Endometriosis telehealth for New York women still in pain after surgery.
Endometriosis is a six-system inflammatory disease. Excision surgery removes lesions — it doesn’t address the nervous system, the gut, the hormones, the immune system, or the central pain wiring that drives most persistent pain after surgery. Luteal Health is the telehealth practice built to address all six, available anywhere in New York.
The entry point is a 45-minute Comprehensive Assessment for $149, followed by your personalized Endo Pain Signature PDF report within 24 hours. The $149 is applied if you continue into The Endo Recovery Protocol™.
Why New York Patients Choose Luteal Health
Because surgery and chronic-care medicine are two different jobs. New York has some of the best endometriosis excision surgeons in the world — and Luteal Health is built for the part of endometriosis that surgery doesn’t touch: the systemic inflammation, the nervous system rewiring, and the gut and hormone work that determines how much pain you have a year after the operating room.
New York is the densest market in the United States for endometriosis excision surgery. If you live in Manhattan, Brooklyn, Queens, the Bronx, Staten Island, Long Island, Westchester, or any of the upstate metros — Buffalo, Rochester, Syracuse, Albany, the Hudson Valley — you have access to in-person surgical specialists most of the country can only travel to.
That access is real and it matters. It also leaves a gap.
The gap is what happens after the operating room — or before it, or instead of it, depending on your case. Endometriosis is a six-system inflammatory disease. Excision surgery addresses one of those six (the lesions themselves). The other five — gut, hormones, nervous system, immune, and the somatic patterns the body learns from years of pain — are where most women’s remaining pain actually lives. They don’t get worked on in a 15-minute OB-GYN visit, and they’re typically not the focus of a surgical follow-up.
That’s where Luteal Health fits. Telehealth visits with Heather Yoshimura, NP, MSN. From anywhere in New York. Designed to complement — not replace — your in-person surgical and gynecologic team.
Luteal Health is not an alternative to NYC’s excision surgeons. It is built to be used with them — before surgery (decision-making and prep), after surgery (the recovery and pain work surgery doesn’t do), or instead of surgery in cases where the patient and her surgeon agree more surgery isn’t the right next step.
Heather actively coordinates with NY-based excision specialists when patients are already in surgical care. If you’re in care with a New York excision surgeon, mention them on your intake form and Heather will share notes and align the chronic-care plan to your surgical timeline.
What Is Actually Driving Your Pain Beyond the Lesions?
Inflammation is at the center. Six body systems independently drive it: gut, hormones, nervous system, mind/body, immune system, and lifestyle. Each is its own inflammation engine — and treating one at a time doesn’t work because the other five keep the fire burning. The Endo Recovery Protocol™ addresses all six simultaneously.
Read the full Six Systems framework on the homepage →
Why Endometriosis Pain Is Not One Thing
Endometriosis pain has three distinct mechanisms — nociceptive (lesion-driven, what surgery addresses), nociplastic (central sensitization, where the nervous system has learned to amplify pain), and neuropathic (nerve involvement, often from deep infiltrating disease or surgery itself). Most patients have more than one running at once. A one-method approach can only treat one mechanism.
See the full Three Pain Types breakdown on the homepage →
Who This Is Built For in New York
Post-surgical. You had excision surgery (in NYC or anywhere else) and you’re still in pain. The lesions are out. The pain isn’t. You’ve been told the surgery was “successful” and you’re left wondering if something is wrong with you. Nothing is wrong with you. The other five systems were never addressed.
Pre-surgical / surgery-considering. You’re deciding whether to have excision surgery. You’ve consulted with a NYC excision specialist or you’re on a waitlist. You want a comprehensive chronic-care plan so surgery isn’t your only lever — and so you walk into the operating room with the rest of your body optimized for healing.
Surgery preparation. You’re scheduled for surgery in the next 3–6 months and you want to prepare your nervous system, gut, hormones, and inflammation before you go in.
This is not for you if you’re seeking surgical diagnosis, surgical care, in-person pelvic exams, or acute emergency care. For those, your in-person team is the right place.
How It Works in New York
Step 1 — The Comprehensive Assessment ($149). A 45-minute telehealth visit with Heather. Within 24 hours you receive your personalized Endo Pain Signature PDF report mapping your six-system profile, your three pain-type mix, and your starting priorities. The universal entry point for every NY patient.
Step 2 — The Endo Recovery Protocol™ ($3,499, or four payments of $997). The four-month comprehensive telehealth program. Six-system intervention plan, bi-weekly visits, asynchronous messaging, lab review, and the work that doesn’t fit in a 15-minute OB-GYN visit. The Comprehensive Assessment fee is applied if you enroll.
Step 3 — Graduation. After four months, you graduate with a documented care plan, a personalized maintenance protocol, and (in most cases) meaningfully less pain. Patients commonly continue with their NY-based gynecology and surgical team for in-person care while using Luteal Health for the chronic side.
New York Licensing and Scope
Heather Yoshimura, NP, MSN is licensed through the New York State Education Department, Office of the Professions as an Advanced Practice Registered Nurse with prescriptive authority. For New York patients, she takes a thorough symptom history, reviews your prior labs and op reports, prescribes medications to any New York pharmacy, and builds a personalized chronic-care plan for endometriosis.
Pelvic exams, surgery, definitive surgical diagnosis, and in-person procedures are out of scope and require an in-person provider.
Cost and Payment
The Comprehensive Assessment is $149, paid at booking. Cash-pay only. HSA and FSA cards are accepted. Superbills are available for out-of-network reimbursement from NY commercial plans; New York Medicaid and NY commercial plans are not billed directly.
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 New York, Illinois, Colorado, and Arizona, and writes openly about her own endometriosis journey — including the hysterectomy she had in her late 20s — and the gap in mainstream care that led her to build this practice. Her training includes the Institute for Functional Medicine (IFM), Pain Reprocessing Therapy (PRT), Bioidentical Hormone Replacement Therapy (BHRT), A4M, and somatic-informed practices. She is the author of The Endo Dilemma. Read her full story →
What Patients Say
“My periods have been mostly pain-free — something I never thought I’d say or experience.” — J.N., stage 4, 4 months in The Endo Recovery Protocol
Frequently Asked Questions
Does New York Medicaid or my NY state insurance cover this?
Luteal Health is cash-pay only. New York Medicaid and commercial NY insurance plans are not billed directly. A superbill is provided after your visit so you can submit for out-of-network reimbursement from any NY plan that includes OON benefits. HSA and FSA cards are accepted.
Can I see Heather if I’m in Manhattan, Brooklyn, Queens, the Bronx, or Staten Island?
Yes. Telehealth works anywhere in New York State. All five NYC boroughs, Long Island (Nassau, Suffolk), Westchester, the Hudson Valley, the Capital Region (Albany), and upstate (Buffalo, Rochester, Syracuse, Binghamton, Ithaca) are all covered. You just need to be physically located in New York at the time of the visit.
Do I need to be a New York resident, or just physically located in NY?
Physical location, not residency. You need to be in New York at the time of the visit. New York resident traveling? Heather can only see you while you’re in New York, Illinois, Colorado, or Arizona — the four states where she’s licensed.
I already have a NY-based endometriosis specialist. Can I work with both?
Yes. That is the most common pattern. Most NY patients keep their in-person surgical, gynecologic, and pelvic-floor team for the work those clinicians do, and add Luteal Health for the six-system chronic-care work. Heather coordinates and shares notes when patients request it.
Does Heather work with specific NYC specialty endometriosis practices?
Heather has working referral relationships with NY-area excision and endometriosis specialty practices. If you’re already in care with a named NYC practice, mention it on your intake form and Heather will coordinate.
Is virtual care actually effective for endometriosis?
Yes — for the chronic, inflammatory, and systemic work. Surgery, pelvic exams, and procedures remain in-person. Everything else — symptom history, six-system case formulation, prescribing, care planning, and longitudinal follow-up — maps cleanly to a video visit.
Can Heather prescribe medications to a New York pharmacy?
Yes. Heather holds active New York APRN licensure with full prescriptive authority and sends prescriptions electronically to any New York pharmacy.
Are you credentialed through New York State?
Yes. Heather holds an active New York APRN license through the New York State Education Department, Office of the Professions. License status is publicly verifiable on the NYSED online lookup.
What if I’m a NY resident temporarily in another state?
Heather can only see you while you are physically located in NY, IL, CO, or AZ. If you’re traveling outside those four states at the time of a scheduled visit, we reschedule.
Ready to map the chronic side of your endo?
A 45-minute telehealth visit with Heather and a personalized Endo Pain Signature report within 24 hours. Available anywhere in New York. Licensed APRN · UCSF-trained · The Endo Recovery Protocol™ available as the next step.
Book The Endo Pain Signature — $149 →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.