A 45-minute visit with a UCSF-trained NP, plus a personalized PDF mapping your pain across three mechanisms and six body systems. For women who've had surgery and are still in pain — and want a document that explains why.
Most endo patients have never had their case written out — mechanisms named, systems profiled, priorities sequenced. That's what the Pain Signature is.
Plus two letters ship with every PDF: a Provider-Facing Letter for your other clinicians, and a Partner & Family Letter for the people who love you.
Each mechanism has its own driver, its own screener, and its own treatment path. Knowing which are active in your case is how you stop guessing.
Every Endo Pain Signature includes two letters at no extra charge — written to do something your past care never could: get the people who need to understand on the same page as you.
A signed letter from me, written to be taken seriously by your other clinicians. Your GYN, your PT, your pain doc, your surgeon — they all get the same page. Mechanisms identified, systems profiled, priorities sequenced. No more being the translator between five providers who don't talk to each other.
$150 value · includedA plain-language letter you can hand to your partner, your mom, your sister, your closest friend. Written so the people who love you finally understand what you're actually dealing with — without you having to explain it through tears at 11pm for the 200th time.
$100 value · includedTwo paths, both built into the offer.
The Pain Signature is yours. Bring it to your gynecologist, your PT, your pelvic floor specialist, your surgeon. The Provider-Facing Letter and Partner & Family Letter are included specifically for this path. The report is a complete deliverable on its own.
Enroll in The Endo Recovery Protocol™ — my four-month program where we address each system of your case, in order, with prescribing, regular visits, and direct messaging access. Your $149 fee is applied to enrollment.
A complete case formulation in 24 hours. From a clinician who's been you.
$149 today · credited toward The Endo Recovery Protocol™ if you enroll
| The visit + the workup | |
| 45-min 1:1 video visit with UCSF-trained NP (IFM / PRT / BHRT certified) | $400 |
| Three validated screeners (CSI, DN4, embodiment) — scored and clinically interpreted | $150 |
| Your Endo Pain Signature PDF — delivered within 24 hours | |
| Three Pain Mechanisms mapped to your case | $200 |
| Six-System Inflammation Map | $200 |
| Three-Step Action Path (priority-ordered) | $150 |
| And two letters that change the conversation | |
| Bonus 1 — Provider-Facing Summary Letter | $150 |
| Bonus 2 — Partner & Family Letter | $100 |
| Total value | $1,350 |
| Your investment today | $149 |
7-day clarity guarantee
Fee credited toward The Endo Recovery Protocol™ if you enroll.
You've been burned before. The only person taking real risk here is me.
If at any point during our 45 minutes you don't feel listened to, believed, and heard — end the call and tell me. I refund your $149 on the spot, before your report is even written.
Every Pain Signature is hand-written for one patient. If any section of your report could have been written for any other endo patient — email me within 7 days. Full refund plus $50 for wasting your time.
Seven days after receiving your report, you should be able to name your three pain mechanisms, your most-involved systems, and your three priorities in order. If you can't — full refund.
UCSF-trained nurse practitioner. Author of The Endo Dilemma. An endo patient herself — two excisions, one performed by one of the world's most renowned endometriosis excision surgeons, and $125,000 in. She built The Endo Pain Signature so other women don't have to almost lose an organ to find the path forward.
Yes — that's exactly what the report is designed for. It's a complete, stand-alone case formulation. Two summary letters (one for your providers, one for your family) ship with it so you can use it independently of any further work with Luteal Health.
A virtual second opinion at Mayo Clinic costs $700–$2,500; Cleveland Clinic's Concierge Virtual Second Opinion is $1,690 for the written report or $1,990 with a video visit. Both deliver a 30–60 minute call and a written report.
The Endo Pain Signature includes a 45-minute visit, a personalized PDF report mapping your case across three pain mechanisms and six body systems, a three-step priority action path, a Provider-Facing Letter you can share with your other clinicians, a Partner & Family Letter, and three guarantees — for $149.
The Pain Signature is a comprehensive case formulation, not a second opinion. A second opinion answers, “Do I agree with what your last doctor said?” The Pain Signature answers, “Which of these six systems is actually driving your pain, in what order should they be addressed, and what does each provider on your care team need to know?” Different questions, different deliverable, different price point.
No. The Pain Signature is a diagnostic clarity visit — case formulation, mechanism mapping, and priority sequencing. Prescriptions happen inside The Endo Recovery Protocol™ (Path Two).
Cash-pay, by design. HSA / FSA eligible. A superbill is provided for out-of-network reimbursement. Transparent pricing instead of insurance-mediated guessing.
New York, Illinois, Colorado, Arizona.
No. The Pain Signature is built for women with moderate-to-severe symptoms, whether or not a laparoscopic diagnosis has been made. We screen, map, and sequence based on your case — not on whether a surgeon has labeled it yet.
From a clinician who's been the patient. Free 5-day email course.