Auria Pelvic Health Is Redefining Pelvic Care Through Human-Centered Healing

Founder Dr. Sasha Speer Has Successfully Built One of America’s Most Comprehensive Pelvic Health Practices

For millions of Americans, pelvic health issues remain among the most misunderstood, underdiagnosed, and silently endured medical challenges. From chronic pelvic pain and postpartum recovery to urinary incontinence, digestive dysfunction, and intimacy-related concerns, patients often spend years navigating fragmented healthcare systems without finding meaningful relief. In Los Angeles, however, one clinic has built its reputation by serving the people who have already exhausted every other option.

Auria Pelvic Health, founded by Dr. Sasha Speer, has emerged as a destination practice for complex pelvic health conditions through a model that prioritizes comprehensive assessment, individualized care, and something increasingly rare in modern healthcare: time. Rather than focusing narrowly on symptoms, Auria evaluates the entire body and the broader human experience surrounding each patient’s condition. The result is a practice that is helping reshape how pelvic health is understood and treated.

A Personal Health Journey Sparked a Professional Mission

The inspiration behind Auria Pelvic Health did not originate in a boardroom or through market analysis. It began with Dr. Speer’s own medical experience.

After undergoing a cesarean section to remove a large endometriosis cyst measuring nearly nine centimeters, she began searching for specialized pelvic rehabilitation services. What she found was a significant gap in care. Despite living in one of the nation’s largest metropolitan areas, the type of comprehensive pelvic health treatment she needed simply did not exist in an accessible form.

At the same time, the COVID-19 pandemic had led her to close a previous practice. Rather than viewing that period as an ending, she saw it as an opportunity to address a healthcare need that had become impossible to ignore.

“I thought I would just go to the local pelvic health place, and there wasn’t one,” Speer recalls. “So I realized this was my next calling.”

That realization became Auria Pelvic Health, a practice built around the belief that pelvic health deserves the same level of specialization, attention, and respect afforded to any other area of medicine.

Treating the Whole Person, Not Just the Symptoms

While many clinics focus exclusively on the area where symptoms appear, Auria approaches care through a wider lens. The practice specializes in bowel, bladder, and sexual dysfunction, as well as complex back and hip pain, but every patient receives a comprehensive evaluation that considers the interconnected nature of the body.

According to Speer, lasting recovery often depends on identifying relationships between systems that are frequently overlooked. Pain in one area may be driven by dysfunction elsewhere. Musculoskeletal imbalances, nervous system dysregulation, emotional stress, scar tissue, and organ mobility can all contribute to symptoms that traditional approaches may treat in isolation.

This philosophy extends beyond physical treatment. Auria actively helps patients build support systems around their recovery journey. Whether connecting new mothers with postpartum resources, recommending mental health support, introducing patients to trusted physicians, or helping families find community-based programs, the clinic views healthcare as something that happens both inside and outside the treatment room.

For many patients, especially during pregnancy and postpartum recovery, that sense of community becomes a critical part of healing.

The Clinic Patients Find after Everything Else Has Failed

One of the reasons Auria has developed a strong reputation is its willingness to treat complex cases that other providers may not fully address.

The practice incorporates advanced techniques including transvaginal treatment, transrectal treatment, visceral mobilization, nerve release work, and fascial therapies designed to uncover hidden contributors to pain and dysfunction. These approaches allow clinicians to work with structures that are often overlooked in conventional treatment plans.

According to Speer, many patients arrive after seeing multiple providers without success. The challenge is not always a lack of effort from previous practitioners. Rather, it is often the result of incomplete evaluation or treatment approaches that fail to examine the full picture.

“We’re able to get in where other people won’t go,” she explains. “Sometimes the fascia is the issue. Sometimes the nerves are adhered internally. You have to know how to connect the dots.”

This commitment to deeper investigation has made Auria a referral destination for individuals struggling with chronic pelvic pain, complex orthopedic conditions, intimacy-related challenges, and functional limitations that significantly impact daily life.

Why Auria Rejects the Healthcare Assembly Line

In an era where healthcare appointments are increasingly compressed into brief visits driven by productivity metrics and insurance reimbursement models, Auria has taken a different path.

Every patient receives a full sixty minutes of one-on-one attention without aides, rushed handoffs, or overlapping schedules. While this model is uncommon across the United States, Speer believes the reasons are straightforward.

“Insurance won’t pay for it,” she says.

Yet she argues that healing often requires more than procedural efficiency. Meaningful recovery frequently emerges when patients have enough time to discuss experiences that may never surface during a standard appointment. Emotional stress, grief, trauma, and life transitions can all influence pelvic health, but these factors often remain hidden when providers are forced to move quickly.

By slowing the process down, Auria creates space for deeper understanding and more effective treatment. The practice recognizes that healing is not solely mechanical. It is also relational.

Designing a Space That Calms the Nervous System

The clinic’s physical environment reflects its broader treatment philosophy.

Unlike many medical facilities filled with fluorescent lighting and sterile surroundings, Auria has intentionally designed its space to reduce nervous system stress. Treatment rooms rely on natural light, soft illumination, calming scents, and a spa-like atmosphere that immediately signals safety and comfort.

For patients dealing with chronic pain, anxiety, or pelvic floor dysfunction, this environmental shift can have measurable benefits. The nervous system plays a central role in muscle tension, pain perception, circulation, and recovery. When patients feel safe, their bodies become more receptive to treatment.

Many arrive carrying significant physical and emotional tension. Speer says one of the most common reactions upon entering the clinic is a visible exhale.

That moment of relaxation, she notes, often marks the beginning of the healing process.

The Silent Epidemic Few Women Talk About

Among the many conditions Auria treats, one stands out for both its prevalence and the lack of public awareness surrounding it: urinary incontinence.

Countless women, particularly as they approach menopause, experience bladder leakage that significantly affects quality of life. Yet many suffer in silence, either too embarrassed to discuss it or unaware that effective treatment exists.

According to Speer, these cases are often highly treatable when addressed early. However, misinformation remains widespread, and some patients are led to believe medication or surgery represents their only option.

What often surprises patients most is how many friends and family members share the same struggle. Once one woman begins talking openly about successful treatment, others frequently reveal similar experiences.

“It’s a silent epidemic,” Speer says. “People don’t realize they don’t have to suffer.”

The clinic’s mission includes not only treatment but also education, helping normalize conversations around conditions that have long remained hidden.

Pelvic Health Is Finally Entering the Mainstream

When Speer first entered the field decades ago, pelvic health therapy was virtually unknown. Specialists were rare, physician awareness was limited, and patients often discovered services only through personal referrals.

Today, the landscape looks dramatically different.

Social media platforms have played a major role in increasing public awareness around pelvic floor therapy and related conditions. More patients now arrive informed, curious, and actively seeking treatment.

While Speer welcomes this progress, she also sees a new challenge emerging. As demand grows, many practitioners market themselves as pelvic health specialists without the extensive training required to address complex cases.

She cautions patients to ask questions about qualifications, internal treatment capabilities, and the breadth of services offered. Awareness alone is not enough. Clinical expertise remains essential.

The rapid growth of the field presents tremendous opportunities, but it also raises the importance of maintaining high standards of care.

Building the Next Chapter of Pelvic Wellness

Auria’s future reflects its commitment to treating health as an ongoing journey rather than a single intervention.

The company is preparing to move into a significantly larger facility that will include a dedicated wellness center designed to bridge the gap between rehabilitation and long-term fitness. The expansion will allow patients to transition safely into postpartum yoga, Pilates, personal training, and other movement programs guided by instructors trained in pelvic health principles.

For Speer, the goal is not merely helping patients recover from dysfunction. It is empowering them to pursue larger aspirations, whether that means returning to athletics, increasing strength, building confidence, or simply feeling comfortable in their bodies again.

The expansion represents an evolution from treatment provider to community wellness hub, reinforcing the clinic’s belief that health extends far beyond symptom management.

Changing the Conversation around Pelvic Health

Perhaps the biggest misconception Auria seeks to challenge is the belief that pelvic floor therapy is exclusively for women during pregnancy and postpartum recovery.

In reality, pelvic health affects everyone with a pelvis. Men experience pelvic floor dysfunction. Digestive issues can originate from pelvic health concerns. Chronic back and hip pain may have pelvic contributors. Sexual dysfunction, constipation, and urinary issues often benefit from specialized pelvic therapy.

By broadening public understanding of these connections, Auria is helping move pelvic health from the margins of healthcare into the mainstream conversation where it belongs.

At a time when medicine is increasingly driven by speed, specialization, and standardization, Auria Pelvic Health offers a different vision. One built on listening, comprehensive care, and the belief that healing begins when healthcare professionals see not just a diagnosis, but the whole person behind it.

For patients who have spent years searching for answers, that approach is proving transformative.