By Finley Baker
Last Updated August 21, 2025
Image Description [Vignette style illustration with a purple, orange, and blue color palette. The frame of the vignette features abstract symbols and a Kente Cloth "transitions" symbol repeated in each corner, with the text "Finley Baker 2025" at the bottom. Within the vignette, three figures are participating in a private outpatient therapy room. A thin Filipino trans man lies down on a massage table, wearing a hoodie and shorts with a traditional Filipino tattoo on his leg and orange socks. His partner, a Black cis woman, touches his knee and shoulder and smiles at him. She is wearing an orange dress, orange sandals, and a Kente cloth head wrap. Their occupational therapist, a thin, older Native cis woman sits on a blue rolling stool with her legs crossed. She is wearing a purple V-neck shirt, blue pants, and purple clogs. She has beaded earrings and a name badge with a medicine wheel badge reel. In the background, his orange and purple four wheeled walker, and her blue Hurrycane are visible. The back wall is light orange, has a door and posters of water and a mountain. A positioning wedge and extra pillow are visible by the door.
Image Description [Infographic with a multi-colored table. The header reads "Sexual Health Practitioners" with the caption "who can help answer my sex-related questions?" There is a QR code with a link to this webpage and the caption "Scan for more." Each type of practitioner is on a new row. The text reads "sex educator: Anyone who is knowledgable and learned in sexual health topics and teaches others. Sex therapist: licensed mental health professionals who provide long-term talk therapy around sexual pleasure, trauma, gender, sexual orientation, poly, kink, etc. Sex counselor: Other practitioners (MD, OT, PT, clergy) with an in-depth knowledge of sexual health. Urologist: Medical doctor & prescriber, specialist in kidneys, bladder, prostate, penis, etc. (many AMAB people see urologists). OBGYN: Medical doctor & prescriber, specialist in fertility, contraception, the birth process, HRT, care of uterus/ovaries (many AFAB people see OBGYNs). Pelvic health physical therapist: Assist with pelvic floor dysfunction from a musculoskeletal perspective. Helps with sexual function, incontinence, bowels & bladder, pain & penetration, pregnancy, etc. Occupational Therapist: Sex is an activity of daily living. OTs can help with fatigue management, sexual positioning, adapted sex toys, changing the environment, working with partners, etc. Speech therapist: Helps people with communication disorders communicate about and during sex, gender-affirming voice therapy."]
Sex Educator, Sex Therapist, Sex Counselor (AASECT)
Sex Coaches tend to look into the future and what you want sex to look like moving forward, Sex Therapists are more equipped to dig into your past and help with processing potential triggers.
Urologist (Urology Care Foundation)
Mostly focused on AMAB anatomy, may not have specialties in other aspects of sexual health (intimacy, relationships, etc.)
OBGYN (American College of Obstetrics & Gynecologists)
Mostly focused on AFAB anatomy, may not have specialties in other aspects of sexual health (intimacy, relationships, etc.)
Nurse practitioners & physician assistants
Have had more education than other specialties on sexual health topics. Knowledgable about safe sex practices, physical dysfunction, birth control methods, and more.
Pelvic Health Physical Therapist (APTA)
PTs are varied in how holistic vs. musculoskeletal their approach is to pelvic health.
Occupational Therapist (AOTA)
OTs can also specialize in pelvic health
Sexual health is specifically included in OT's domain of practice, so all OTs (regardless of setting) should be able to answer questions about how to adapt sex to meet your needs
Speech Therapist (ASHA)
Can address how communication disorders affect participation in sex.
Reference for Illustration: Kente Cloth
Find a Sexual Health Provider - International Society for the Study of Women's Health. Tip: Start broad in your area search (e.g. select U.S. then select Washington rather than putting in a specific town).
Find a LGBTQ Affirming Health Provider - OutCare: Includes all types of providers
LGBT Sex Positions - Diagrams of sex positions that can be used by two people with vulvas and two people with penises. Created by Erin Kingham (she/her), a PT student, in 2021 to address how different positions can be impacted by orthopedic considerations.
Baker, F. (2025, August 21). Types of practitioners. Disabled & trans sexual health. https://sites.google.com/view/disabled-trans-sexual-health/sex-ed-postcards/types-of-practitioners