$K_\mathrm{a}$ can be expressed as $K_{\mathrm{a}} = \frac{[\ce{H^{+}}] [\ce{A^-}]} {[\ce{HA}]}$, however, it can be approximated that $K_{\mathrm{a}} = \frac{[\ce{H^{+}}]^{2}} {[\ce{HA}]}$.
I usually use the approximated equation when I'm dealing with questions that don't provide [$\ce{A-}$]. What I don't understand is why/how can we approximate it to this?
To approximate to $\ce{[H+]^2}$, then $\ce{[H+]}$ and $\ce{[A-]}$ must be pretty much equal, and so this must assume that the acid completely dissociates. However, in practice, do acids dissociate to the point that $\ce{[H+]}$ and $\ce{[A-]}$ are equal? If not, then how can we approximate to $\ce{[H+]}^2$, and are there any mathematics that demonstrate this approximation?