Endometriosis Telehealth Consultation — Expert NP Care from Home
What it can't do: perform a pelvic exam, run imaging in real time, or diagnose endometriosis definitively (which still requires surgical confirmation). At Luteal Health, the $149 Comprehensive Assessment is a 45-minute visit that maps pain drivers across six body systems and leaves you with a personalized plan. Available in Illinois, Colorado, and Texas.
Within 24 hours of your visit, you receive your Endo Pain Signature — a personalized PDF report of your pain mechanisms, your six-system profile, and your ordered starting priorities. You leave with a real answer, whether or not you continue with The Luteal Protocol.
You've already seen three providers who told you your labs "look fine," a GYN who offered birth control as the only option, and an ER that sent you home with ibuprofen. You're tired of explaining your pain to people who don't specialize in endometriosis — and you're wondering if seeing an online endometriosis doctor can actually move your care forward.
What Is an Endometriosis Telehealth Consultation?
An endometriosis telehealth consultation is a video-based clinical visit with a licensed provider who specializes in endometriosis. It replaces the in-person office portion of specialty care — history, treatment planning, prescriptions, lab orders, and care coordination — while referring out for anything that genuinely requires hands-on evaluation.
At Luteal Health, the entry point is the $149 Comprehensive Assessment: a 45-minute visit that reviews your symptom history, prior workup, and pain patterns, and produces three personalized priorities you can act on this week. It is the kind of detailed intake most patients say they have never actually received — even after years of seeing specialists.
Who We See
We see four types of patients most often. Knowing which group you fall into clarifies what a telehealth visit can do for you.
Diagnosed, still in pain. You had a laparoscopy. Pain has returned — or never really left. Roughly 40–45% of patients experience pain recurrence within 5–7 years of surgery, and much of that pain is not recurrent disease — it's central sensitization, pelvic floor dysfunction, or a hormonal driver no one has addressed.
Suspected endometriosis, no diagnosis. You have textbook symptoms — cyclical pelvic pain, periods that worsen with time, pain with sex, bowel or bladder symptoms tied to your cycle — but no one has taken it seriously. Diagnostic delay in the US is still 6–10 years. A telehealth specialty visit can validate your working diagnosis and get you referred to a high-volume excision surgeon if appropriate.
Post-surgical, planning next steps. You just had excision or ablation and need a follow-up plan — hormonal suppression, supplement strategy, pelvic floor referral, pain rehab. Most gynecologists don't have the time (or the framework) to build a full post-op plan.
Persistent pain after "normal" workups. Your imaging is clean, your labs "look fine," and you have been told to try antidepressants without anyone explaining why. Endometriosis frequently does not appear on imaging. A careful history is still the single highest-yield diagnostic tool.
What Happens in a 45-Minute Visit
Here is the minute-by-minute structure of the Luteal Health Comprehensive Assessment. Every visit follows the same clinical framework.
Minutes 0–5 — Orientation and priorities. We confirm what brought you here, what you have already tried, and what you want to walk away with. Patients often arrive with three years of notes and no idea where to start.
Minutes 5–20 — Symptom history and pain-driver analysis. We walk through your symptom timeline and map pain across six body systems: hormonal, inflammatory/immune, nervous system (including central sensitization), pelvic floor/musculoskeletal, gastrointestinal, and mental health. This is the core of The Luteal Protocol — our framework for identifying which drivers are active in your case.
Minutes 20–30 — Review of prior workup. We look at every lab, imaging study, surgical report, and medication trial you have. Patients frequently have a normal ultrasound that actually missed deep disease, or a laparoscopy report that suggests incomplete excision.
Minutes 30–40 — Plan: Endo Pain Signature report. You leave with three specific next actions — not a 30-item handout.
Minutes 40–45 — Questions and follow-up logistics. How to get labs ordered, how prescriptions will be sent, when to book a follow-up, what signs should prompt an earlier check-in.
What You Get from the Comprehensive Assessment
The $149 fee includes more than face time.
- Your Endo Pain Signature report — written out so you're not trying to remember a verbal plan.
- Starting treatment recommendations tailored to your pain drivers.
- A 100% satisfaction guarantee — refunded if the visit wasn't worth $149.
What Telehealth Can and Can't Do for Endometriosis
Most telehealth websites will not tell you this plainly. We will.
What telehealth CAN do:
- Take a thorough, unhurried symptom history — the single highest-yield diagnostic element of endometriosis care.
- Analyze pain drivers across six body systems.
- Order labs and most imaging within our licensed states.
- Inside The Luteal Protocol, we prescribe hormones (progesterone, testosterone, and birth control alternatives as clinically indicated), anti-inflammatory medications that lower systemic inflammation, non-opioid medications for nerve pain, peptides and GLP-1s, and targeted supplements. We prescribe controlled substances only in the form of testosterone, when clinically indicated. We do not prescribe opioids or other pain medications.
- Coordinate referrals to excision surgeons, pelvic floor PTs, and pain psychologists.
- Build a post-surgical recovery and long-term suppression plan.
- Offer continuity — you see the same provider every visit.
What telehealth CAN'T do:
- Perform a pelvic exam. Nodularity, pelvic floor tenderness, and cervical motion tenderness require hands-on evaluation.
- Run real-time imaging. We can order and review it, but we don't run the scanner.
- Definitively diagnose endometriosis. Surgical visualization with pathology remains the gold standard. See how endometriosis is diagnosed.
- Perform surgery. For excision, you're referred to a high-volume specialist. See excision vs. ablation and our surgery preparation service.
A video call cannot replace the physical exam 100% of the time, and it cannot replace a surgeon. What it can replace — and often improve on — is the specialty intake, the treatment planning, and the long-term follow-up that an in-person practice rarely has time to do well.
About Your Provider — Heather Yoshimura, NP, MSN
Heather Yoshimura is a UCSF-trained nurse practitioner with a focused clinical specialty in endometriosis. Before launching Luteal Health, she spent years watching the same pattern repeat in conventional settings — patients arriving with dismissed symptoms, fragmented care, and no one willing to connect the dots.
The Luteal Protocol — the six-system framework that structures every visit — came out of that experience, and out of Heather's own endometriosis journey. She is licensed in Illinois, Colorado, and Texas, and maintains a cash-pay practice intentionally: insurance-driven 15-minute visits cannot deliver the depth of care endometriosis patients need.
Cost and What's Included
The Comprehensive Assessment is $149, paid at booking. Included:
- The 45-minute video visit.
- Endo Pain Signature report delivered after the visit.
- Starting treatment recommendations tailored to your pain drivers.
- Lab and imaging orders when clinically appropriate and within scope.
- A 100% satisfaction guarantee.
Follow-up visits and longer-term programs are priced separately. Every fee is disclosed before you book — we never surprise-bill.
Available States: Illinois, Colorado, Texas
We are licensed for telehealth in three states, each with specific scope.
Illinois. Full NP prescriptive authority, including controlled medications where clinically indicated. Heather can order labs and imaging, prescribe hormonal suppression and pain management, and manage ongoing care independently.
Colorado. Full practice authority NP state. Independent prescribing and ordering — including controlled medications where clinically indicated — without physician supervision.
Texas. Telehealth visits permitted with appropriate registration; full NP prescriptive authority, including controlled medications where clinically indicated.
If you live outside IL, CO, or TX, our blog and educational resources are available to anyone, but we cannot legally provide direct clinical care. State licensure is the legal basis for prescribing and care planning.
Frequently Asked Questions
Can you diagnose endometriosis via telehealth?
We can make a strong working clinical diagnosis and build a treatment plan around it, but a definitive diagnosis still requires surgical visualization with pathology. Telehealth is the right setting for symptom evaluation, treatment planning, and coordinating a surgical referral.
Do I need a referral for endometriosis telehealth?
No. Luteal Health is direct-access — you can book without a PCP or GYN referral. If your insurance requires a referral for reimbursement, your PCP may need to write one, but it is not required to book.
How does insurance work for cash-pay telehealth?
Luteal Health is a cash-pay practice. The $149 is paid at booking. We don't submit claims to insurance directly — but HSA and FSA funds are accepted.
What happens if I need imaging or surgery?
We order imaging directly when within scope and clinically indicated. For surgery, we refer out — typically to a high-volume excision specialist matched to your geography and disease type. See our surgery preparation service for support before and after.
Can I book if I live outside IL, CO, or TX?
Not for direct clinical care — state licensure restricts prescribing and ordering. Educational content is open to anyone, and we update licensed states as practice regulations change. If your state isn't covered, a second-opinion educational review may be an option.
What's the difference between this and seeing a GYN?
A typical GYN visit is 10–20 minutes and covers multiple topics. A Luteal Health Comprehensive Assessment is 45 minutes focused entirely on your endometriosis — pain drivers across six body systems, a review of your full prior workup, and a written personalized plan. We complement a good GYN, not replace one.
Ready to Get Started?
If you've spent years cycling through providers without a plan that addresses your pain, the $149 Comprehensive Assessment is where that pattern ends. A 45-minute visit, a written plan, and three priorities you can act on this week. Available in IL, CO, and TX.
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. Always seek the advice of a qualified healthcare provider regarding any medical condition. If you are experiencing a medical emergency, call 911 or go to the nearest emergency department. Read our editorial policy.