Alex Papale, DPT

Alex Papale PT, DPT (they/them) 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 pelvic pain, difficulties around sex, peripartum care, pelvic floor support with HRT, orthopedic support for pain related to chest binding or genital tucking, 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.

Course creator:

Physical Therapy Care of Trans/Gender Diverse Patients: Multi-Day Con-Ed for Pelvic Health Providers

Presented at:

  • Boston Medical Center
  • University of Illinois at Chicago
  • University of California
  • Mt. Sinai Hospital
  • Urosante Physiotherapy

Speaker: international and national conferences

Workshop leader

  • DEI: Building an Inclusive Pelvic Health Practice (presented at various facilities and meetings including APTA New England Student Conclave)
  • LGBTQ+ Affirming Pelvic Health Physical Therapy (presented at Simmons University DPT, Massachusetts College of Pharmacy and Health Sciences and other universities)
  • Vino & Vulvas Sex Education Panel
  • All Things Lube (Cambridge Health Alliance and others)
  • Sexual Health and Pleasure After Surgery (Boston Medical Center: Center for Transgender Medicine and Surgery)
  • Let’s Talk About Sex (Middlesex Hospital GIFTS Conference)
  • Rethinking Advocacy in Medicine: Knowledge is Power Panel (Tufts Medical School)
  • A number of sexual education of various topics including
    • A Clinician’s Guide to Sexual Health Toys
    • Anal Sexual Health Basics
    • Large Diameter Sexual Penetration
    • Kink 101
    • Sensation Play 101


  • Doctorate of Physical Therapy Cum Laude, Simmons University
  • Pelvic Health Sex Counseling Certificate Program with Pelvic Guru
  • Sex Geek Summer Camp
  • Sex Geek Conservatory
  • Pudendal Neuralgia and Complex Pelvic Pain Solutions Pelvic Guru
  • Manual Therapy for the Abdominal Wall Herman & Wallace
  • Intersections of Racism and Power: Healthcare Redefined Uchenna Ossai PT, DPT, WCS, CLT/YouSeeLogic
  • Pelvic Floor Level 2A: Function, Dysfunction and Treatment: Colorectal and Coccyx Conditions, Male Pelvic Floor, Pudendal Nerve Dysfunction Herman & Wallace
  • Pelvic Floor Level 1: An Introduction to Female Pelvic Floor Function, Dysfunction and Treatment Herman & Wallace