For trans, nonbinary, and gender-expansive adults
When you want sex to fit who you are
Sexuality can shift over time, with or without hormones, surgery, or any medical steps. Sex therapy is a place to explore what feels good, and what gets in the way.
This is the printed handout, word for word. Print or download it at the end of the page.
Does any of this sound familiar?
- “I want to find what feels good in my body now.”
- “Some moments in sex feel euphoric, and others bring up dysphoria.”
- “Hormones changed my desire, and I’m figuring out what that means.”
- “After surgery, I’m learning my body all over again.”
- “I’m not sure how to tell a partner what I want, or what’s off-limits.”
- “Starting anything sexual feels hard, even when I want to.”
- “I’m exploring kink, fantasies, or new kinds of relationships.”
- “I’m tired of explaining myself before I can even talk about sex.”
Pleasure is part of the picture
Trans and nonbinary people describe gender euphoria (joy, calm, feeling at home in yourself) alongside dysphoria. Sexual well-being isn’t only about genitals, hormones, or function. Comfort, pleasure, and being seen as yourself matter too.
How sex therapy can help
Pleasure
Find what feels good
Explore touch, arousal, and pleasure in the body you have now, at your own pace. Penetration and orgasm are never the measure.
Change
Understand what’s changing
Work out what shifts in desire, arousal, or sensation with hormones or surgery mean for you, alongside your medical team.
Connection
Say what you want
Practice naming needs, boundaries, the words you use for your body, and consent, with partners or on your own.
Safety
Work through what’s hard
Dysphoria, past harm, or fear around sex can be explored gently, without pressure and at your pace.
What sex therapy is
Sex therapy is talk therapy about sexuality, intimacy, and relationships. There is no touch, no exam, and nothing physical happens in sessions.
Your other care still matters
Sex therapy doesn’t replace medical care. With your permission, I coordinate with your doctors or other providers. If you think a hormone or medication is affecting your sex life, talk with your prescriber before making changes.
On this site
Outside organizations
Getting started
Request a free 15-minute consult at JosephMaronLPC.com or call 215-804-9315.
Telehealth for adults in Pennsylvania. Private pay; superbills provided for out-of-network reimbursement.
I’m Joseph Maron, MS, LPC, a sex therapist. I work with trans, nonbinary, and questioning adults.
Joe Maron Therapy · PA License PC017785 · Doctoral student in human sexuality, Widener University · Certificate in Affirmative Therapy for Transgender Communities · ADHD-CCSP · LGBTQ+ affirming care
