Pelvic Care for People of Color (POC) is essential medicine.

The World Health Organization (WHO) defines essential medicines as: the medicines that satisfy the priority health care needs of the population. Each country is encouraged to prepare their own lists taking into consideration local priorities. The medications on this list are ones which people should have access to at all time, in sufficient amounts and at affordable prices.

Although the core list of essential medicines is in reference to pharmaceuticals, I’m expanding the concept to include tools like:
breath work, bodywork, storytelling, herbs, nutrition, movement, meditation, and modalities.

I believe the delivery of basic health care improves, and at minimum is more organized, when we list “priority conditions” and determine what are the most efficacious, safe and cost-effective ways to address said conditions.

Our pelvic health is declining and it shows. One way this is reflected is by how many “priority conditions” involve the pelvis. Over time, we need more and more pharmaceuticals to better regulate functions that the pelvis contributes to.

This isn’t that hard to believe when you consider how many of our daily functions interface with the pelvis: digestive function (bladder + bowel), sexual function, reproductive function, sitting, standing, walking, breathing, and load-transfer from the lower extremities to the upper extremities and vice versa. The pelvic floor muscles are the muscles at the base of our pelvis. In addition to supporting the functions mentioned above, they also contribute to our spinal stability, organ support, pleasure and lymphatic drainage (waste removal). <takes breath> And the pelvis contributes to the phenomenon that is birthing a baby. Wheww. Okay that’s a lot, but now you know why I am such a huge advocate for pelvic health and thus its care. Gender-wise and sexuality-wise it doesn’t matter how you identify or don’t identify… male, female, non-binary, gender non-conforming, heterosexual, asexual, or anywhere on the LBGTQ+ spectrum… if you have a pelvis, you have a need for pelvic care.

We all have a need for pelvic care so why Pelvic Care for POC? Per WHO, “priority conditions” are selected on the basis of current and estimated future public health relevance, and potential for safe and cost-effective treatment. Based on that, I’m calling the pelvic health of POC a “priority condition” and its care essential medicine because indigenous people are sexually assaulted at the highest rate, black maternal health care is the worst, Latin America has the highest rate in the world of gender-based sexual violence against women, and eugenics is real. In regards to the POC pelvis, history can get dark, but journeying through our world history and personal history is how we begin to specifically address the generational/ancestral component of our pelvic health.

Communities of color have always had rich and sophisticated medicine ways, but historically, these are the people whose medicine and identity have been lost, suppressed, and devalued because they were considered threatening to settler-centric power dynamics. Many of our public health crises can be attributed to the uneven distribution of privileges and burdens, and it’s why I advocate for the reform of oppressive systems that create stress, disease and health disparities. Pelvic Care for People of Color is my love note to the world, my contribution to try and make wholeness a sustainable and accessible option for all.

I think our life’s work is to continuously discover ourselves, re-imagine ourselves, and liberate ourselves.

I’d love for you to join me for a day of discourse on how we can… Liberate the pelvis, optimize function, care for ourselves, heal our ancestors, affirm pleasure, claim joy, attract abundance, flow creatively, navigate our power, clear stress, process trauma, and shake shame.

In circle and in ceremony, with movement, food, herbs, song and story-telling we’ll explore the topics of:
offering/honoring, squatting, power, and pleasure as they relate to the pelvis of POC.

Looking forward to the glow, the vibe, and the shine as we all explore the art of feelin’ fine!

COST: $150 (includes dinner)


Participants will need to be comfortable exposing their abdomen, but the group meditations and exercises will NOT require anyone to undress.
If you come, know it will be my highest priority to create a safe and supportive environment for you to process and learn. We all have life experiences to untangle, process, and integrate. The driving force in you attending should not be out of stress or pressure around any specific healing *having
* to happen - come because you’re ready to deepen the relationship you have with yourself.




The pelvis is but just one gateway that can teach us of our sacredness and in turn Source’s inconceivable expansiveness. Can we let this life giving body part bring us to our knees? Can we commit to bring it frequent offerings so that we may eventually learn to turn our lush bodies, vulnerable landscapes, and celestial skies into altars that we never show up empty handed to?

The sacrum is the triangular bone at the base of the spine. It’s nestled between your two flanking innominate bones. Collectively, these 3 bones make up what we call your pelvis. In front of the sacrum resides our center of mass. The center of mass is a point in a system that responds to external forces as *if* the total mass of the system were concentrated at this point. I tell you this because in my never ending quest to try and understand the human body, I was given direction with the following counsel , “if you have a bunch of things and you don’t know how they all interact, study the center of mass first , and then maybe the rest will be easier.”

The sacrum is a curious thing. The upper body and lower body articulate with one another by way of the pelvis, making the sacrum an important juncture, physically. Spiritually, the sacrum represents a “as above, so below” point. Whenever and wherever the energies of heaven, above and earth, below meet, myths across cultures and stories across time impart the sentiment that this meeting point symbolizes sacredness. The word “sacrum” breaks down to mean “sacred bone” in English, Greek, and Latin. Associating power and holiness with this area is also present in African, Indian, and MesoAmerican traditions. The skull and sacrum are significant to the many mystics who believe that these regions are portals/gateways into other dimensions. Housing points for one’s essence, these regions carry within them the capacity to bring forth new concepts, new ideas, and new life (in all forms). Wherever there’s capacity for new life, one must also make space for death. Both birth and death are often honored with offerings, allowing us to acknowledge their importance and impact throughout the cycles and the seasons of our lives.

The definition for "sacred" that best resonates with me is: "worthy of veneration, reverence, and respect on the one hand, and protected by tradition and ritual against symbolic or actual abuse on the other." Are we capable of handling and experiencing our own pelvis as such? Are we guided by this Truth when we interact with others?

In attempt to bring awareness to my tendency towards classifying things in a hierarchical manner, I was once challenged to spend some time with the word “sacred” eliminated from my vocabulary. An exercise meant to honor all my relations and have me see a human life not any more important than a river which was no more sacred than a stone which was not any more worthy than a blade of grass and so on and so forth. The inverse of this exercise is often necessary... assigning sacredness to the things that have long lacked it in an effort to reconcile that it was stripped of such in the first place. It’s a concept that’s at the heart of the “Black Lives Matter” movement and the impetus behind “Say Her Name.” The “Me Too” movement has brought to light the offerings the POC pelvis has yet to collectively receive: safety and sanctity.



With so many functions, can the pelvis be simplified down to one defining act? Probably not, but YOLO... its squatting. If the pelvis *had* to have one defining act that helps it carry out all its functions, then it would be deep, traditional squatting. I know what you were thinking, you thought it was gonna be sex. Nope. However, the capacity to squat well allows you to have access to sex in a variety of ways. Maybe you thought it was birth. Birth does matter if we care to propagate the species (do we really tho? That gets messy. ANYWAY...). If we’re gonna birth and want better outcomes, then better get to squatting. Completing the digestive process and eliminating what we ingest with ease, yep, you guessed it, necessitates a good, deep squat. Ok, what about walking? Without access to modern conveniences, we walk to fetch our water and walk to forage our food, and in that case, ambulating is absolutely necessary for survival. I’d argue the most important phase of gait that propels us forward is the push off phase which requires hip extension range and strength. Guess what? Hip extensor strength is maintained by frequently deep squatting and getting back up again (for the record tho, walking is super important for pelvic health too).

Across cultures and time, deep squats are used frequently as a position of rest and are relied upon to get many day-to-day tasks done. POCs hold down the deep squat (and many of its variations) when they clean, cook, dance, squat on stoops, rest at bus stops, and/or are posted up near someone’s car in barrios around the world. This go-to move doesn’t require a gym, it can exist naturally in your life. It’s especially relied upon in the absence of cars, couches, chairs, and toilets (another chair, really). If you’re really trying to be about the deep squat life, then you gotta commit to making your life more dynamic by design. In my humble opinion, it’s never too late to optimize your capacity to dip it low and pick it up slow Christina Milan style. Even when your body has limitations that restrict how much/well you can squat, I guarantee we can keep breaking it down until some component of squatting is accessible.




The capacity to welcome pleasure into our lives is largely determined by our conscious and sub-conscious beliefs. We create our belief system as we navigate our lives. We can’t help but seek love and validation from those around us, so at a young age we start developing beliefs and patterns regarding how we can best secure love and approval. At any given point, society at large gives us certain constructs to work with (in this time and age we’re navigating cis-hetero-patriarchy, capitalism, colonization, colorism, white supremacy, fatphobia… to name a few). Some will absolutely benefit from these constructs, but they don’t guarantee an ease in all people getting their basic needs met.

Within POC communities, it’s important to acknowledge that access, privilege, and discrimination isn’t equal. When some people’s baseline is to deal with disproportionate amounts of harm, trauma, stress, violence, and abuse, it can take a toll mentally, emotionally, spiritually, and physically. This life experience can start creating a belief that one is not worthy of pleasure. Certain belief patterns often help us survive very specific situations, however, many, eventually, have an expiration date. You’ll know because the patterns you engage in will feel more suffocating and limiting than liberating. When we’re ready to do the work, we can re-wire ourselves, in this instance, to believe that pleasure is our birthright.

In yogic philosophy, the chakra system gives us a mind-body map to help us navigate our life experience. The sacral chakra, associated with the pelvis, is believed to contain our capacity for creativity, fluidity, sexuality, and pleasure. All concepts associated with the pelvis, but not limited to it.

Knowing pleasure is not isolated to the pelvis can create a new reality for us, especially if we’re experiencing pelvic pain or trying to understand celibacy or asexuality. Pleasure can come in many forms. Certain foods you eat… textures you feel… music and words you hear… sights you see… how you’re touched or not touched… all can generate joy and satisfaction. Sometimes someone or a group of people can expand our capacity to experience pleasure and/or help us discover it in things/activities we didn’t previously consider pleasurable. It’s inevitable that others will influence us, but (BIG BUT) YOUR pleasure shouldn’t depend on anyone else but YOU. It should be determined and driven by YOUR comfort (read: safety levels) and done at your own pace.

Although pleasure is not a pelvic-specific phenomenon, why is it that it’s so shameful/taboo to discuss pleasure in reference to the pelvis? Ever consider why many times self-stimulation is considered even more shameful than pleasure with a partner? Take it or leave it, make time for it or not, self-pleasure must be discussed. Some call it masturbation. Sidebar: I’ve always been a lover of languages/words and have a tendency to hyper-focus on the nuanced details of things. The words our language does or doesn’t contain speaks volumes of how we interact with the world and can tell us a lot about the collective consciousness of a community/nation/culture. Back to masturbation. It’s generally accepted that it means “deliberate erotic self-stimulation.” A few years ago, when exploring the etymology (origin) of the word, I learned that it breaks down to: manually disturbing one self. Getting hot and bothered is one thing, but upon further breakdown of the “disturbing” part, that piece further breaks down to: ruining, polluting, and dishonoring. The word alone implies that you’re engaging in the act of polluting and dishonoring yourself, no wonder there’s so much shame around it. Hence, why I call it self-pleasure. That simple switch is how we can begin to eradicate shame. Reclaiming pleasure (within and outside of the pelvis) starts with understanding our beliefs, where they came from and having the willingness to do the work.

As POCs we have a lot to unpack regarding pleasure. Who’s here for it?



Learning Objectives:

  1. THE POC PELVIS: You’ll learn what makes up the pelvis, pelvic anatomy and alignment, the functions of the pelvic floor muscles (PFM), strategies to manage and reverse PFM dysfunction, tools to optimize your pelvic health, breathing mechanics, meditations to clear stress and trauma, ways to improve spinal and pelvic stability, how to address hip pain, back pain, and pelvic pain, how to maximize sexual performance and satisfaction, and how to harness your power and get money (via the sacral chakra connection)! As we learn about the pelvis and all its glory, you’ll learn history in a way that centers the POC pelvis so you can better navigate ancestral healing.

  2. OFFERINGS: Learn the power of creating an altar. Learn the art of not showing up empty handed. Learn 3 Truths that are constant and universal, never changing, and apply equally to everyone. 1) As above, so below. Intro to understanding the symbolism contained within the physical and spiritual as it relates to the sacrum and pelvis 2) What is in One is in the Whole. How do you relate to the pelvis? Yours and others? What do you hold sacred? Can you extrapolate that sense of sacredness, expand it, and offer it to the whole body, other bodies, beyond the body? 3) Forgiveness is Essential. Know when it’s time for forgiveness to be your offering… to yourself and others.

  3. SQUATTING: Know that no matter your physical ability, everyone can benefit from incorporating elements of what make up the deep/traditional squat. Learn why, how, and when to integrate the deep/traditional squat as part of your lifestyle. As you transition to include more squatting in your life (or are trying to maintain or improve it), learn a squat-prep plan and progression aimed at reducing injury by 1) knowing how to increase your tissue’s capacity to be more tolerate of squatting (in all it’s glory and all it’s variations) and 2) knowing scenarios that can make a deep squat more damaging than beneficial.

  4. PLEASURE: Learn to use the chakra system as a reference point that helps you manage your energetic-body and a roadmap that helps you make more sense of your physical experience. We’ll use the sacral chakra, and thus the pelvis, as our jump point to learn about our capacity to experience creativity, fluidity, sexuality, and pleasure. We’ll continue to stretch our reality by learning to increase our access to all those things with a framework that expands pleasure beyond the pelvis. This framework includes eradicating shame and re-writing our belief system through story-telling, breathwork, movement and meditation. Many times, when doing this work, the nervous system is not adequately prepared and it can be really triggering to the point of re-traumatization for some. Before diving into the work of unpacking and re-wiring, it will be a priority for you to learn how to create safety for yourself and be given tools to soothe, manage, and downregulate your nervous system.

Your guide, Amanda Ramirez, is a Doctor of Physical Therapy, Full-Spectrum Doula, and Certified Yoga Instructor. Learn more about her HERE.

Hello! Hello! Amanda here. "Pelvic Care for People of Color (POC)" is my love note to communities of color... my contribution to try and make wholeness a sustainable and accessible option for all. I spent 7 years obtaining my doctorate degree in physical therapy (PT), 6 years post-doctorate studying biomechanics, and a lifetime immersed in Puerto Rican and Mexican culture. My family has provided me with a strong foundation in: culture, food, herbs, spirituality, prayer, devotion, and energy work. And you best believe I can hold my own in the western medicine world. Maintaining a full-time patient load over the years has helped me work through many theories and it's a joy to finally share some of the inner workings of my body and mind. "Pelvic Care for POC" is a synthesis of the last 10+ years of my work which also includes teaching yoga, becoming a full-spectrum doula that honors traditional birthing ways, and developing additional expertise in internal (yep, vaginal and rectal) body work and pelvic floor rehabilitation.

Through my unique perspective, there are two major things I've noticed over the years: 1) Lack of diversity in the physical therapy profession (Not shocking. The 2016 census reported 80% of the PT workforce is white) and 2) POC's medicine ways are often disregarded and dismissed until they are appropriated. As a bilingual (English and Spanish speaking), Latina Healthcare provider who has the privilege to 1) obtain western medical knowledge and 2) also learn and carry forward traditional healing ways, I often have to consider and calculate my position in healthcare. Part of what I prioritize with my work is using my knowledge, expertise, and access to enrich and uplift communities of color. Let it be known I’m forever indebted to all the black, brown, and indigenous babys who have contributed, influenced and shaped my work.

I hope you can join me at an upcoming Pelvic Care for POC Day Retreat!

COST: $150 (includes dinner)



Participants will need to be comfortable exposing their abdomen, but the group meditations and exercises will NOT require anyone to undress.
If you come, know it will be my highest priority to create a safe and supportive environment for you to process and learn. We all have life experiences to untangle, process, and integrate. The driving force in you attending should not be out of stress or pressure around any specific healing *having
* to happen - come because you’re ready to deepen the relationship you have with yourself.


  1. Essential Medicines:

  2. 20th WHO Model List of Essential Medicines (2017):

  3. Modalities:

  4. Intro to the reproductive system:

  5. TSER LGBTQ+ Definitions:

  6. List of LGBTQ+ Vocabulary Definitions:

  7. Why People of Color Need Spaces Without White People:

  8. A comparison of Indigenous and non-Indigenous survivors of sexual assault and their receipt of and satisfaction with specialized health care services:

  9. Nothing Protects Black Women From Dying in Pregnancy and Childbirth. Not education. Not income. Not even being an expert on racial disparities in health care:

  10. Latinx Sexuality: An anti-colonial, Afro-Latina perspective:

  11. High Rates of Violence Against Women in Latin America Despite Femicide Legislation: Possible Steps Forward:

  12. America’s Hidden History: The Eugenics Movement:

  13. Eugenics and unethical clinical trials are part of the pill’s legacy:

  14. The Dark History of Forced Sterilization of Latina Women:

  15. Center of Mass:

  16. Pelvic Anatomy Resource:

  17. The MesoAmerican Sacrum Bone: Doorway to the Otherworld:

  18. How the Sacrum Got Its Name:

  19. Making Love and Relations Beyond Settler Sexualities: (26:30)

  20. New Self, New World: Recovering Our Senses in the Twenty-First Century:

  21. Black Lives Matter:

  22. Say Her Name:

  23. Me Too:

  24. The Seven Graces – Counsel:

  25. Forgiveness is Essential:

  26. Ni Una Mas, Ni Una Menos:

  27. Move Your DNA: Restore Your Health with Natural Movement:

  28. Sacral Chakra:

  29. Asexuality:

  30. Masturbation Etymology:

  31. Pre-Hispanic:

  32. 2016 Physical Therapy Census:


  1. God, Spirit, Source

  2. Family, Ancestors who love and support me unconditionally and provide me with a strong foundation in: culture, food, herbs, spirituality, prayer, devotion, and energy work.

  3. Melanie Mitchell

  4. Gina Guzman

  5. Maribel

  6. Professors/teachers/mentors at the University of Illinois and University of Southern California with a special shout out to the folx at Core PT and Dr. Derrick Sueki.

  7. PBPT a heart-felt thank you to all my patients who help me work out my theories and trust me with their care. My co-workers and colleagues have all my love, forever and always and the biggest shout out to Patty Brown for all that she is.

  8. All the yoga, meditation and breath work instructors that have trained me, taught me, and worked alongside me over the years. Especially thankful for Jahmelia Lindsay and Dene Logan Selkin. Grateful to all my yoga students and the studios that have employed me.

  9. Yoga brought me to Ayurveda. Key players that have deepened my understanding in the matter include: Sheila Govindarajan, Dr. Jayagopal Parla, Dr. Vasant Dattatray Lad, who brought Ayurveda to the west, and directly taught Alicia Diaz, Dr. John Douillard, Cate Stillman, Hillary Branoff and influenced Monica Yearwood.

  10. Dr. Kelly Starrett

  11. Dr. Holly Horikawa

  12. Monisha Garner

  13. Dr. Dawn McCrory

  14. Toni Weschler

  15. Dr. Christiane Northrup

  16. Katy Bowman

  17. Dr. Christine Lawson

  18. Dr. Vien Nguyen

  19. Tami Kent

  20. Kim Anami

  21. Carolyn Myss

  22. Gina Calderon

  23. Dr. Rupa Marya

  24. Kimberly Foster

  25. Tarana Burke

  26. Maxine Waters

  27. Mark-Anthony Johnson

  28. Patrisse Khan-Cullors

  29. Alicia Garza

  30. Opal Tometi

  31. Layla F. Saad

  32. Marie Kondo

  33. Denise Linn

  34. Mary Beth

  35. Dr. Markie Knox

  36. Berna Rivera

  37. Nicole Jardim

  38. Lisa Hendrickson-Jack

  39. Maria Benedetti

  40. Juliet Blankespoor

  41. Dr. Jennifer Lisa Vest

  42. Sade Musa

  43. Zahira Kelly

  44. Sonalee Rashatwar

  45. Alan Pelaez Lopez

  46. Dr. Kim TallBear

  47. Dr. Erica Marchand

  48. Melody Gonzalez

  49. Hector Rivera

  50. Ivelisse Diaz

  51. Meztli Hardy-Moore

  52. Herman & Wallace: Dr. Jenni Gabelsberg, Nari Clemons

  53. Eutimia Cruz Montoya

  54. Sumayyah Franklin

  55. La Loba Loca

  56. Daisy Harmony

  57. Bita Amani

  58. Tema Mercado

  59. Panquetzani Ticitl

  60. Mujeres Aliadas: Anayuli Torres, Danit Barajas, Daniela Morales, Margarita Ascencio, Elena Pascual

  61. Lucia Gutierrez

  62. Amanda Rizik

  63. Mayte Noguez

  64. Metzli Loto

  65. Dr. Quozette Valera

  66. Dr. Uchenna Ossai 

  67. Leila Wright

  68. All my lovers and friends