How it works

Find out what’s keeping your endo pain stuck.

One 45-minute telehealth visit + a written report you keep. Whole-body endometriosis care, after surgery or before you decide. Telehealth in New York, Illinois, Colorado & Arizona.

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Not sure yet? Take the 2-minute quiz instead

The Endo Pain Signature

All patients start here.

A 45-minute standalone appointment. I listen to your history and map how the six main systems are driving your pain levels — then send you a personalized written report.

Endo care is fragmented. The Endo Pain Signature changes that — so for the first time, you know exactly what to address next.

The six systems we map

Hormones  ·  Gut  ·  Mind & body  ·  Nervous system  ·  Immune health  ·  Lifestyle

This is what you walk away with.

A map of your pain, built from your story, your answers, and your visit.

Your dials · six systems, measured

Six systems can keep endo pain going. Here is how loud each one is in your body right now.

Nervous systemTurned up
Bladder & pelvic floorTurned up
HormonesPartly up
GutPartly up
LifestylePartly up
ImmuneQuiet

Two dials are doing most of the work, and the report gives you one clear first step for each, in the order that works.

What’s in your report

  • Your pain, ranked — which of the three drivers (lesions, nerves, a sensitized nervous system) is biggest for you
  • Your six systems mapped in priority order, each with specific next steps
  • A few things you can start on your own right away
  • Exactly what to hand your care team, so no one starts from scratch
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How it actually works

Three steps. No guesswork.

Clarity on where to go next, in a few business days.

01

Apply

Tell me a bit about your story in a short application. I read every one myself, and follow up personally if it's a fit.

02

Call with Heather

Once you're accepted, schedule and pay in under a minute — $149 for the Endo Pain Signature. A 45-minute call with Heather to explain your story — your full history, finally heard.

03

Get your report

Your personalized Endo Pain Signature, typically within a few business days.

If your pain outlived your surgery, there’s finally a name for it.

In early 2026, at the Endometriosis Summit, surgeon Dr. Andrea Vidali described endometriosis as a neuroinflammatory condition that can behave like long COVID. The lesions may start it, but over years of inflammation the disease can change the body itself, reaching into the nervous system, the immune system, and the gut. So the surgery can technically work, and the pain, the fatigue, and the gut issues can stay. A growing number of specialists are calling this long endo.

This is not ‘it’s in your head.’ It’s how pain wiring physically changes after years of flares, and it’s treatable.

Your symptoms aren’t a dozen separate problems. They’re one picture, and it finally has a name.

Does this sound like you?

  • ·Pain that unhooked from your cycle and now shows up any time
  • ·Pain that came back, or never left, after surgery
  • ·Pain that spread: back, hips, legs, bladder, gut, jaw
  • ·IBS-type bloating, period migraines, fatigue and brain fog that rest doesn’t fix
  • ·A bladder that burns with clean test results

The Endo Pain Signature maps which parts of this are active in your body, so you know what to treat.

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Long endo is an emerging framework, not yet an official diagnosis. It’s a starting point to bring to a clinician who can examine you.

What women are saying

After their Endo Pain Signature.

“I finally understand what’s driving my pain.”

Sarah W., 27

“I’ve never had anyone explain my pain in a way that made sense before.”

Brianne D., 37

“You’re the first person who actually understands this disease.”

Ashley E., 42

“It’s such a relief to find out I’m not crazy.”

Cecilia M., 29

“Such a relief to share my story with someone who has been through what I have. It’s given me a lot of hope.”

Cara S., 39

After your Signature

What happens next?

Path One

Take it and run.

Your report is yours to keep. Bring it to your own care team, or use it as your personal roadmap — no strings attached.

Path Two

Work with me in the Protocol.

If it’s a fit, I’ll invite you into The Endo Recovery Protocol — four months of coordinated, whole-body care across all six systems.

See what’s inside

Why me? I’ve been on your side of this.

Heather Yoshimura, MSN, AGNP-BC, Nurse Practitioner. I have endometriosis. I went through the surgeries and years of being told my pain was normal before I got real answers. Then I built the visit I needed and couldn’t find. Licensed in NY, IL, CO & AZ. Author of The Endo Dilemma.

Featured on:

KVUE ABC Fox 7 Austin

Trained & certified by:

UCSF The Institute for Functional Medicine A4M Somatica Institute WorldLink Medical

Where I’ve worked

Function Health Fullscript Rupa Health Humanaut Health

Your questions, answered.

Do you take insurance?+
Luteal Health is cash-pay. We provide a detailed superbill you can submit to your insurance for possible out-of-network reimbursement, and we accept FSA and HSA. Staying out of network is what lets every visit be a full, unhurried appointment focused entirely on you.
Which states do you serve?+
Telehealth visits are available to women located in Colorado, Illinois, Arizona, and New York, where Heather is licensed.
Do I need a referral?+
No referral is needed. Everyone applies first — I read every application myself, and if it's a fit, we schedule your Endo Pain Signature.
What exactly is the Endo Pain Signature?+
A 45-minute standalone appointment plus a personalized written report. We map how the six main systems — hormones, gut, mind/body, nervous system, immune health, and lifestyle — are driving your pain, so you finally have clarity on what to do next. It is $149, and it is yours to keep.
What is The Endo Recovery Protocol?+
A four-month program — eight visits, one provider, a graduation plan — of coordinated, whole-body care across all six systems. It is offered by invitation after your Endo Pain Signature, when it is clinically appropriate.
Is this a replacement for my surgeon or OB-GYN?+
No. Luteal Health complements your existing care. We treat everything around the lesions that conventional endo care often leaves unaddressed — and coordinate with the rest of your team.
What if I haven’t had surgery yet?+
The Endo Pain Signature is still appropriate. Many patients use it to get clarity before deciding whether surgery is right for them.

Ready to begin

Start with the Endo Pain Signature.

Apply, and if we’re a fit: 45 minutes, a written report you keep, $149. If it’s not useful, you’ve lost one copay’s worth of money, not another year.

Apply to work with me

$149 — credited toward the Protocol if you enroll.

Questions first? Email me directly.

You shouldn’t have to make endo your whole life.

A little clarity in your inbox, from a clinician who has been the patient.