The Luteal Health Blog
Research-backed insights from a clinician who's been the patient. Every article includes peer-reviewed references.
If you’re new to endometriosis or trying to make sense of a long-overdue diagnosis, start with these two.
Beyond the textbook definition. What happens at the cellular level and why that changes everything.
Read the complete guide to what endometriosis really is →The diagnostic process, why imaging can miss it, when laparoscopy matters, and what to ask if you’ve been dismissed.
Read how endometriosis is diagnosed →Three structural reasons diagnosis is delayed — what providers overlook, what to ask, and when to seek deeper evaluation.
Learn why endometriosis diagnosis is delayed →Excision, ablation, hormonal therapy, second opinions — how to evaluate the options before you commit.
Not all surgeons are trained in true excision. Use this 8-criteria scorecard to vet anyone before you book.
Read how to find an endometriosis excision specialist →The 6-week pre-op sequence: anti-inflammatory nutrition, supplement timing, pelvic floor down-training, and logistics.
Read how to prepare for endometriosis surgery →Four distinct drivers of post-surgical pain — and how to tell which one is yours. 25% of patients still hurt at two years.
Read why endometriosis pain comes back after surgery →Why hormonal suppression alone isn't enough and what evidence-based treatment actually looks like.
Read what works for endometriosis beyond birth control →Progesterone resistance explains why your symptoms return and what to do about it.
Read why hormonal treatment stops working →The complete comparison of the three GnRH-based endo drugs — mechanism, side effects, bone density, cost, and who each is best for.
Read the Orilissa vs Lupron vs Myfembree comparison →The day-to-day toolkit — from acute flares to back pain to pelvic floor patterns most providers never check.
A layered protocol by time window — the first 30 minutes, the first 2 hours, the first day. What actually works when pain hits.
Read how to stop an endometriosis flare fast →71% of women have period pain — but pain that worsens, stops your life, or shows up between periods is a red flag. Here’s how to tell.
Read how to tell period pain from endometriosis →Your back pain might not be a disc problem. When it's cyclical, it's a clue.
Read how endometriosis causes back pain and sciatica →Myofascial pain and central sensitization: why understanding the mechanism changes everything.
Read about myofascial pain and central sensitization in endometriosis →Why tight pelvic floor muscles make endo worse and how to actually release them.
Read about pelvic floor exercises for endometriosis →Endo fatigue isn't laziness. It's a measurable neurological and metabolic problem.
Read why endometriosis causes profound fatigue →Nervous system, gut, immune, hormonal — the systems that keep flares cycling even after surgery.
Why pain pathways and neuroinflammation are the real drivers of your symptoms.
Learn how endometriosis affects the nervous system →Dissociation and interoceptive dysfunction are common survival responses—and they're treatable.
Read why chronic endo pain leads to body disconnection →SIBO is strikingly common in women with endometriosis — up to 92% test positive. Here’s the gut-pelvic axis overlap most doctors miss.
Read about the endometriosis-SIBO overlap →How endometriosis affects digestion, bloating, IBS symptoms, inflammation, and hormone metabolism — and why the gut isn’t a separate problem.
Read about the gut-endometriosis connection →Four overlapping mechanisms drive endo belly — including a 91.9% SIBO rate most articles never mention. What to do about it.
Read what causes endo belly and how to calm it →When endo lesions invade the bowel wall — what colonoscopy misses, when surgery is needed, and how to recognize cyclical bowel pain.
Read about bowel endometriosis and digestive problems →Mental health, sex, fertility — the dimensions of endo that get reduced to footnotes everywhere else.
Depression and anxiety aren't weakness. They're predictable biological responses to chronic pain.
Read about the mental health toll of endometriosis →What's actually happening during pain with intercourse and how to reclaim your sexuality.
Read what causes endometriosis pain during sex →What the research actually says about endometriosis and your chances of conceiving.
Read what the research says about endometriosis and fertility →A 45-minute visit and a personalized written report — yours to keep.
Book the Endo Pain Signature — $149 →