Endometriosis Telehealth Care in Texas
Luteal Health is licensed by the Texas Board of Nursing and operates as a Texas PLLC, so we can legally see patients anywhere in the state — downtown Austin to a ranch outside Amarillo. We prescribe to any Texas pharmacy, coordinate with excision surgeons at UT Southwestern, Houston Methodist, Baylor Scott & White, MD Anderson, and Ascension Seton, and tell you honestly when you need an in-person Texas provider instead of — or alongside — us.
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.
Jump to section
- Endometriosis Telehealth for Texas Patients
- Who We See in Texas (Diagnosed, Suspected, Post-Surgical)
- What Happens in a 45-Minute Telehealth Visit
- How We Coordinate In-Person Care in Texas
- Texas-Specific Information
- What We Can and Can’t Do Across State Lines
- Cost, Payment, and Texas Insurance Notes
- About Your Provider — Heather Yoshimura, NP, MSN (Licensed in Texas)
- Book Your Texas Assessment
- Related Reading
Texas is the size of France. If you live 4 hours from the nearest endometriosis specialist — in the Panhandle, the Valley, or East Texas — telehealth isn’t a downgrade. It’s the only real access you have. Most Texas patients we see have tried “drive to the city“: an 11-hour round trip from Lubbock, a $300 Airbnb, two days of missed work, a 14-minute visit at the end. The math stops working. The pain doesn’t.
Endometriosis Telehealth for Texas Patients
Texas has five metros above a million people — Houston, Dallas-Fort Worth, San Antonio, Austin, El Paso — and more surface area than 40 smaller U.S. states combined. That geography creates an access problem most telehealth companies ignore. A patient in Brownsville is closer to Monterrey than to a high-volume excision surgeon in Houston. Amarillo is closer to Denver than to Dallas. “Just drive to the city“ is not a realistic plan for most of the state.
Luteal Health fixes the first mile — specialist-level assessment, decision framework, prescriptions, referral map — without a 300-mile drive. We are telehealth-first and built for endometriosis. See our Comprehensive Telehealth Consultation for the full visit structure.
Who We See in Texas (Diagnosed, Suspected, Post-Surgical)
Three profiles make up the bulk of our Texas practice; the visit is tailored accordingly.
Diagnosed. You’ve had a laparoscopy — excision or ablation — and you’re figuring out what comes next. Hormonal suppression options, pelvic floor PT, adenomyosis workup, whether month-18 pain is recurrence or centralized pain. We build forward from your operative report and imaging.
Suspected. Painful periods since your teens, GI symptoms no one connected to your cycle, a normal ultrasound and a doctor who said “nothing is wrong.“ Endometriosis is still a surgical diagnosis — we can’t confirm it on video — but we evaluate the picture, order appropriate imaging where possible, start empirical management, and tell you whether laparoscopy is a reasonable next step.
Post-surgical. Pain creeping back six months after excision. About 40–45% of patients experience recurrence within 5–7 years regardless of technique. We review what was done, what was missed, and what changes now.
What Happens in a 45-Minute Telehealth Visit
The Comprehensive Assessment is a 45-minute secure video visit with Heather. The visit is structured: what you’re trying to decide, full clinical review, the decision framework (medical management, when to consider surgery, what workup is missing), prescriptions to your Texas pharmacy if appropriate, and a written clinical summary within three business days. No upsells, no “premium tier.“
What Texas patients don’t realize: Most general OB-GYNs in Texas — even excellent ones — see maybe a dozen endometriosis patients a year. A focused 45-minute visit with a provider who has seen thousands of endo cases is often higher-signal than three in-person visits with a generalist.
How We Coordinate In-Person Care in Texas
Telehealth can’t do everything — imaging, pelvic exams, and surgery happen in person. We build the referral map with you, matched to geography, insurance, and the specialist your case requires.
Austin and the I-35 corridor (Round Rock, San Marcos, Georgetown). Ascension Seton handles complex pelvic pain, Dell Seton is another in-network option, and ARA Diagnostic Imaging and Austin Radiological Association offer MRI with a pelvic protocol.
Houston. The deepest endometriosis bench in Texas. Houston Methodist and Memorial Hermann both have MIGS programs that perform excision, and Baylor College of Medicine has fellowship-trained MIGS surgeons. For deep disease involving the bowel or bladder, MD Anderson and the Texas Medical Center include colorectal and urologic teams that coordinate on complex cases.
Dallas-Fort Worth. UT Southwestern Medical Center has a minimally invasive gynecologic surgery division and multidisciplinary pelvic pain program. Baylor Scott & White operates across DFW and south through Temple and Waco. Texas Health Resources is another large system; in Fort Worth we refer to MIGS surgeons at JPS Health and private practices.
San Antonio. UT Health San Antonio’s gynecology division handles endometriosis, and Methodist Healthcare runs pelvic pain programs across the metro.
El Paso, the Rio Grande Valley (McAllen, Brownsville), Lubbock, Amarillo, Waco, Beaumont, Corpus Christi. Competent general OB-GYN care but few fellowship-trained MIGS surgeons. Realistic plan: telehealth with us, local imaging and pelvic floor PT, and a planned trip to Houston, Dallas, or San Antonio when surgery is warranted. See how to find an endometriosis excision specialist for vetting criteria.
Texas-Specific Information: Licensing and Prescribing
Telehealth is regulated at the state level. Heather Yoshimura is licensed by the Texas Board of Nursing as an APRN with full prescriptive authority, and Luteal Health operates as a Texas PLLC — the corporate structure Texas requires for NP clinical practice. We are organized under Texas law, not an out-of-state entity “serving“ Texas. That’s the difference between a telehealth service that can legitimately care for Texas patients and one operating in a gray zone.
Texas requires APRNs to maintain a prescriptive-authority agreement with a collaborating physician, which we do. Prescriptions — combined oral contraceptives, progestin-only options, GnRH modulators — go to any Texas pharmacy: H-E-B, CVS, Walgreens, Kroger, Costco, or your local independent. Controlled substances are not prescribed via telehealth.
What We Can and Can’t Do Across State Lines
We are licensed in Illinois, Colorado, and Texas only. We can only see you when you’re physically located in one of those states at the time of the visit.
What we can do in Texas: Comprehensive assessment, medical management, hormonal suppression planning, adenomyosis workup, second-opinion review, prescriptions to any Texas pharmacy, coordination with your local OB-GYN and pelvic floor PT, and ongoing follow-up. See our Second Opinion service and Surgery Preparation service.
We do not diagnose endometriosis on video — it remains a surgical diagnosis.
Cost, Payment, and Texas Insurance Notes
$149 flat. Cash-pay; we don’t bill Texas insurers directly. HMO and Medicaid plans typically don’t reimburse out-of-network providers. HSA and FSA funds are generally eligible.
What Texas patients don’t realize: Texas is one of the more favorable states for cash-pay telehealth specialty care, because many Texas patients are already paying high deductibles ($3,000–$6,000/year) before insurance covers specialty visits. A $149 telehealth visit often ends up cheaper than a $400 in-network specialist visit applied to the deductible anyway.
About Your Provider — Heather Yoshimura, NP, MSN (Licensed in Texas)
Heather Yoshimura is a UCSF-trained nurse practitioner (MSN) with an endometriosis-focused practice, licensed by the Texas Board of Nursing with full prescriptive authority. Luteal Health is a Texas PLLC. Full bio.
Book Your Texas Assessment
If you live in Texas and want 45 minutes with a nurse practitioner whose entire practice is endometriosis — the $149 Comprehensive Assessment is where to start. Licensed by the Texas Board of Nursing. Texas PLLC. Prescribing to every Texas pharmacy. Available from El Paso to Beaumont, Amarillo to Brownsville.
Related Reading
- Comprehensive Telehealth Consultation
- Endometriosis Second Opinion
- Endometriosis Surgery Preparation
- How to Find an Endometriosis Excision Specialist
Frequently Asked Questions
Do I need to be a Texas resident, or just physically located there?
Physically located. State licensure is about where the patient is during the visit, not where they live on paper. Out-of-state college students home for the summer in Austin, traveling nurses on a Houston contract, and snowbirds in South Padre all qualify if they’re physically in Texas. If you move between states, tell us at booking and we’ll confirm which of our licensed states (IL, CO, TX) applies.
How do I get referred to an excision specialist in Houston or Dallas?
We build the referral map during your Comprehensive Assessment. Houston referrals go to MIGS surgeons at Houston Methodist, Memorial Hermann, or Baylor College of Medicine, with MD Anderson for complex multidisciplinary cases. Dallas-Fort Worth referrals typically go to UT Southwestern or Baylor Scott & White. You leave with the vetting questions — lifetime excision volume, multidisciplinary team access, pathology routing.
Can you prescribe medications to Texas pharmacies?
Yes. Heather has full prescriptive authority under her Texas APRN license and prescribes to any Texas pharmacy — H-E-B, CVS, Walgreens, Kroger, Costco, independents. This includes hormonal suppression (combined oral contraceptives, progestin-only pills, hormonal IUD coordination, GnRH modulators). No controlled substances via telehealth.
Are you credentialed through the Texas Board of Nursing?
Yes. Heather holds an active APRN license from the Texas Board of Nursing with prescriptive authority and a current prescriptive-authority agreement with a collaborating physician, as required by Texas law. Luteal Health is organized as a Texas PLLC.
Which Texas cities do you serve?
All of them. Texas licensure is state-level, so we see patients anywhere in Texas over secure video — Houston, Dallas, Fort Worth, Austin, San Antonio, El Paso, McAllen, Brownsville, Lubbock, Amarillo, Waco, Beaumont, Corpus Christi, College Station, Tyler, Midland-Odessa, and every rural county in between.
What if I live in a rural part of Texas far from a major metro?
That’s exactly the scenario Luteal Health is built for. Rural Texas patients — Panhandle, East Texas, the Valley, West Texas — face the worst access and benefit most from telehealth specialty care. We handle the 80% of endometriosis work that can be done remotely and help you plan the in-person 20% (imaging, pelvic exam, potential surgery) as one coordinated trip to the nearest metro.
Ready to Get Started?
A 45-minute telehealth visit with Heather — Endo Pain Signature report and starting treatment recommendations tailored to your pain drivers. 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. If you are experiencing a medical emergency, call 911 or go to the nearest emergency department. Read our editorial policy.