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. Every patient starts with a free 15-minute call with me to see if we’re a good fit, then the Endo Deep Dive: a 75-minute visit covering the six systems that contribute to endo pain, $389.
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.
Subscribe
Endo-Decoded — the science most patients never hear.
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