Sale ends June 30
Course series

Butt... Your Patients Are Curious

Considerations for Safe Anal Play


  • 3.5 hours
  • PT/OT CEUs available in all 50 states.
  • Click below for specifics for each state.


  • Immediate Access


  • Mental Health Providers
  • Sex Educators, Counselors, and Therapists
  • No pre-requisites

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    What can I expect?

    Anal sex, both in pop culture and outdated research, is often framed as coercive, inherently uncomfortable, and even dangerous. This session seeks to deconstruct misconceptions about this very common sexual practice by providing clinicians with accurate research, sexual health education, and tools for how to appropriately support their patients of any experience level.

    As Pelvic Health Therapists, It's time that we’re able to offer solid information that is not fear-based (or based on fear-based research) and set a new precedent for healthcare professionals to address their patients’ concerns with empathy, knowledge and compassion.
    Feel comfortable navigating psychosocial nuances while learning practical skills to do so. 


    At the completion of this course, participants will be able to:
    • Recommend at least two adjustments to be made to anal play to decrease pain.
    • Describe three different types of anal play for patient education for those who are asking about safe ways to try anal play.
    • Describe 2 of the most the most prevalent anorectal pathologies associated with anal play, and appropriate treatment avenues
    • Recognize and discuss 2 communication gaps between patients and healthcare providers surrounding anal play.
    Meet the instructorS

    Heather Edwards, PT, CSC-S, CSE

    Heather is a pelvic physical therapist and certified by the American Association of Sex Educators, Counselors, and Therapists as a Sex Counselor and Sex Educator. 
    Heather is the founder of Vino & Vulvas which is a monthly event that creates a space for education, curiosity, and pushing the conversation of sex past limits of heteronormativity, gender binary, white-normativity, and vanilla-normativity. V&V collaborates with pelvic health specialists, sex therapists, sex educators, and counselors who will be having panel discussions with time for questions on a plethora of topics centered around sexual wellbeing.
    Heather also is the author of nonbinary crotch art coloring book series and teaches for Pelvic Guru on the topics of LGBTQIA inclusive sexuality counseling for medical providers. 

    Lance Frank PT, DPT, MPH (he/him)

    Dr. Lance Frank is a physical therapist that specializes in pelvic floor dysfunction in all gender identities. Shortly after graduating from Emory University in Atlanta, Georgia, Dr. Lance opened his own practice, Flex PT ATL, in Midtown - the gayborhood of Atlanta. Dr. Lance is one a small group of penis-having therapists that treat pelvic floor disorders, and one of an even smaller group of queer practitioners that work in pelvic health. Being in the LGBTQIA+ community himself, Dr. Lance understands the awkwardness that queer people can feel in doctors offices discussing vulnerable issues surrounding their genitals. He also understands the toxic masculinity culture that makes it difficult for those with penises to discuss pelvic health concerns and sexual dysfunction as well. 
    In his clinic, Dr. Lance sees cisgender and transgender men and women with pelvic floor dysfunction; however, most of his caseload consists of people with penises. These patients have a wide range of issues involving the pelvic floor like urinary and bowel dysfunction, sexual health concerns, and pelvic pain. Dr. Lance is also active on social media where he spends time educating the masses about sexual health and pelvic floor dysfunction.

    Alex Papale, PT, DPT, Sex Educator

    Alex is a pelvic health physical therapist, consultant, sex educator and international speaker based in Boston MA. They specialize in queer and trans health, and treating patients of all genders at Flourish Physical Therapy. Alex especially loves to help patients with sexual issues, peripartum care, pelvic floor support with HRT, and healing from gender affirming surgeries. When they’re not in the treatment room, you can find them writing and teaching gender affirming, sex positive, kink informed courses for current/future healthcare providers, or for anyone who wants to learn more about sexuality, their bodies, and pelvic health. 

    Jake Bartholomy, PT, DPT (he/him)

    Dr. Bartholomy is a pelvic health physical therapist in Seattle, WA where he has been practicing since 2000. He worked in out-patient orthopedics until he took the very first Male Pelvic Floor continuing education class in 2008. Since 2014 he has limited his practice to the pelvic health of trans, non-binary and pelvises with penises. Dr. Bartholomy was the first male instructor to teach in the core pelvic floor series for Herman Wallace. He helped teach and run labs for the new pelvic health elective at the University of Washington School of Physical Therapy. He was one of 8 invited guest speakers at Pelvicon 2023. Dr. Bartholomy is passionate about encouraging more physical therapists to get pelvic health training and especially more therapists to treat pelvises with penises.


    What is the Cancelation & Refund Policy?
    Individual GPHAM webinars are non-refundable. 
    For other courses, the option for a full refund is available within 48 hours of purchase, however it is non-refundable upon either of these conditions:
    • You have viewed more than 50% of the course material
    • You have already claimed your CE certificate
    If you need additional assistance with a refund or course concern, please email
    Will there be any part of this live course where I could be recorded?
    Live participation parts of courses may be recorded live and screenshots maybe be taken by the instructor or the host. If your camera is on, your microphone is on, or you type comments in the comment section, your participation will be part of that recording. If you do not wish to be part of this recording, you will be responsible for keeping your video and audio recording OFF during any live recorded sessions. 
    How can I use the handouts, videos, and course supplemental material?
    You will be provided with online content and recordings of the course as well as slides and material related to the course. This material is for your personal use only.  Please do not use clips of video, screen captures, screenshots, or copying in any way, that you might be presenting it as your own (whether or not it is for financial gain). Sharing a screenshot to social media that is credited to the instructor and/or Pelvic Guru, LLC is acceptable. If you would like to use any of this content for an independent project, you need to discuss this directly with Pelvic Guru and the instructor of the course. 
    Will I have to exercise or have a space to move for this course? 
    Some of the Pelvic Guru Academy courses have sections in them in which you will have the option of doing movement at various levels. Understand that all physical therapy, rehabilitative, and strength training instruction and use of all facilities and equipment shall be done at you own risk, and please be physically and medically able to undertake any and all physical therapy, rehabilitative, and strength training instruction provided in the course.