Endometriosis Telehealth Consultation
The Endo Pain Signature is a 45-minute telehealth visit with Heather Yoshimura, NP, MSN — $149. Typically within a few business days of the visit, you receive your Endo Pain Signature, a personalized PDF report mapping your pain mechanisms, your six-system profile, and your starting priorities.
This is care for the chronic, inflammatory, and systemic side of endometriosis — the work mainstream OB-GYN visits don’t have time for. It is not a surgical practice and does not replace your in-person team.
What This Practice Is — and What It Isn’t
Luteal Health is a telehealth practice focused on the chronic, inflammatory, and somatic drivers of endometriosis. The Endo Pain Signature maps your pain mechanisms across six body systems and produces a personalized Endo Pain Signature report.
This is not a surgical practice. Heather does not diagnose endometriosis surgically or perform procedures. If surgery is on the table, your in-person surgical team is the right place to make that decision. Luteal Health fits the work that determines how your body heals around it — before surgery, after surgery, or instead of surgery, depending on your case.
Who This Is For
Patients whose pain hasn’t resolved after the standard pathway — birth control, surgery, or both. Patients facing a recommendation for surgery and wanting to understand the chronic-care side first. Patients whose imaging is “clean” but whose lives clearly aren’t.
What’s Included in the $149 Assessment
- 45-minute video visit with Heather Yoshimura, NP, MSN.
- A thorough symptom history covering inflammation, hormones, gut function, nervous system regulation, pelvic floor patterns, and the somatic side.
- A review of prior labs and op reports (uploaded ahead of time).
- Your Endo Pain Signature report — personalized PDF typically delivered within a few business days of the visit.
- Starting priorities you can act on this week.
What’s Not Included
Pelvic exams, surgery, definitive surgical diagnosis, and in-person procedures are out of scope and require an in-person provider.
Cost and Payment
$149, paid at booking. Cash-pay only. HSA and FSA accepted. Superbills available for out-of-network reimbursement; insurance is not billed directly.
Available States
Heather is licensed in Illinois, Colorado, Arizona, and New York. Patients must be physically located in one of those four states at the time of the visit.
About Your Provider
Heather Yoshimura is a UCSF-trained nurse practitioner with a Master of Science in Nursing and a clinical focus on endometriosis. She is licensed in Illinois, Colorado, Arizona, and New York, and writes openly about her own endometriosis journey and the gap in mainstream care that led her to build this practice. Read her full story →
Frequently Asked Questions
Can you diagnose endometriosis via telehealth?
A working clinical understanding can be built, but a definitive diagnosis still requires surgical visualization with pathology. Telehealth is the right setting for the chronic-care side — symptom evaluation, planning, and prescriptions.
Do I need a referral to book?
No. Luteal Health is direct-access. If your insurance requires a referral for reimbursement, your PCP may need to write one, but it’s not required to book with Luteal Health.
How does insurance work?
Cash-pay practice. The $149 is paid at booking. HSA and FSA cards are accepted; superbills are available for out-of-network reimbursement.
Can I book if I live outside IL, CO, or AZ?
Not for direct clinical care — state licensure restricts where Heather can prescribe and order. Educational content (blog, Substack) is open to anyone.
Ready to Get Started?
A 45-minute telehealth visit with Heather and a personalized Endo Pain Signature report typically within a few business days. Available in IL, CO, AZ, and NY.
Book Your $149 Assessment →The content on this page is for educational purposes and does not constitute medical advice, diagnosis, or treatment. Telehealth services are available only in states where Luteal Health providers are licensed. If you are experiencing a medical emergency, call 911 or go to the nearest emergency department. Read the editorial policy.