Auria Pelvic Health

What does the pelvic region reveal about physical stress, nervous system strain, and emotional load?

“The pelvic region tells a story,” states Dr. Sasha Speer, PT, DPT, Founder and CEO of Auria Pelvic Health. It reveals how the body carries physical stress, nervous system strain and emotional load, affecting everything from movement to intimacy. At Auria Pelvic Health, Dr. Speer and her team use pelvic floor therapy and nervous system regulation to restore bodily function in ways conventional care often overlooks. Rather than isolating symptoms, the clinic examines how physical dysfunction, nervous system response and stress interact.

How did Auria Pelvic Health address complex postpartum dysfunction when previous providers found no issues?

Auria’s approach has reshaped outcomes for patients whose symptoms once seemed untreatable. Seven years postpartum, a young woman came to the clinic hoping to regain control over her body. Years of marathon training had triggered hip pain, her pelvic floor had shut down and intimacy with her partner had become impossible. Previous providers found nothing structurally wrong and offered no clear path forward.

Dr. Speer identified a breakdown in the deeper core system, where the pelvic floor, diaphragm and deep abdominals no longer worked together as a coordinated unit meant to support the body. When that coordination fails, the body compensates and pain spreads to the hips and back.

The clinic’s treatment focused on reactivating the pelvic floor and rebuilding coordination across the system. With her hip pain resolved, she returned to competitive running and her sexual health was restored. The improvement came from correcting the underlying dysfunction, not learning to work around it.

“The medical system compartmentalizes the human being and looks for quick fixes,” says Dr. Speer. “At Auria, we treat the whole human being, physically, neurologically and emotionally, creating change that lasts.”

For Dr. Speer, this also means stepping in early, much like treating high cholesterol before a heart attack, and staying ahead of dysfunction before pain becomes chronic or life-limiting.

When the Body Holds Chronic Stress

Why is nervous system regulation essential for patients experiencing chronic stress and physical dysfunction?

The same approach reshaped care for a woman in her early twenties who could not tolerate close physical contact and would pass out during pelvic exams. At Auria, the team established nervous system safety before attempting physical work. Over two years, through gradual desensitization and regulation protocols, her nervous system learned to tolerate touch. She now maintains a relationship with her partner, tolerates routine gynecological care and moves through life without bracing against contact.

This pattern appears frequently in Auria’s practice. Many patients are already stressed, particularly new mothers navigating postpartum life in Los Angeles. Auria’s clinicians often find the nervous system locked in an overactive state, where sustained stress drives pain and dysfunction. The team uses regulation protocols to calm that response, then treats the physical impairments directly.

The Precision Behind the Care

In what way does Auria ensure precision and depth in pelvic therapy assessment and treatment?

These results require a level of precision that many pelvic floor therapy practices do not reach. Auria’s practitioners assess hip and pelvic muscle attachment points that others overlook. They perform internal examinations to release adhesions around irritated nerves and evaluate how the pelvic floor, deep abdominals and diaphragm function together.

That depth of assessment is rarely taught in formal training. To close this gap, Dr. Speer built an internal system centered on constant one-on-one mentoring. The team includes doctoral-trained physical therapists, an occupational therapist specializing in nervous system desensitization and the only acupuncturist in Los Angeles focused exclusively on pelvic care.

The same rigor carries into every appointment. Patients receive a 60-minute private session with one clinician, no aides and no rushed turnover. Care spans pelvic pain, bladder and bowel issues, sexual health challenges and core dysfunction for both men and women.

Dr. Speer plans to open a clinic in Santa Monica, followed by expansion across the country. The aim is to extend access to whole-body pelvic care to regions where this level of treatment does not yet exist. The motivation is personal. She wants this care available to everyone, including her own mother in Washington State. Through Auria Pelvic Health, Dr. Speer is building a model that treats the complete human body, not isolated symptoms.