Grief and Gratitude

This is not the experience of pregnancy I had hoped for. Everyone hopes for an easy pregnancy with no complications for the baby and minimal difficulty for themselves. Very few people get to experience this but that doesn’t change the hope or the emotional response when it doesn’t happen.

More than anything, I want to enjoy being pregnant and be able to celebrate how my body is creating a new life. But it is hard to feel happy about the experience and excited for it to progress when my body is in constant pain as a result.

Having hopeful expectations that aren’t met causes a feeling of grief. Grief about the experience I wanted to have, grief about not being able to be present and connected to the experience the way I wanted to, and grief about not being able to engage in my everyday life the way I normally would due to being pregnant.

Grief is our way of processing and letting go of those inaccurate expectations. Ignoring grief makes it stronger, makes it have a more insidious effect on my emotional state that I cannot counteract. So I choose to acknowledge it, process it, accept it, and talk about it. Maybe there are others out there who also struggled with grief while pregnant.

But despite feelings of grief, there is not a single moment that I am not grateful to be pregnant. There is not a single moment that I regret all the time, money, and emotions we put into getting to this point. Grief and gratitude can exist at the same time and often do. One does not negate the other.

When I talk about the struggle that I am experiencing as a result of being pregnant, I often get a sympathetic reaction but I also get comments of ‘it could be worse’ or ‘just be grateful you were able to get pregnant’ or ‘just wait, it’ll be even harder once the kid is born’. These comments are often accompanied by stories of terrible pregnancy symptoms, struggles with infertility or miscarriage, and comparisons between pregnancy and life with a newborn. While these are likely true stories, they do not often relate directly to my experience in a way that will help me cope or prepare for the future, nor do they acknowledge or hold space for my grief.

So next time you ask someone how they are doing, whether because they are pregnant or because of other difficult situations (of which there are so very many in the world at the moment), try to hear the emotion embedded in their experience and connect with that rather than the situation on the surface. You may have experienced a similar situation but had a very different emotional experience with it that will not resonate or provide support for the person you are talking to. But if you can relate with a story that shares the same emotional experience even if it was a completely different set of circumstances, this will be much more supportive and powerful.

Emotions are complex. Many conflicting emotions can exist at once within each person. Just because I am grieving certain aspects of this pregnancy experience does not mean I am not grateful for every part of it at the same time. And that is perfectly fine.


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Second Trimester Part 1

GENDER

I have stayed close to the middle of the gender spectrum over the past few months with some fluctuations towards the female side. This has made me feel balanced and stable within my gender, much more so than last time (see Pregnancy, Miscarriage, and Gender).

But as I predicted, dysphoria has definitely gotten worse since telling people I’m pregnant and starting to show. The belly is not really an issue though it is the thing that people use to identify me as pregnant and then start treating me more femininely. Referring to my belly or the fact that I’m pregnant with typically feminine terms definitely increases my social dysphoria and feelings of invisibility.

Worse than the belly is the bra shopping and maternity clothes. Nothing makes top dysphoria worse than your breasts out-growing your bras every couple months. Unfortunately, I have some swelling that could get significantly worse with taping and rib pain that makes binding impossible.

I’m sure both physical and social dysphoria will get worse as I get closer to my due date. Unfortunately, with this social distancing we are all living with at the moment (due to COVID-19), I have less access to the various forms of support I’ve be building for myself over the last nine months (various queer discussion and support groups in my area and a bi-monthly queer games group).

PREGNANCY SYMPTOMS

I have considerably more energy than I did at the end of the first trimester. I have just started getting heartburn. So far I don’t have any swelling in my legs though I have been congested in the evenings and overnight for a few weeks.

Mostly, my joint pain has gotten considerably worse. For most pregnant people, this is a symptom that comes on later in pregnancy with the increased weight and change in posture. But for people with underlying inflammatory or connective tissue disorders/conditions, their symptoms can get considerably worse earlier on in pregnancy. This has been the case for me.

As of mid-March, I have been using a walker when out of the house. Most of the time I can walk around the house without a cane but sometimes I need it in the evenings. I have rib and neck pain, my knees ache, and my wrists, elbows, and shoulders are slowly getting worse the more I have to rely on them to support me when I’m walking.

Needless to say, my role at work has changed and my ability to contribute to household chores has decreased significantly in the last few weeks. I am trying to find creative ways to do things or shift roles to ones I can manage easier even if it’s not something I typically enjoy doing.

The lack of mobility is frustrating but feeling useless or like I’m just getting in the way is worse. I don’t mind having to use gait aids (it is part of my job to encourage people who would benefit from them to use them) but it is hard to deal with the reason I need the walker or cane – the constant but fluctuating pain. Looking ahead to another six months of this as it slowly gets worse is extremely difficult.

I am trying to stay positive and say ‘at least it’s for a good cause’ and ‘at least I know it will have an end point’ but I’d like to be able to enjoy the process of being pregnant, at least a little bit. Maybe once I am consistently feeling the baby move and able to share that with my husband I will feel more connected to the positive side of this process.

For now, I will keep taking it one day at a time, do the best I can, and take breaks when I need to.


How did your experience of your gender change as your body changed with pregnancy? What physical symptoms did you have to contend with?


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Non-binary and Pregnant (Again)

That’s right! I am in my second trimester of pregnancy!

HOW WE GOT HERE

After the miscarriage (see Pregnancy, Miscarriage, and Gender), we continued with IUI for two more cycles (taking a month off between each as before). When that didn’t work, we tried a medicated IUI cycle where I took a follicle stimulating drug. The goal was to force my body to produce and release multiple eggs.

The drugs gave me hot flashes, dizzy spells, racing heart, and decreased appetite. We decided that if this cycle didn’t work, we would take a longer break to build up some money and prepare for IVF. The two week wait was particularly intense and when it came back negative, it took extra time and energy to recover from.

IVF

We calculated that it would take about eight months to build up the money needed for IVF but with the help of both of our families, we were able to start much sooner.

The IVF process involved a lot of hormone injections, abdominal discomfort from enlarged ovaries, many internal ultrasounds, an egg harvesting procedure, daily embryo updates, and eventually an embryo implantation.

What with all the hormones in my system and the aching ovaries, I had no idea if I was pregnant or not until the blood test. Which came back positive!!

PREGNANT AGAIN

This time, we knew for sure that the egg had properly developing genetic material inside so we had already avoided the cause of my previous miscarriage. Over the next few weeks I slowly developed the typical first trimester symptoms – fatigue, nausea (luckily not too bad), and increased hunger and thirst. The aching in my ovaries slowly faded and resolved by about week six.

We had our first ultrasound at week 7. There it was, a little bean, floating in a pool in my womb. Better yet, there was a little fluttering spot in the bean that showed a heartbeat!

My pregnancy symptoms continued to worsen until week nine when the nausea suddenly disappeared. My appetite and thirst increased even more. Around week six I started to have increasing joint pain. I have chronic SI joint problems and low level body inflammation and often take naproxen to manage pain. It is a wonder drug for me but unfortunately, you can’t take naproxen or anything like it while pregnant. So, over time my SI pain has gotten worse and I have had to use a cane, wear an SI belt, and be careful what I do at work.

THE GENDERY STUFF

The IVF process had a lot of ups and downs with regards to gender. There were times when I felt like I fit right in and felt affirmed as a woman, in awe of what my body was doing. Then there were times when I felt very out of place, at odds and uncomfortable with being identified as a woman. At those times, using the women’s bathroom and signing many documents that identified me as a woman were particularly difficult.

I was forced to be aware of and interact with my ‘female parts’ in invasive and unavoidable ways. I had many transvaginal ultrasounds throughout the IVF process, one of which fell on a particularly dysphoric day, after which I immediately had to go to work, and took me hours to recover from. All procedures since then have been slightly more difficult regardless of dysphoria just because of the memory of that experience.

During the pregnancy so far I have been floating around the female side of neutral, much closer to the middle of my typical gender bandwidth than the last time I was pregnant (see Pregnancy, Miscarriage, and Gender). Is this because I have had more time to become comfortable and confident in my gender or because the hormone balance is different this time around? Who knows. Regardless, this means I have had more balance but slightly more dysphoria than last time.

LOOKING AHEAD

As I move into the second trimester and start to show more and tell people, I’m expecting my social dysphoria, and eventually my physical dysphoria, to get worse. Hopefully I’ll be able to manage this ok with the support that I have and a lessening of the first trimester fatigue.

I will try to post more frequent updates on how things are going and what being pregnant is like as a non-binary person.


If you or someone close to you is going through the IVF process and you would like more details on my experience or someone to talk to I am happy to share in a more private setting. Feel free to email me or leaving your contact info in the comments.


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Let’s Talk Gender S1E8: Legal Transition

OVERVIEW

We start by talking about Meaghan Ray’s thoughts on top surgery because we didn’t have time in the previous episode. Then we talk about Jake’s process of changing his legal name and gender marker, Meaghan Ray’s role as his partner through that process, and Meaghan Ray’s thoughts on potentially changing their name and gender marker in the future.

This is the last episode in this series which has focused on the various stages of transition as we have experienced them so far. We will be taking a break and will return with a new series in the future.


SHOW NOTES

Meaghan Ray’s Thoughts on Top Surgery

  • Some NB people will get top surgery without testosterone, take testosterone but not have top surgery, or do both.
    • I have a harder time relating to the NBs that do both because I am genderfluid and have a significant female component to my gender
  • I don’t feel the need to wear a binder all the time
    • When I have top dysphoria it isn’t debilitating, just irritating
  • Having top surgery to have a flat chest doesn’t feel right for me at the moment but I would consider having a breast reduction
    • Enough that I wouldn’t need to wear a bra if I didn’t want to and could get the appearance of a flat chest fairly easily but could also wear a bra to have the appearance of breasts
  • Got lots of good info from a talk at the Trans Philly Wellness Conference on top surgery
    • To get a more NB look you can look at various factors separately to mix and match more female-typical and male-typical markers
      • Contour
      • Overhang
      • Nipple placement
      • Nipple size
      • Shape of scars
      • Placement of scars
    • If you know what look you want with relation to all these things you just have to find a surgeon who knows how to do it!

Jake’s Legal Transition

  • Jake started to live ‘full time’ in May 2017 which is when he also started HRT
  • Saw gender psychiatrist in July
    • Received generic form to certify that he is transitioning and said it would make sense to amend his sex on any ID
    • Also can be used to explain why he might look male when his ID still says female
    • This document counts as the ‘medical letter’ that was required to change provincial ID
      • No longer required!
  • Went into registries in August
    • Found out he had to get fingerprinting done to get his legal name change and needed to apply for a legal name change before
  • Got fingerprints done
  • Applied for legal name change in August
    • If he was born in Alberta, could have gotten birth certificate and marriage certificate done all at once but he wasn’t so the process was even more convoluted
    • Received certificate in the mail in October
    • Got a new driver’s license!
  • Had to apply for marriage certificate from Nova Scotia
    • Took two tries for them to get it right
  • Tried to submit for a new SIN card which eventually was returned saying that he needed to change his birth certificate first
  • Hardest part was birth certificate
    • New Brunswick hadn’t changed their laws yet – still required proof of ‘sex reassignment surgery’
    • Need an updated birth certificate to get updated passport
  • Was stuck in limbo with a drivers license that didn’t match his passport and a passport that didn’t match how he presented
    • Made it too unsafe for us to travel to the states and had to cancel a trip we had planned
  • Getting banking info was also convoluted and for some reason he still can’t order cheques without the wrong name coming up
  • His workplace wouldn’t update his name in their system until his SIN card had been changed (which required the birth certificate again)
  • Wrote a letter to an MLA in New Brunswick about how frustrated he was and how many problems this archaic law was causing (December 2017)
    • Heard back at the beginning of February that it was already in the works
    • They ended up emailing and calling him to tell him that the forms were up and how to apply
    • Was very lucky in his timing because if he had started any earlier he still would have waited for this law to change and would have spent even more time stuck with mismatched documents and old work ID
    • Finally got it back in March 2018
    • Allowed him to update his passport and SIN card which he received in May 2018 – one year after coming out
  • In the meantime, he had found a way around the issues at work
    • Concerns with payroll’s info not matching his banking info and a T4 being issued in the wrong name
    • Got in contact with an HR Diversity and Equity person who had all his work stuff changed over in two months (done in December 2017)
      • As random things kept coming up he would contact her again and she would fix it super quick
      • Had been out since May and had lots of co-workers wondering why they couldn’t find him in the system to send him an email and he kept having to tell them to look under the old name
        • Very long 8 months
  • Found several resources for recently married people with lists of documents you need to get changed once you change your name
    • Land title, mortgage documents, credit score, etc
    • Super helpful but often ran into problems where the forms or procedure for changing the document did not include either change of first name or change of gender marker
    • Felt like he had to tell his life story and out himself as trans in order to get the document changed (over and over)
  • Situations keep coming up
    • Recent election – two voter cards showed up, one under each name, tried to get it changed, just caused confusion
    • Now that he passes as male people are even more confused because they can’t compute that he ‘used to be a woman’
    • Still can’t order cheques at the bank – has given up on that one after going in person and calling on the phone many times
    • Had to contact the city because he was getting his old name coming up during a job application and in emails despite applying under his current name
      • Had a fast, positive response and got it fixed quickly
  • In general was he was burnt out and apprehensive from having to go back to the same places over and over, never knowing what response he would get, if he would get different info from the previous time
    • He was super strategic about which locations he went to and at what time of day because he knew it would take a while and didn’t want there to be a long line of other people behind him listening to him explain his life story
  • No overt transphobic experiences (hurray for Canada!)

Partner Experience During Legal Transition

  • Provided support and encouragement
  • Gave permission for him to take some time away from working through the long list
  • Would have gone with him as a buddy to all the various offices if our schedules allowed
    • Moral support
    • Safety
  • For parents: call ahead to medical offices to ensure they have the proper name and pronouns in their system before your kid arrives
    • Old information can keep popping up depending on when the last time was that you interacted with that particular medical office/hospital
  • Had to change Jake’s information on my benefits plan
    • The form had a list of reasons that did not include transition so I had to write it in
    • Did not have a space to indicate a change of gender marker
    • Had to call them multiple times to correct it as they returned various iterations

Meaghan Ray’s Plans for Legal Transition

  • Could change provincial documents to ‘Meaghan Ray’ and X
    • May do this some day but it’s a lot of work and not necessary for now
  • Could change national documents to ‘Meaghan Ray’ and X
    • Would be more dangerous to travel internationally to places that don’t recognize that as a gender marker
  • Potential incentive was to get it changed before having a kid because we can’t change parent’s names on your kid’s birth certificate
    • However, it’s only first and last names that appear on the birth certificate, no gender marker, and we can choose the parental labels that we use (mother, father, or parent for either or both of us)
  • So for now, the emotional cost of changing anything out-ways the benefit for me

This brings our series on transition to a close. We will be back sometime in the future with a new series and hopefully some guests! Stay tuned!


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Let’s Talk Gender S1E6: Medical Transition: HRT

OVERVIEW

The changes with HRT are some of the most positive and euphoric aspects of transition. We talk about Jake’s experience with Testosterone and going through his second puberty. He talks about all the different physical changes and the emotional changes as well. We also discuss what it was like as his partner adapting to those changes.


SHOW NOTES

Jake’s Experience Taking Testosterone

  • Typical trans narrative is based on changes with HRT
    • External, obvious changes
    • Most socially acceptable aspect of transition to ask about
    • Lots of YouTube videos and picture timelines
      • Can be fascinating to show what the body does on HRT but also gives you an idea what to expect (though everyone is different)
  • So much variability
    • Will loosely end up similar to cis men that you are related to
    • Also depends on age, dosage, etc

Accessing Hormones

  • Referral from psychologist to gender psychiatrist
  • Previously required psychiatrist referral to endocrinology but very recently could get a referral from family doctor (most family docs were not aware or comfortable doing this)
  • Wanted to start HRT right away but had to wait to see gender psychiatrist
    • Came out to family doc who then refused to refer to endocrinolgy
      • Wasn’t up to date and wasn’t willing to trust our word enough to seek out more information
    • Found another family doctor who was recommended through the community who was prescribing hormones using informed consent
  • Started Testosterone!
    • Regular family doctor followed up with blood work and adjustments to dose
  • Waited another 6 months to see endocrinology (supposed to see them max 3 months after starting)

Physical Changes

  • Voice
    • Started a few weeks after starting T
    • Voice got a bit husky, thick, then started cracking, then eventually settled into the lower range
    • Voice recordings were helpful to hear the changes that happened really slowly
    • Vocal chords thicken but don’t change as much after you’re done growing
    • Made a big difference to being misgendered, especially over the phone
    • Generally done changing by about 18 months
    • Partner experience
      • Had a fun time with the voice change
      • Making fun of the cracking, drawing attention to something that was affirming
      • My voice started sounding higher in comparison (caused voice dysphoria for myself)
        • Worked on lowering my own range
  • Facial Hair
    • Very slow – mustache and side burns and under-chin hair first, very slowly filled in
    • Helps with passing from afar
    • Lots of euphoria
    • Lots of time spent staring up close in a mirror
    • Partner Experience
      • Enjoyed scruffing his beard, trying to encourage it to grow
      • Eventually had to encourage him to shave which he had a big resistance to
  • Body Hair
    • Lots more on thighs, forearm hair thickened, more on tummy
    • More fascinating than facial hair growth because it was less expected
    • Grew a lot at the beginning, then slowed down a lot but has continued
    • Partner Experience
      • Not much need to adapt to this as it wasn’t a huge change and has been fairly slow
  • Increased Temperature
    • Lots of overheating initially on T but has since improved
    • Especially when exercising which was very frustrating
      • Better after top surgery which meant he was comfortable exercising without a shirt on
    • Partner Experience
      • Used him as a heating pad
      • Wildly different environmental temperature requirements
      • Unable to exercise together for a while
  • Menstruation and Lower Changes
    • Periods stopped almost right away
      • Might be related to already having an IUD in
    • Other changes in downstairs anatomy that we did not discuss (go look them up if you’re interested/need to know)
  • Strength
    • Baseline strength increased without trying
      • Could suddenly lift tires more easily which felt weird
      • Didn’t need to workout to increase strength
    • Noticeable only when doing things, not all the time (like facial hair) so often took him by surprise
    • Partner Experience
      • Felt so much weaker by comparison!
      • Jealous of his strength and easy muscle gain when he was working out
      • Fun to see his confidence increase with his awareness of his strength
  • Body Shape
    • Very delayed and slow
    • Fat distribution changes – less on hips and thighs, more on belly
    • Changes within face – less in cheeks, more to jaw
      • Gives appearance of wider jaw even though bone structure isn’t changing

Emotional Changes

  • Concerns before taking hormones about becoming angry and raging
    • We were told that it augments emotions that are already present – if you’re an angry person, you might feel more angry but if you’re not, you won’t just suddenly become angry
  • Hormonal fluctuations definitely makes people generally more emotional just like typical puberty
    • As an adult there are adult expectations and responsibilities you have to manage while having mood swings
    • Hopefully have more coping skills as an adult
  • Less sadness, more channeled into frustration
  • Initially quire irritable but calmed down within a few months
  • Less emotional range and less nuance
    • Doesn’t feel wrong or repressed or stunted
    • Feels normal, the way his emotions should have been from the beginning
  • Less emotionally triggered, less emotionally invested
    • Maybe due to increased confidence
    • Seems more aloof but as a guy, people don’t particularly care (aloofness is somewhat expected)
  • Confidence increased which is difficult to measure as the person going through it
    • As a partner, this was easiest to see as compared to the rest of the emotional experience
      • Less social anxiety
      • More comfort in masculine clothes
      • Was very cool to see and very much offset any mild discomfort I had with the physical or emotional changes
  • Partner Role
    • Being a sounding board
    • Encouraging him to express the huge emotions when he wasn’t used to having them or having so much of them
    • Suggested a variety of positive outlets for emotions

Looking Back 2.5 Years on T

  • Lots of euphoria from HRT but at the time was painfully slow
    • Celebrated every little change we saw and made a big deal out of them
    • This was the good stuff during all the frustrations of accessing medical care and getting legal documents changed
  • Looking forward to more facial hair, body hair, and body shape changes
  • What will happened during the age of menopause/andropause? We have no idea!

Nonbinary Identities and HRT

  • Can take low dose to have fewer and slower changes
    • ‘Micro-dosing’
    • Can stop after the voice change but before much hair growth
  • I have minimal consistent physical dysphoria, no particular desire for facial or body hair changes, minimal voice dysphoria which I dealt with by working on my range
    • Also trying to get pregnant so would not be able to be on T currently
  • Open to it in the future if I ever felt like I needed it

Next episode: Top surgery!


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Let’s Talk Gender S1E4: Social Transition: Coming Out To Family

OVERVIEW

Coming out to friends and family is a long process that involves lots of uncertainty, strategy, and a bit of luck. We discuss Jake’s process of coming out as a trans man and Meaghan Ray’s experience of that process as his partner, including how this process went for us, what methods we used to come out to people, what emotions we experienced, and what responses we got.

We also discuss Meaghan Ray’s experiences of coming out as non-binary so far (still early on in the process), Jake’s experience of being their partner, and how their two experiences are similar or different.

You can find the audio for the episode at the bottom of the page or subscribe to Let’s Talk Gender in your favourite podcast app.


SHOW NOTES

The following is Jake’s coming out process and Meaghan Ray’s experience as his partner.

Who to come out to first?

  • Friends, then close family, then work, then extended /more questionable family, then strangers
  • Everyone’s process will be different
    • Start with the people that will be most likely to be supportive and work your way up to the least supportive people

Partner Experience during closeted and early coming out phase

  • Various pronouns depending on the situation and who was present – female, male, neutral, avoiding pronouns altogether
  • Still trying to get used to his new identity so using female pronouns made that harder
  • Lasted about 4 months
  • Didn’t realize the toll that this took until about 8 months later (caused fairly severe burnout)
  • Got used to doing a quick check in before each social situation of who’s going to be there, who are you out to, is it worth going out, which name and pronouns are we using?

Coming out to family

  • Thought it would be similar to coming out as gay but it really wasn’t
    • Being trans is about who you are and requires them to do a lot more work – change how they think of you and how they refer to you
  • Started with the first few people who were most likely to have a positive to neutral response and who had less direct impact
    • Didn’t judge all of those correctly but overall it went ok
    • Be open to any response they have
    • Keep safety in mind
  • First part felt like it went really slow
    • Few people know and if they’re hanging out with people who don’t know it gets very stressful
    • Asking people to hold back on gendering you correctly which slows down their process of coming to terms with it
  • Eventually there is a tipping point where it’s easier just to have everyone know

Coming out to partner’s family/long distance family

  • Multiple conversations
  • Expecting close family to come out to other members of the family for you does not work – you end up having to do it yourself
  • Mostly done through email with generally positive, supportive responses
  • Follow up conversations at face-to-face gatherings
  • Took them longer to adjust but generally had less impact on us
  • Partner can do more of the work, especially with the follow up conversations

Methods for coming out

  • Face-to-face is the hardest, tended to avoid that if possible
  • Sent lots of emails in the early stages
  • Wrote a letter and read it out face-to-face
  • Sent lots of shorter emails to the more extended family
  • Facebook/social media for general public, past friends, far extended family

Responses to coming out conversations

  • Told close family early on that he was thinking about it/working on it as a warning that transition might be coming
  • Told them a while later that he for sure was trans but they didn’t seem to understand that there was much difference from the first convo
  • No change in pronouns or name
  • Had a family wedding coming up that necessitated telling Jake’s brother
    • First person to appropriately change pronouns, name, and referents (brother) and introduced him that way at the wedding
  • His family realized that they were the only ones referring to him with female name and pronouns and suddenly was making it more unsafe for him
    • Kick started their use of proper name and pronouns in an unexpected way
    • Positive effect of strangers getting name/pronouns correct around family that is getting it incorrect
  • Was a high risk, high reward situation
  • Realized afterwards that family had been reluctant to change likely out of fear for his safety (when he wasn’t passing yet)
    • What they didn’t realize (and what we didn’t understand early enough to explain to them) was that the toll on his psychological safety was worse than the physical safety risk that they perceived

Partner experience during early stages of being out to family

  • At the beginning, tried to hang out with them and refer to Jake in third person as much as possible to set a good example
    • Complete opposite from previous stage where we tried to use second person or no pronouns as much as possible
  • Really enjoyed being able to refer to Jake correctly, felt good about setting a good example and trying to help
  • When they were not getting it at all, it got very difficult to hang out with them
    • Jake wanted them to figure it out at their own pace and didn’t want to correct them
    • Started getting angry with them too easily and had to not hang out with them as much (until they suddenly figured it out at the wedding)
  • Once they figured it out, it was much easier to hang out with them again
    • Started correcting themselves, correcting each other

Correcting others when you get misgendered

  • Often happens in larger groups or in the middle of a conversation
  • Don’t want to derail a conversation or become the center of attention
  • Will remind them via text message later if they do it repeatedly without correcting themselves
  • Much better if someone else corrects them for you because you automatically have an ally and don’t have to make yourself vulnerable in order to stand up for yourself
  • Always takes emotional energy so it’s a balance of how much pain it’s causing you vs how much energy you have to spend to correct them

Emotions during coming out to family

  • Transition from questioning stage to coming out stage was the hardest
  • Fear, nervousness, what if someone becomes vengeful, actively negative
  • Questions about which family would chose to never talk to me again
  • Can’t base people’s reactions to you being trans on how they reacted to you being gay
  • Eventually reached a tipping point of it is more difficult to live in the closet than the fear of how people would react
  • Realization of how many people you actually have in your family
    • Exhaustion, frustration, unending
  • False urgency to tell everyone as soon as he started hormones because changes would be happening and people would notice
    • Didn’t happen nearly as fast as he felt like it would
    • Wanted changes to happen faster to help people have an external reference for changing name and pronouns

Mental vs physical image and adjusting to new identity

  • Lots of detailed conversations between us where Jake explained how he saw himself and would feel most comfortable which helped Meaghan Ray change their mental image of him earlier than anyone else would be able to
    • Made it easy for me to use correct pronouns well before any physical changes
  • Other people don’t get to have those detailed conversations and therefore can’t change their mental image because they don’t know what to change it to
    • Often do much better after physical changes start happening
  • Family have known you longest and will have the strongest mental image of you pre-transition
  • 5% rule: people will take up to 5% of the time they have known you to get used to new name and pronouns

Partner emotions during coming out to family

  • Fear, mostly for psychological well-being as he was having lots of difficult conversations
    • Kept my phone on me at all times
  • Tried to provide lots of validation and support so he had at least one positive influence
  • Offered to go with him when he would be having those conversations
  • Still didn’t really understand how hard those conversations were and how things were going
    • Had to ask really specific questions in order to find out because he didn’t want to make it harder for me and did not have any more energy to spend on another gender based conversation

Burnout lasts a long time

  • Still nervous about talking about gender and transition because there is a conditioned response that those conversations will lead to something huge and exhausting
  • Reviewing past experiences is much easier than talking about current ones
  • If you are the second person to transition in your immediate family or even within your relationship, those around you might have a hard time as a result of the residual burnout from past experiences with it

Meaghan Ray’s experience of coming out as non-binary

  • Even harder than coming out as binary trans
    • The person you are coming out to already has an idea of what you mean by ‘male’ or ‘female’
    • Most people do not have that reference for ‘nonbinary’
    • Requires a lot more sex and gender 101 education to work up to getting them to understand which puts them in information overload
  • Really, all I’d be asking is for them to use they/them pronouns and maybe a different name and even that seems to be extremely hard for people to do
    • We use they/them automatically all the time but when people are asked to do it consciously, apparently it messes with their brain and they can’t do it
  • Takes so much energy that I haven’t done a lot of coming out to family yet
    • Something else always seems more important to talk about when visiting with family
    • Sent an email with an explanation but haven’t talked about it since
    • Good sibling support, will likely help my family come around but want to have those conversations with my parents first
  • Will likely have those conversations with close family once I’m pregnant/having a kid and have more extended visits with them and potentially more gender-based discomfort

Jake’s experience as Meaghan Ray’s partner

  • Trying to avoid pronouns at all costs
    • Awkward pauses, reorganizing sentences
  • Being supportive while Meaghan Ray is slowly working up to coming out
    • Spending a long time in limbo
  • Can’t be fully invested because limbo causes burnout and limbo will last much longer

The coming out equation

  • Deciding when you’re ready to come out will be different for everyone
  • How uncomfortable it is to be misgendered vs how hard it will be to come out and how much benefit you will get
    • Very different answers to this equation for each of us

Every coming out process is different and personal but inevitably affects and involves the people around you.

Join us next week when we talk about coming out at work.


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Prioritizing Together Time

Whether you are in a relationship or have a close friend or family member that you rely on for support, prioritizing time with them is especially important if you are questioning your gender or transitioning.

Any exploration or change in our gender identity and presentation is a big change that very much affects the people around us. Close relationships only remain close if we keep communicating to understand how each person is changing and growing so we can support or adjust as needed.

From my experience during my husband’s transition and my own gender exploration, I discovered there are a few different types of quality time that serve different purposes. We were not always good at using out together time to the best advantage but we definitely got better at it over time out of necessity. Hopefully, by sharing our experience, I can help you skip the muddling through process and keep your relationships strong right from the start.

TALKING TIME

Setting aside time to share how each of you is doing or discuss new thoughts and emotions is the most important. These conversations can take a lot of energy but they are the core of what will maintain your mutual understanding and support.

These conversations can be intense, draining, and difficult. Here are some ideas you can try that might make them easier:

  • Schedule a regular check-in time that includes self care strategies before and/or after (journaling, exercise, creative expression, time in nature, etc).
  • Have these talks in a safe and isolated environment such as the bedroom (ie pillow talk), the car, or when you’re out for a walk together.
  • Write down some notes in advance if you get easily emotionally overwhelmed and have difficulty expressing yourself or staying present in the conversation.
  • Request a conversation to give the other person some warning. If this is helpful but also makes them anxious with wondering what it’s about, you can use a shorthand to define the parameters – Is it a you thing, me thing, or us thing? What is the general topic? Is it a big thing, a medium thing, or a small thing?
  • Try NOT to think of these conversations as a one-off for any topic. It’s important that you have a chance to come back to anything you have discussed previously to delve deeper, clarify or adjust how you explained yourself or how you understood each other, or to have another opportunity to explore, express, or process the same emotions or situation.

ACTIVITY TIME

Spending time doing something that you mutually enjoy is also really important. This is a way to take a break from the gender based conversations and maintain your bond based on previous activities. You can choose activities that are not inherently gender based or dysphoria inducing or agree to not discuss gender based topics during the course of a particular activity or day.

These activities may need to be adjusted somewhat if they trigger dysphoria. Be self-aware and honest about this. Sacrificing your well-being and hiding your discomfort defeats the purpose of doing something you both enjoy to strengthen the relationship. Finding new ways to enjoy the things you bonded over will initially take a bit of effort, communication, and time, but the pay-off is well worth it.

EXPLORATION TIME

Maybe you are exploring your gender and need a sounding board, someone to go shopping with, or someone to be your safety buddy when trying out a new presentation in public for the first time. Maybe you have started hormones or are having surgery and your body and emotions are changing and your partner or close support person needs time to explore these changes with you so they can get used to them.

These moments of exploration can happen spontaneously or be part of a planned activity. They are particularly important for intimate relationships but are also helpful for other close relationships.

Some examples of this are when I would feel my husband’s facial hair as it grew in or ran my hands down his chest when he was wearing a binder or post top surgery to get used to the change, or when we took a vacation trip where we explored different names and pronouns for him.

The exploration time is mutually beneficial. It can help the transitioning person be more confident in exploring something new or doing something scary. It can also be euphoric for the transitioning person and help them see their partner/support person being curious and making the effort to adjust. And of course, it includes the partner/support person in the transition process, helps them adjust their mental image of the transitioning person, and adjust to new changes.

SHARING SPACE

Sometimes all you need is to be in the same space together. You can be doing completely different things and not talking to each other at all, but just feeling the other person’s presence can be a balm against the irritation, frustration, and exhaustion from interacting with the rest of the world and navigating transition.

Acknowledging each other’s presence in small ways helps strengthen the value of this time. Whether it’s staying within view, checking in with each other with a look, a touch, or a few words, or sharing some aspect of the space while you’re doing different things (ie listening to the same music or watching the same TV show), this helps turn two people doing separate activities into quality time.


I hope these descriptions of different types and purposes of together time help you be more purposeful and effective with maintaining strong relationships during transition or other big life changes.

If you have other suggestions for together time, please leave a comment below! I’d love to hear from you.


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New Year, New Goals

Happy New Year!

Though not specifically gender related, I thought I’d talk about my current goal setting process. This is something that has helped me maintain a sense of progress and control which is especially important during unpredictable fluctuations in my gender, frustrating stages of transition, or other stressful life events.

Step 1: WHAT is your goal?

During the second half of December and first half of January, I think about the different areas of my life that I want to set goals for. Mine are typically health, creative projects, and housework. I pick 1-3 goals per category but no more than five total. For example, last year in the health category I had a weight goal and a cardio goal. This year I have a general fitness goal.

Goals should always be something that is important to you, not something you think you should do. They should be something you can easily state in a few words and something that you will feel motivated to work on for a whole year. If there is something you are working towards that will be completed halfway through the year (a competition or event), think about what you might want to work on for the rest of the year once that is done (whether or not you achieve the result you wanted).

Step 2: WHY is the goal important?

For each of your goals, write down as many reasons you can think of as to why this goal is important to you. How will it enrich your life? Will it improve your mood, help you connect with someone, decrease your stress, give you a sense of purpose, help you achieve an even larger goal, decrease dysphoria, build community, or increase your energy level?

Take some time with this step. Be holistic. I usually have 3-5 per goal. The things you write in this section will keep you motivated to achieve your goal when it gets hard or get back on track if you get derailed.

Step 3: HOW will you achieve your goal?

This is where you come up with strategies to achieve your goal. Trying to achieve a goal through sheer willpower is ineffective and exhausting. When forming a new habit or trying to make steady progress towards a goal, there are internal and external factors that will make it harder. This is called friction. For example, not having your exercise clothes with you when you could go to the gym or having snack food around that you constantly have to resist in order to eat healthier.

The strategies you are looking for are ones that decrease the friction for you and make the goal easier and as automatic as possible to achieve. These should be as concrete and personalized as possible. They might take some trial and error to figure out but don’t take too long to settle into a routine.

One habit forming hack is to connect the new behaviour to something you’re already doing. If you have an established morning routine and you want to meditate ten minutes a day, get up ten minutes earlier and fit it into your morning routine. If you have a weekly planning routine, plan out which days you are going to exercise instead of leaving it to chance.

Another good strategy is accountability. Find a buddy to exercise with. Find a friend with a similar goal and set up a regular time to meet up and review both of your progress and help each other solve roadblocks. If you’re even more brave, you can post your goals on social media with regular updates.

And lastly, rewards. If you respond well to rewards, include these in your strategies. Try to find rewards that won’t make another goal harder to achieve – for example, rewarding yourself for completing ten workouts by going out for dinner when you’re trying to decrease spending or change your eating habits. The best rewards are ones that support the same goal – rewarding yourself for a fitness goal by getting new workout equipment, new workout clothes, or new headphones (again, not a good plan if you’re trying to decrease spending but you get the idea). Another option for rewards is to have someone else decide on rewards for you which they will provide when you achieve a milestone (adds some anticipation, randomization, and excitement). This is a nice combination of the rewards and accountability strategies.

Step 4: WHEN is your goal complete?

How will you know when you have achieved your goal? This is the stage where you decide how you will measure your progress and end point. Every goal is measurable, you just have to figure out how. Different types of goals can be measured in different ways.

A specific process or habit based goal can be measured by doing the habit a certain number of times per week. If you multiply this by 52 weeks in the year, you will get your goal for the whole year. Or you can keep it as a weekly target and measure it by how many weeks of the year you met the target. This also works for daily or monthly goals.

A more general process or habit based goal that doesn’t have a weekly target can be measured in percentages. You might have to set up a tracking system for various parts of the goal to do this. The one that I do this with is my housekeeping schedule. My goal is to ‘maintain a clean house’. Doesn’t seem measurable, right? I set up a cleaning schedule that includes some weekly tasks, some monthly tasks, and some seasonal tasks. I have a grid of 52 weeks for each weekly task, a grid of 12 for each monthly task, and so on. I colour in the corresponding square when I complete the task. I then calculate how many I completed out of how many I was expected to complete and multiply by 100 to get a percentage. In the ‘when’ section for this goal, I have determined three targets for weekly tasks and three for monthly tasks – a minimum, good, and awesome percentage as a benchmark.

For an outcome based goal you will likely already have a measurable end point in mind – finish a project, run a marathon, achieve a certain weight. The difficulty with these is that the target is so far away that it’s hard to tell if you’re making any progress. So you’ll have to break it down into smaller pieces. Set as many measurable milestones as makes sense for your goal. Attach a timeline to each of these milestones so that you know if you’re still on track to reach the outcome.

Step 5: REVIEW PERIOD

How often will you revisit your goals and review your progress? Waiting until the end of the year doesn’t give you the opportunity to adjust your effort, strategies, measurement, or expectations. For some goals I have a weekly tracker or a monthly tracker built in but I will be reviewing all my goals and assessing my progress quarterly. This is a nice frequency because it roughly matches up with the seasonal changes and isn’t too far apart to forget why it’s important or get too far off track if my strategies aren’t working.

You know that burst of motivation that you get at the beginning of the year when everyone is talking about goals? Revisiting your goals and assessing your progress a few times a year gives you another smaller burst of the same motivation.


What are your goal setting and planning strategies? Leave a comment below if you have something different that works for you! I’m always looking for new ways to set, maintain motivation, and achieve my goals.


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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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