with, wear a binder that is too small, or wear your binder too long or too often, you can also cause fractures in your ribs.

SHOULDERS

Your shoulders are designed to have a large range of motion. In order to do get your arms above shoulder height and reach above your head, the structures around the shoulder have to rotate up and out of the way. This includes the shoulder blade, collar bone, and upper ribs. When these three structures rotate up, the tip of your shoulder comes towards your ear.

When wearing a binder, there is more pressure downwards on the collar bone and compression around the ribs. There can also be tension on the skin under your arm and around your shoulder. This all causes restriction in the ability of those structures to move up and rotate when you raise your arm. This can lead to a feeling of weakness in your arm, pain at the shoulder joint from tendons being pinched, and a loss of the body’s natural mechanics, and therefore strength, for overhead movements.

PELVIC FLOOR

Your pelvic floor is made up of many different muscles that form the bottom of your abdominal and pelvic cavity. If you think of this cavity as a pop can, the diaphragm is the top and the pelvic floor is the bottom with the abdominal muscles forming the sides and your organs inside. When you take a deep breath in, your diaphragm pushes down on your abdominal organs, increasing the pressure in the abdomen and pelvis. Your abdominal muscles and pelvic floor muscles absorb this pressure by expanding slightly while maintaining their contraction.

When wearing a binder, your diaphragm is not able to flatten fully and you are unable to take a full deep breath. This means that your pelvic floor muscles do not get the regular exercise of maintaining a contraction while stretching. They become weaker, tighter, and shorter. This can lead to pelvic pain from trigger points in the muscles, pain on penetration, and sometimes incontinence.

RECOMMENDATIONS AND EXERCISES

Again, this post was not designed to scare you. In Wearing a Binder: Recommendations and Exercises, I give you concrete ways to minimize these effects – general recommendations for binder use and a variety of exercises I recommend to counteract some of the effects discussed above.


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