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2018 Preconference

Providing Exceptional Sexual Healthcare & Education for Transgender, Nonbinary, and Gender Nonconforming/diverse (TNG) People

Tuesday, March 20, 2018

Presenter Bio

Jay Botsford

(pronouns : ze/zir/zirs or they/them/theirs)

Jay Botsford is the Program Coordinator for the Transgender Youth Resource Network (TYRN) at UW-Madison and the community-based Wisconsin Transgender Health Coalition (WTHC). Ze works to create health care equity and health justice for transgender, nonbinary, and gender nonconforming/diverse (TNG) people in WI. Jay has worked with TNG and LGBTQ+ youth and adults in WI for more than 15 years, providing training/consulting to service providers to improve their competency and capacity to provide inclusive and affirming services and healthcare, and advocating/organizing for health, equity, and justice for multiply marginalized TNG and LGBTQ+ people and communities


Transgender, nonbinary, and gender nonconforming/diverse (TNG) people experience significant rejection, discrimination, and even violence when attempting to access primary, specialty, transition-related, and even urgent/emergency healthcare. Recent research about healthcare access for TNG people have indicated that nearly 1 in 4 have delayed necessary healthcare in the last year due to fear of discrimination (USTS, 2017) and 29% have had a healthcare provider refuse to treat them within the last year (CAP, 2018).

In the sexual health and education fields, providers and educators often have very little information about the sexual health, function, pleasure, and risks of TNG people. This lack of specific information, coupled with limited training about how to competently work with these populations and health systems, insurance, and law/policy that often actively exclude these patients, creates significant barriers to care.

This session will focus on the “what” and “how” of providing exceptional sexual healthcare and education to TNG people, including:

  • The diversity of transition “paths” and what this can mean for their health
  • Sexual health, pleasure, function, and risk/outcomes for TNG bodies
  • TNG-Inclusive and -specific sexuality education practices and topics
  • Concrete recommendations for creating accessible, affordable, affirming, and competent sexual healthcare and education for TNG people
  • Assessment of current practices to identify successes, barriers, and opportunities for change
  • Supported planning to identify and implement impactful practices for TNG sexual health at the individual provider/educator, organizational, and systems levels

Attendees will gain the knowledge and skills required to make them and/or their organization a trusted provider for sexual health care to transgender, nonbinary, and gender nonconforming/diverse (TNG) people in their communities and regions.

Note: This is not a “Trans 101” workshop; participants are assumed to have at least a basic-to-intermediate level of understanding of TNG people and communities.


After completing this workshop, participants will be able to:

  • Discuss the impacts of non-medical, medical, and surgical transition on the sexual health, pleasure, and functioning of TNG people’s bodies
  • Identify at least 4 sexual health risks that are increased, decreased, and/or unique to TNG people (as compared to cisgender people)
  • Describe how to create TNG-inclusive and TNG-specific sexuality education on at least 3 topics
  • Identify 2-3 personal and 2-3 organizational concrete, impactful practices for creating access to exceptional sexual healthcare (if a provider) and/or sexuality education (if an educator) for TNG people
  • Implement a specific plan to implement at least 1-2 of these concrete, impactful practices to improve their individual and/or organization practices to provide exceptional sexual healthcare and/or education for TNG people

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