Pelvic health physiotherapy remains largely grounded in cisnormative and gendered models of care, creating barriers for LGBTQIA+ individuals, particularly in a speciality that involves sensitive discussion of bowel, bladder, sexual function, and examination of the pelvis. This session explores how inclusive care principles translate into pelvic health practice. Attendees will examine the unique pelvic health needs of LGBTQIA+ communities, alongside gaps in clinician training that impact access, safety, and outcomes - for all patients, not only those who identify as part of the LGBTQIA+ community.
Through a trauma-informed, patient-centred lens, participants will learn practical strategies for inclusive subjective interviewing, affirming language use, and collaborative decision making around examination and intervention. Emphasis will be placed on flexible, patient-led approaches that prioritize autonomy, consent, and psychological safety. Clinicians will leave with actionable tools to challenge normative assumptions, foster trust, and improve pelvic health outcomes for all patients, including those in LGBTQIA+ communities.
Presenter
Ashlie Crewe (she/her) is currently the Pelvic Health Program Coordinator for Upstream Rehabilitation Institute, developing and leading a structured mentorship program for pelvic rehabilitation professionals. She attended Gannon University, where she earned her Bachelor’s degree in Psychology and her Doctor of Physical Therapy. Ashlie achieved board certification as a Pelvic and Women’s Health Specialist in 2017 and has obtained additional pelvic health certifications through continuing education institutions. She has also completed training as a sexuality counselor.
Ashlie is a member of the International Pelvic Pain Society and the Global Pelvic Health Alliance, and she currently serves as a delegate representing Pennsylvania in the American Physical Therapy Association. She has developed several continuing education courses in pelvic health that emphasize inclusion of all genders and are grounded in a biopsychosocial, trauma informed care model.
In clinical practice in central Pennsylvania, Ashlie treats patients of all ages and genders with pelvic health concerns, with a particular focus on pelvic pain conditions and gender affirming rehabilitation. In addition, Ashlie serves as adjunct faculty at Lebanon Valley College and sits on the Medical Advisory Board for the Lichen Sclerosus Support Network.
Host
LGBTQIA+ Advisory Panel and Women's, Men's and Pelvic Health National Group
Date of Live Event
02/09/2026
CPD Hours
1.0 hour
Please note: The content of this Lecture on Demand (LOD) was captured via a recording of a live lecture at the APA premises. Due to the nature of the event and the recording method, this LOD may not have captured some of the questions/comments from live audience. Your purchase of this module indicates your acceptance of this.
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