Information for surgeons, pelvic floor therapists, and other clinicians.
You've probably had patients who do well surgically, excision goes well, pathology looks good, and six months later they're back with persistent symptoms. Or patients who aren't surgical candidates but need something more substantial than birth control. That's where I come in. I focus on the inflammatory component, gut-immune interactions, central sensitization, and the hormonal picture. The systemic factors that don't get addressed in a 15-minute follow-up.
I also work with patients before surgery. By optimizing the inflammatory, hormonal, and nervous system picture pre-operatively, patients go into the OR in better condition for recovery, and they're set up with a postoperative plan that addresses recurrence risk from day one.
The systemic factors that don't get addressed in a 15-minute follow-up.
When excision goes well but symptoms remain
Optimizing the nervous system, gut, hormonal, and pelvic floor picture before surgery for better outcomes and faster recovery.
Chronic pain amplification and nervous system wind-up
Endo belly, IBS-type symptoms, SIBO, estrobolome
Progesterone resistance, estrogen dominance, BHRT
Mitochondrial dysfunction and chronic exhaustion
Specialized training in sexological bodywork
Ongoing care for non-surgical patients
I see myself as a complement to what you're already doing, not a replacement. You handle the surgical side, and I handle everything around it.
I'm happy to provide progress updates (with patient consent) and coordinate care as needed.
No formal referral needed. Patients can book directly at luteal.health.
Want to dig deeper into the clinical rationale?