For Providers

Where surgery ends, whole-body care begins.

I’m Heather Yoshimura, NP. I manage the inflammatory, hormonal, nervous-system, gut, and pelvic-floor drivers of endometriosis that fall outside the surgical episode — a complement to your care, never a replacement for it.

Telehealth in New York, Illinois, Colorado & Arizona.

The gap

When patients stay stuck.

You’ve had the patient whose excision went well — clean pathology, textbook surgery — who is back six months later with the same pain. Or the one who isn’t a surgical candidate and needs more than another script for birth control. That’s where I come in: the inflammatory component, gut-immune interactions, central sensitization, and the hormonal picture — the systemic factors a 15-minute follow-up can’t reach.

I also work with patients before surgery. Optimizing inflammation, hormones, and the nervous system pre-operatively means they go into the OR in better shape — and leave with a plan that addresses recurrence risk from day one.

What I address

The systemic drivers behind persistent pain.

Persistent post-surgical symptoms

When excision went well but the pain never fully resolved.

Pre-surgical optimization

Calming inflammation, hormones, and the nervous system before the OR for a smoother recovery.

Central sensitization

Chronic pain amplification and nervous-system wind-up.

GI dysfunction

Endo belly, IBS-type symptoms, SIBO, and the estrobolome.

Hormonal optimization

Progesterone resistance, estrogen dominance, and BHRT.

Fatigue & energy

Mitochondrial dysfunction and the exhaustion that outlasts surgery.

Sexual pain & intimacy

Somatic, trauma-informed care for pain with sex.

Long-term management

Ongoing whole-body care for patients who aren’t heading to surgery.

How I work

Complementary by design.

My role sits alongside surgical care — the inflammatory, hormonal, nervous-system, gut, and pelvic-floor factors that benefit from longitudinal management outside the surgical episode. Nothing here competes with what you do in the OR; it protects it.

I’m glad to share progress updates with patient consent and coordinate care with your team as needed.

Referring a patient

Two ways to hand off.

Warm handoff. Email me at heather@luteal.health with your patient’s first name and state (NY, IL, CO, AZ), and I’ll take it from there — and close the loop with you after the visit, with their consent.

Or they apply directly. No formal referral needed. Patients can apply for the Endo Pain Signature — a 45-minute visit and written report, $149 — themselves, and I follow up personally.

Patients must be located in NY, IL, CO, or AZ at the time of every telehealth visit.

Clinical resources

Dig into the rationale.

The mechanistic case for treating endometriosis as a whole-body, multi-system condition.

Clinical white paper Read The Endo Dilemma

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Every Sunday: one evidence-based answer to a question my patients actually ask. Free, from a UCSF-trained NP who has been on both sides of the exam table.

Read Heather’s Substack