Aylara Pelvic Health
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EPISODE 09 · Sep 10, 2026

Why I Created Aylara Pelvic Health

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If you have ever left a medical appointment holding a symptom that nobody asked about, you are not alone. Painful periods. Leaking during a workout. Pain with intimacy that quietly strains a marriage. Bowel or bladder changes that feel too private to mention. Many women learn to file these away as the price of being female, or of having had a baby, or of getting older.

In this solo episode of Healing At Your Core, host Bree Allred, PT, DPT, PRPC explains why she created Aylara Pelvic Health, what she believes women's healthcare has been missing, and how collaborative, whole-body pelvic care can look different. Common is not the same as permanent. If you have been living with something because you were told it was normal, there may be more options than you realize.

Why Women's Pelvic Health Care Has Fallen Short

For much of medical history, research and treatment were built around male biology. As Dr. Allred describes it, medications have only been studied on women in relatively recent decades, and women were largely expected to respond the way men do.

But women's bodies are not on a daily rhythm. They cycle, on average, about every 28 days, with meaningful variation from person to person. That hormonal complexity changes how symptoms show up and how bodies respond over time. When care is designed around a different physiology, it is easy for women's concerns to get flattened into "you're just a woman," "you've just had a baby," or "it's perimenopause."

Over years of practice, Dr. Allred kept hearing a version of the same question: where have you been all my life?

Where have you been when my marriage has been falling apart because I haven't been able to participate in intimacy? Where have you been when I've been exercising and wearing a Depends because I wanted to do a high fitness class? Where have you been when I was in my postpartum timeframe and feeling my body not support me and not knowing what to do about it?

The concerns women raise are wide-ranging: debilitating period pain, pain with intercourse, difficulty conceiving, bowel and bladder problems, leaking with exercise, back and hip pain that makes chasing a toddler feel impossible, and the sense that a body no longer feels like home after birth or during hormonal change. Many of these are questions no one has ever asked them directly. Part of good care is simply making it safe to answer honestly.

Whole-Body Care Instead of Separate Silos

As medicine has become more specialized, it has also become more divided. One provider handles bowels. Another handles the bladder. Another handles the uterus and reproductive organs. The body, meanwhile, keeps functioning as one connected system.

Dr. Allred's goal is for Aylara to be a place where the whole picture gets pulled together, and where the answer never stops at "good luck." Sometimes that means pelvic floor physical therapy. Sometimes it means a referral to an endometriosis specialist, a colorectal surgeon, an OBGYN, or a urogynecologist.

I created Aylara because I was determined that my clinic was going to be the last stop to help someone get answers.

Collaboration matters for a practical reason, too. When providers communicate, a woman does not have to start her story over from the beginning at every new appointment. She also gets to see her real options laid out clearly, including physical therapy, supportive devices, and surgical routes, so she can choose what aligns with her values.

Care Across Every Season of Life

Dr. Allred envisions a clinic where a woman at 25, 35, 45, or 55 walks in and finds someone who understands the season she is in.

In the twenties, conversations often center on painful periods, fertility, preparing the body for pregnancy, and understanding the female sexual response. During pregnancy and postpartum, the focus shifts to navigating major physiological change and rebuilding support. With adequate guidance, she notes, a body can become stronger through that process.

In perimenopause and menopause, women may notice vaginal dryness, tissues that feel less flexible or more fragile, discomfort with intimacy, or a sensation of pelvic organs dropping lower or feeling like something is falling out. These changes are common, and they are worth addressing rather than enduring.

Where the Name Aylara Comes From

The practice began as Luna Physio, an intentional nod to the moon. Women cycle. They wax and wane. They move through distinct seasons, from first menstruation, through the childbearing years, into the wisdom of the menopausal years.

When the original name could not carry the practice forward, the search led to *Ayla*, the Turkish word for moonlight and the halo of light surrounding the moon, paired with *Ara* to represent a woman's own inner light. Aylara is where the light from without meets the light from within.

That is also how Dr. Allred describes the therapeutic relationship. You are the expert in your body. A clinician brings training and clinical knowledge. Together, those two forms of expertise create something more useful than either one alone.

Action Steps

  • Write down the symptoms you have been minimizing, including bladder, bowel, and intimacy concerns, and bring the list to your next appointment.
  • Trust your intuition when something feels off in your body, and keep asking until someone helps you understand why.
  • Ask any provider what your full range of options is, including conservative care, before agreeing to a single path.
  • Ask whether your providers are communicating with one another so your care reflects the whole picture.
  • If you have been told a symptom is simply normal, seek an evaluation from a pelvic health physical therapist or another qualified clinician who can assess it directly.

You deserve to be heard, believed, and given real answers about your own body. If you want to hear more about the difference between what is common and what is worth treating, listen to Common Doesn't Mean Normal, or request an appointment to talk through what you have been carrying.

READ THE FULL TRANSCRIPT
[00:00:00] Welcome to Healing at Your Core. I'm Dr. Bree Allred. Today we're gonna have a conversation [00:00:05] about why I do what I do, about why I created Aylara [00:00:10] Pelvic Health, and I hope that you'll enjoy listening to this today [00:00:15] [00:00:20] [00:00:25] [00:00:30] [00:00:35] [00:00:40] So the reality of why I did what I did [00:00:45] is women deserve better. We're looking at the history here. [00:00:50] It's not until the last 10 years that medications have even been studied on women. We were just [00:00:55] expected to be like men. But the challenge with that is, is we're not. [00:01:00] Our bodies cycle every 28 days on average, right? We know there's some [00:01:05] variance in that, but we cycle every 28 days. A man cycles every day, and we [00:01:10] cannot make the same conclusions of how a woman's body is going to handle something [00:01:15] as how a man's body is going to handle something. Our hom- hormonal nature [00:01:20] makes us more complex beings, and the system has failed us to an extent.[00:01:25] I created Aylara Pelvic Health because I wanted to do it differently. I [00:01:30] heard so many women walk into my office, and they're saying, "Why did I not [00:01:35] have this information sooner? Where have you been all of my life? Where have you been [00:01:40] when my marriage has been falling apart because I haven't been able to participate in intimacy? [00:01:45] Where have you been when I've been exercising and wearing a Depends because [00:01:50] I wanted to do a high fitness class? Where have you been when I've been [00:01:55] struggling with bowel movements? Where have you been when I was in my postpartum [00:02:00] timeframe and feeling my body not support me and not [00:02:05] knowing what to do about it? Where have you been when I desperately wanted to get pregnant, [00:02:10] but I couldn't even participate in intercourse with my husband? Where have you been?" [00:02:15] I've heard that so many times, and I've seen the joy when they [00:02:20] finally get the help that they need. I created Aylara because I was determined [00:02:25] that my clinic was going to be the last stop to help someone get answers, [00:02:30] and whether that answer was through me and the services that I could provide or whether that was through making [00:02:35] appropriate referrals to the people that they needed to get to, whether that was [00:02:40] getting them in with the endometriosis specialist, whether that is helping them get in with a colorectal surgeon, [00:02:45] whether that was getting them in with an OBGYN or a urogynecologist, [00:02:50] getting the answers that they need. If I am not your end stop, I will make sure that you are getting [00:02:55] to the people that you need to be getting to to help you I created Aylara Pelvic Health [00:03:00] because women want to be believed. They don't want their symptoms to be brushed under the rug. [00:03:05] They don't wanna be told, "Oh, you're just a woman." I don't want [00:03:10] clients to have to be told that we don't know what's going on, and we don't know how to [00:03:15] help them anymore, and we don't know where to tell them to go. I want [00:03:20] women to have a place to go where they feel that they're getting taken care of, [00:03:25] that they are heard and seen, that they are safe, and that they [00:03:30] can talk about all these issues that many providers don't [00:03:35] even ask about. What's happening with intimate life? What's happening with your [00:03:40] bowels? What's happening with your bladder? Are you choosing to forego [00:03:45] exercise because you're leaking? Are you not confident you can run after your child because [00:03:50] your back and hips hurt so badly? Are you struggling to be able to [00:03:55] conceive? Are you struggling to know if your body can handle another [00:04:00] pregnancy because the last one was so terrible? Are you struggling with the fact [00:04:05] that your birth didn't go the way that you wanted, and now your body is responding differently than it [00:04:10] ever has before? Are we struggling because our bodies are changing because we're going through hormonal [00:04:15] changes? Are we struggling with pain sensitivity? Are we struggling with feeling [00:04:20] like we're going crazy because our hormones are not doing things the way that they [00:04:25] used to? Are we struggling to feel at home in our own bodies? That is [00:04:30] why I created Aylara Pelvic Health Women really want to understand their own bodies. [00:04:35] They wanna know why, they wanna know how. They don't just want to know the what. They [00:04:40] wanna know the reasons behind it. We wanna be educated on why we're feeling the way that we're feeling. [00:04:45] We want to be understood and have somebody say, "I can help you." And [00:04:50] at Aylara Pelvic Health, we can. We can help you. [00:04:55] Women want options. They want to be told that they can do surgery, [00:05:00] that they can do physical therapy, that they can do alternative treatments, that [00:05:05] they can use supportive devices if necessary. They want [00:05:10] options, and then they wanna choose the one that's best for them. They wanna choose the one that aligns with their personal [00:05:15] values. They want to know that they have tried everything before they go [00:05:20] to a surgical option. They want to be educated on those options [00:05:25] Women want providers who collaborate. They want people talking to each other about what [00:05:30] they're all finding because our bodies are complex. They may need, do you know, a [00:05:35] hormonal specialist. They may need an OBGYN. They may need a surgeon. They may need a primary [00:05:40] care or a nutritionist, and they want providers who are communicating so that they don't have to [00:05:45] start over every single time. They want collaboration, so they're getting the whole body [00:05:50] care that they need and that the providers are seeing the whole picture from all the different angles that [00:05:55] the specialists are able to assess. They want somebody to bring that whole picture [00:06:00] together and then be treated as a whole person as they move forward. As our medical system [00:06:05] has gotten more specialized, we've gotten more divided to where it's like, "Oh, I only do the bowels. Oh, I [00:06:10] only do the bladder. Oh, I only do the uterus and the female organs." [00:06:15] And we're needing providers who come together and look at the whole body as a system, and that's what we [00:06:20] provide at Aylara Pelvic Health. So at Aylara Pelvic Health, we have some [00:06:25] values. First one is that we're built on safety. When a woman walks in the doors, [00:06:30] she can feel the difference. She's greeted warmly. She is told with [00:06:35] clear communication what to expect. She has people that have been there. [00:06:40] She has a support system as soon as she walks in the door, and [00:06:45] the environment of the clinic is not one where it is sterile and cold like a medical clinic. [00:06:50] It's you walk in, and it's like home. It's the energy of the place is [00:06:55] healing. It is safety. It is love Along with love, Aylara is [00:07:00] very, very much about treating you as a human. You're not another number to us. You're a person, and we [00:07:05] love you so much, and we want you to feel that love the minute that you walk into our clinic At Aylara [00:07:10] Pelvic Health, we are determined to be the experts in your care. We are [00:07:15] determined to know as much as we can. We are all about pursuing growth within our clinicians and [00:07:20] within those that, that are behind the scenes. We want everyone to be the best that they can be. [00:07:25] That includes our patients and our employees Along with pursuing growth, we are [00:07:30] passionate about being willing to understand, one, where our limitations [00:07:35] lie, where our scope of practice ends, and where we need to get different help. We're about collaborating with other [00:07:40] providers to get you the best care that you can have. We're all about you know, [00:07:45] challenging ourselves. We're looking at is there new evidence that comes and debunks [00:07:50] what we've been doing? We're looking at being the best. We're looking at continually moving [00:07:55] physical therapy and pelvic health forward and women's health forward, and we wanna know what the best evidence [00:08:00] is to support that and be on the cutting edge of what we're seeing be up and coming in the [00:08:05] field We're [00:08:10] all about being transparent with you. We're gonna know when we can help you and when we can't. So if we're not [00:08:15] the place, we're going to make sure that we find the place that can help you next Aylara, it's all [00:08:20] about faith. We know that things can get better for people, [00:08:25] especially when you've lost your own hope, when you've been told over and over that [00:08:30] they're not sure why these issues are happening. We are confident that we can help. We instill [00:08:35] hope in people. We instill faith in people Our values aren't words painted on a [00:08:40] wall. They're actual things that we live by, things that we believe in passionately, [00:08:45] we know you will feel that when you walk into our clinic doors At Aylara Pelvic Health, I envision a place [00:08:50] where someone at 25, 35, 45, and 55 can [00:08:55] walk in and know that there is someone here that understands the season that she's in, that knows the [00:09:00] challenges that come with these times of life, and understands the body and how to help, [00:09:05] and get results, get us back to the things that we love doing So let's [00:09:10] talk a little bit about the 25-year-old walking into our clinic. The 25-year-old, we're gonna talk about [00:09:15] fertility. We're gonna talk about preparing your body for a pregnancy. We're going to talk about [00:09:20] dealing with painful periods, intercourse as we've started becoming sexually active. If [00:09:25] the female sexual response and understanding our body and, and the reactions that we may be having, [00:09:30] or maybe things aren't happening the way we think they should, and just [00:09:35] navigating all of these changes that we're starting to, deal with. Maybe it's painful periods. [00:09:40] Maybe we're helping you be able to navigate, like, why you're struggling with so much pain, why it's so [00:09:45] debilitating in your life Now we start looking at the pregnant and postpartum [00:09:50] patient and helping them navigate these big physiological changes that happen in their body, whether that [00:09:55] be our changing body as we grow a human inside of us, whether that be the changing body [00:10:00] after we've delivered this human to earth side. It's incredible what our bodies [00:10:05] do, and if given the adequate support and health and guidance, it [00:10:10] can actually become even stronger and better because of it I also envision the woman walking in in [00:10:15] perimenopause and menopause and dealing with the challenges that come there. I see the woman that's dealing [00:10:20] with vaginal dryness, with maybe pelvic organs and feel kind of [00:10:25] dropping lower into the vagina, feeling like there's something falling out of the vagina. Maybe it's painful intercourse [00:10:30] because all of these changes in the vagina are making it so tissues are not as flexible. They're a little [00:10:35] more frail. Maybe we're getting, um, tearing in these tissues when we're trying to participate [00:10:40] in intimacy, and it can be a huge challenge to navigate as [00:10:45] we're, as we're trying to figure out what our bodies are doing, as we're trying to figure out h- what [00:10:50] these changes mean, and as we're trying to figure out how we can navigate through them to [00:10:55] still maintain the vibrant life that we desire to live and knowing it's [00:11:00] supported and injury-free I want this to be a proactive healthcare [00:11:05] where our body is a system, and we need to proactively take [00:11:10] care of it. If we can feed it better foods, if we can train it more [00:11:15] appropriately, if we can give better bone health and strengthen our life and longevity [00:11:20] based on the season that we're in, it can be so helpful If you've been living with something [00:11:25] because you've been told it's normal, I want you to know that there may be more options than you [00:11:30] realize. To healthcare providers, I believe healthcare gets better when we collaborate instead [00:11:35] of protecting our individual silos. I want Aylara Pelvic Health to be the kind of organization that [00:11:40] you want to work with. To potential team members, if you're someone who wants your [00:11:45] career to mean more than seeing the next patient on the schedule, I want to build a place where [00:11:50] you can do meaningful work, where you can do so without getting burned out, where you feel [00:11:55] supported in your growth, where we see you To women generally, even if [00:12:00] you never become an Aylara patient, I want what we're building to change the conversations women [00:12:05] are having about healthcare I have seen so many things in women's healthcare that I think need to change. [00:12:10] I think the women need to be listened to, not brushed under the rug. I don't need them to be told [00:12:15] that it's, "Oh, you're just a woman," or, "You've just had a baby," or, "You're going through menopause or [00:12:20] perimenopause." I don't want them to be given the women's tonic as we're [00:12:25] so famous for. Dr. Pierce's favorite prescription, the women's tonic. It's written on a barn [00:12:30] as you, as you drive out of Cache Valley. I don't want that to be the status quo here. I [00:12:35] want women to feel heard. That's what needs to change. You need to be heard [00:12:40] in the things that you're struggling with. You need to be listened to in the fact that knowing that women have [00:12:45] intuition. We are guided. We know when something is off, both with ourselves and [00:12:50] oftentimes with those around us, and we need to trust that intuition. We need to move and [00:12:55] flow within it. We need to trust our instincts, and then be given answers, and be [00:13:00] given people that are like, "I believe you. I believe in you, and I believe what you're feeling. [00:13:05] Let's help you get the care that you need." The mission of Aylara Pelvic Health is so [00:13:10] important to me. I wanted to do things different. I wanted women to have [00:13:15] access to healthcare outside of an insurance-based model. I've seen how [00:13:20] insurance dictates care. I've seen how profits dictate care, [00:13:25] and I've seen how that affects both the clients and the clinicians providing the care.[00:13:30] I wanted to create a place that I love to work. I wanted to create a place that women walk [00:13:35] in the door and they feel the difference. They feel the energy. They feel [00:13:40] like they've come to a place to take care of themselves. They feel as if [00:13:45] they've entered a place of safety, of love, of a warm hug, of [00:13:50] faith, of somebody that believes in them, and that things can get better. That they have found [00:13:55] the place where it's like, "I am seen. I am heard. I am safe, and these [00:14:00] providers are going to be transparent with me. They're gonna tell me what they know. They're gonna help me understand my own [00:14:05] body. They're gonna tell me where all of this comes together, and if they [00:14:10] are not the people to help me, they're going to help me get in and to see the providers that I need [00:14:15] to see. They're not gonna leave me saying, 'Well, good luck.' They're going to help me get [00:14:20] answers." That is what I see. That is what I hope, and why this mission is so [00:14:25] important to me. We deserve better, and it needs to change In walking into [00:14:30] Aylara, you should feel that you're welcomed right from the [00:14:35] get-go, that your questions are answered, that you feel welcomed, that you feel like you have a friend. [00:14:40] I want them to feel as an equal, that my clients are, [00:14:45] and the clients that with everyone at Aylara Pelvic Health, like your voice is just as [00:14:50] important as the knowledge that I have to give you. You are the expert in your body, and [00:14:55] I have textbook and years of knowledge on how this body should be [00:15:00] functioning and responding. And I think together, together with what [00:15:05] you already know about your body and my expertise in the body, those together [00:15:10] should align. Those should create the biggest impact [00:15:15] because you know your body better than anyone else, and I can hopefully give you [00:15:20] some tools that will help you be able to be a- to be empowered and to, to [00:15:25] leave with the tools to take care of yourself and the knowledge that it's like this can change and I know [00:15:30] how Ultimately, I'm trying to build something different, something unique, [00:15:35] something that's bougie. It's kind of fun to walk into a place that feels [00:15:40] different. I am trying to create a place where providers like myself [00:15:45] can practice the way that they wish, that they can be cutting edge, [00:15:50] that they can also be evidence-based, that they can be supported in their individual growth [00:15:55] and supporting them throughout life, that they can [00:16:00] be a mom, that they can go through perimenopause, and that they can show up to work and still [00:16:05] give everything that they have to give because they love it, because they aren't burnt out, [00:16:10] because they aren't chasing a corporate number or profit [00:16:15] schedule, but that they are individuals who are loved and cared for and who are [00:16:20] understood and who are given freedom to practice in a way that they [00:16:25] feel is best and to feel supported in that, and also to have some, some [00:16:30] support behind the growth Why should somebody wanna come be a part of this? [00:16:35] Because it's special. It's unique. It's going to be a movement. We're creating [00:16:40] change. We're doing something different. We're doing it for more than just money. It's bigger than [00:16:45] that. We're doing it because we love it, because this is our passion. We're doing it because we [00:16:50] love the clients and people that we serve, and we love the transformations that we see on the other side. [00:16:55] We love seeing the new mom who is progressing forward. We love [00:17:00] seeing the new mom who feels confident in her body's abilities to carry a baby. We [00:17:05] love supporting women through every phase of life, through every season of [00:17:10] life I'm gonna end this episode just telling you a little bit about the name of Aylara, what it [00:17:15] embodies, what it means, and hopefully that'll help you get the vision of what we're creating here [00:17:20] So, Aylara in its infancy was known as Luna [00:17:25] Physio. We had an ode to the moon because women change much as the moon does. [00:17:30] We cycle, and often we will cycle on the moon's 28-day cycle, [00:17:35] but we're never the same. Each day we're waxing and waning. Things are coming [00:17:40] and going. We're just like the tides coming in and out. Our hormones are moving and [00:17:45] we're flowing. So that was the original meaning with Luna, is that ode to the moon and [00:17:50] the cycles and the seasons that it welcomes in when life. We as women also have [00:17:55] seasons in our life. We have the time when we meet menstruation, when we meet this [00:18:00] reproductive power. We have times when we're practicing that reproductive power, when we're going [00:18:05] through the phases of childbearing and mothering, and then we have phases when we've met that [00:18:10] power, when we have, gained the wisdom from our cycle and that [00:18:15] we are now mature menopausal women. And we go through those phases and [00:18:20] just like the moon cycles and the seasons, we go through these seasons in our own life, and each [00:18:25] has its own challenges, each has its own struggles, and we can thrive through each [00:18:30] of those seasons. And oftentimes we just need a guide to go through it. [00:18:35] So as we went to move Aylara forward, we found out that [00:18:40] Luna, the name Luna Physio, was not going to be able to take us further in the physical therapy space.[00:18:45] And so we started brainstorming ideas for a new name, [00:18:50] and we went through many different things. We knew it needed to be unique because [00:18:55] often common things have been trademarked already. And so as we were [00:19:00] looking, we were looking for unique things, And we came across the [00:19:05] Turkish name for moonlight, and it's called Ayla. And it refers to kind of the [00:19:10] light that surrounds the moon. It refers to that idea of the, [00:19:15] the light without, the light that you can see around things. [00:19:20] And then we talked about Ara being our own personal light. And so [00:19:25] Aylara then means where the light from without meets the light from within, meaning [00:19:30] what we can provide to you, our knowledge, our tools, along with your own inner light and [00:19:35] how those combine to make wholeness. And that really embodies the vision of what we're [00:19:40] creating here, and we hope both patients and employees can feel that, and [00:19:45] that we're creating something bigger than ourselves. We want to change lives. We want to change [00:19:50] women's healthcare and how it shows up for us. We want to be [00:19:55] collaborative. We realize that the body is a whole system [00:20:00] Not divided into these separate silos, and that we need to be collaborating with the expert knowledge that [00:20:05] each individual specialty within our body system has. And as we can [00:20:10] collaborate and take the time for that communication, that it can change healthcare. Thanks for joining me [00:20:15] today, and I hope you enjoyed learning a little bit more about Aylara Pelvic [00:20:20] Health and my personal mission in moving women's health generally forward specifically with [00:20:25] pelvic health and starting these TMI conversations and the common is not normal [00:20:30] conversations. And we're so excited and hope you can continue to follow along with [00:20:35] us ​[00:20:40] [00:20:45] [00:20:50] [00:20:55]

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