Coming from your vaginismus post from a while back: is it worth trying to cure it if you don't want anything going in or out of your vagina? I'm a trans man personally and I've never cared abt my vaginismus, I was comfortable just using pads back when I had periods and never wanted to give birth or be penetrated. I wonder if treatment would be dysphoria inducing, and if it has any other effects on the body than just fucking breaking my body if I try to do anything with that particular hole, which are just invisible to me bc I've always had it...? Or if there are any contexts where I would want it healed, etc. sorry for this random ask.
That's a tricky one. I don't know the long term effects of pelvic hypertonia, especially on things like bottom surgery (if that's something you're interested in). In terms of dysphoria, pelvic floor physio is completely ungendered. It's literally just teaching you how to consciously relax your muscles, and using tools to ensure that pain goes away. Interacting with that area of your body in a dispassionate, medical context for the purposes of healing and easing pain may even help you see it as just a part of you, disconnected from sex, sexuality, gender identity, etc.
You'd certainly need a physio who isn't going to misgender you!! I know they exist where I am in the world (my endometriosis doctor even made the point to be trans inclusive in my appointment yesterday!), but I also know they might be difficult to find.
I think it depends on what you want to achieve with your body, in terms of trans identity. Your body is your gender, regardless of what it was assigned and what associations people have with certain parts of it. Being able to heal that part of yourself may even be helpful from a trans perspective, in terms of integrating it into your sense of self and seeing it as something neutral, something that is yours.
I personally think it's worthwhile doing the physio because you don't know what you might need that area for in the future. Doing this work now would give you the freedom to decide later for yourself, whether that's about using tampons, sex, masturbation, or even ensuring the area is in the best state possible for surgery.
Good luck!