What's actually driving your pain? Here's where you find out.

The Assessment

The Comprehensive Assessment is 45 minutes of diagnostic clarity.

This is the visit where three years of fragmented care becomes one clear picture.

In 45 minutes, I walk through your full history — every treatment you’ve tried, every symptom that’s been dismissed, every dot no one has connected before. I map what’s driving your pain across all six systems — hormones, nervous system, mind/body, gut, immune, and lifestyle — and I show you how those systems are reinforcing each other.

It’s a clarity visit, not a prescription visit. Prescribing happens inside The Luteal Protocol — the 4-month program you can enroll in afterward. The purpose of the assessment is different: it’s to give you a real, systems-level answer to the question “what’s actually happening in my body, and where do I start?”

You won’t walk out with a supplement list. You’ll walk out with something more useful: a clear map.

Minute By Minute

What Happens in Your 45-Minute Visit

Every visit follows the same clinical framework.

Minutes 0–5 — Setting the stage

We start by aligning on what this visit is and isn’t. I walk you through the purpose: understand your full history, identify what’s driving your pain across every system endometriosis touches, and give you a real answer to take home. No handout telling you what to take.

Minutes 5–35 — Your endo story, mapped across six systems

Before the visit, you fill out a detailed intake form and two validated questionnaires — the CSI (Central Sensitization Index) and the DN4 (neuropathic pain screen). In the visit, we walk through your timeline from when your pain first started: your periods, prior diagnoses, surgeries, medications, GI symptoms, migraines, sleep, movement, sexual pain, stress, and trauma history. As you talk, I’m mapping your story onto the six systems — hormones, nervous system, mind/body, gut, immune, and lifestyle — and identifying which ones are active in your case.

Minutes 35–40 — Your pain mechanisms and the self-feeding loop

Using your history plus your CSI and DN4 scores, I walk you through which of the three pain mechanisms are running in your case: nociceptive (lesion-driven), nociplastic (central sensitization), and neuropathic (nerve involvement). Most patients have more than one active at once. Then I show you the self-feeding loop — how your systems reinforce each other so that even after successful surgery, pain keeps coming back. This is usually the moment the whole picture clicks.

Minutes 40–45 — Your priorities, in order, and questions

You leave with the priorities that matter most for your case — not a 30-item handout, and not specific prescriptions. These are the categories of work your body needs, in the order they need to happen. (For example: regulate your nervous system first, then address hormonal support, then pelvic floor work.) This is also where we answer any questions about what’s next.

Within 24 Hours of Your Visit

Your Endo Pain Signature, delivered to your inbox within 24 hours.

Most endo patients have never had their case written out — mechanisms named, systems profiled, priorities sequenced. That’s what the Pain Signature is.

Cover of the Endo Pain Signature report — personalized PDF delivered within 24 hours

Endo Pain Signature report page 2 — three pain mechanism cards (nociceptive, nociplastic, neuropathic) and the self-feeding loop diagram

Endo Pain Signature report page 4 — Your Starting Action Plan, personalized priorities in order

Every patient’s Endo Pain Signature is completely personalized. The examples shown here are from prior patient reports. Yours will be built for your specific case.

Which pain mechanisms are active in your case.Nociceptive (lesion-driven), nociplastic (central sensitization), and neuropathic (nerve involvement). Most patients have more than one running at once.
Your six-system profile.How hormones, nervous system, mind/body, gut, immune, and lifestyle are each contributing to your symptoms — specific to your story, not generic.
The self-feeding loop, as it applies to you.How your systems reinforce each other so that surgery alone doesn’t stop the pain.
Your ordered starting priorities.The categories of work your body needs, in the order they need to happen.

“I was really taken aback by the personalization of the report and really found her to be as intelligent as she was focused. Forget being the best NP visit I have ever had, she was the best general health focused practitioner I have seen for my personal health.”

— R.B.

100% Confidence Guarantee

If you don’t leave with real clarity, your $149 is refunded. No forms. No friction.

Every patient deserves to leave an assessment knowing more than they walked in with. If your Comprehensive Assessment doesn’t give you a genuine answer to what’s driving your pain and what to do about it, email me and your fee is refunded in full. That’s the guarantee.

Is This For You?

This practice is built for a specific kind of patient.

This is for you if…

You had surgery and you still hurt.

Technically successful excision. Persistent symptoms. You’re wondering if something was missed — or if this is just what your life looks like now.

You’re deciding whether to have surgery.

A surgeon recommended excision, or a hysterectomy has been suggested. You want to understand all your options — including the ones that might make surgery more effective, or less necessary.

You’re preparing for surgery.

You want your body in the best possible condition before the OR — so the surgery has the best chance of holding.

This isn’t for you if…

You have mild period pain that Advil handles.

This practice is built for high-severity, multi-system endometriosis. If your pain is 3/10 on a bad day, a general GYN is likely a better fit.

You want a quick supplement fix.

What I offer is comprehensive, multi-system work over months — not a list of things to buy on Amazon.

You just want a prescription for birth control.

I’m not anti-birth-control — I prescribe it when it’s the right tool. But if a prescription is all you want, that’s not what this practice does.

What Patients Are Saying

Patients Consistently Describe Working With Heather as the Most Thorough and Effective Care They’ve Received

“

Since then, I’ve learned how inflammation, stress, estrogen dominance, and many other factors can affect symptoms. The biggest change for me has been my cycles. My periods have been mostly pain free, which is something I never thought I would be able to say or experience. I got emotional when my cycle started and I did not even realize it. I was so used to the pain hitting me like a train days before. That alone has completely changed my life.

— J.N.

“Heather did a phenomenal job and I was really impressed with both the visit I experienced with her as well as her report. I was really taken aback by the personalization of the report and really found her to be as intelligent as she was focused. Forget being the best NP visit I have ever had, she was the best general health focused practitioner I have seen for my personal health.”

— R.B.

“Heather is, hands down, the most effective and caring medical practitioner I’ve ever worked with. She is remarkably thorough, deeply resourceful, and tailors everything to my lifestyle and long-term health goals. She’s as close to a one-stop shop as one could hope for.”

— D.D.

“I am very grateful for Heather’s incredible kindness. She’s a very warm, very special person. I understand why she’s gone into the field she’s chosen. She’s well suited for her vocation.”

— B.D.

“What stood out immediately was how deeply she listened and how open she was to exploring every layer of what was going on, not just the obvious or expected answers. I always felt heard, believed, and cared for. That kind of proactive support made all the difference.”

— L.B.

“Heather really changed my health for the better with her guidance and recommendations. I’m finally sleeping through the night, down 15+ pounds, and my bloodwork is all improving across the board to normal levels. I feel the best I have in years.”

— C.A.

“Heather is the best clinician I’ve ever had. I am totally impressed with her approach — very thorough and tuned in to all the things that are important for long-term health.”

— J.M.

“I’m very grateful that I met Heather and all the help that she has given me.”

— W.W.

Frequently Asked Questions

The assessment is 45 minutes of diagnostic clarity. I walk through your full history, ask about your symptoms across the six systems (hormones, nervous system, mind/body, gut, immune, lifestyle), identify which mechanisms are driving your pain, and show you the self-feeding loop that keeps pain cycling. Within 24 hours, 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.

No. The assessment is a clarity visit, not a prescription visit. Prescribing happens inside The Luteal Protocol, the 4-month program. That separation is intentional — the assessment is designed to give you a full diagnostic picture first, so any prescribing that comes later is built on a real understanding of your case.

No. Luteal Health is a cash-pay practice, which means every clinical decision is based on what’s best for you, not what your insurance company will reimburse. I provide superbills for potential out-of-network reimbursement. HSA and FSA are accepted.

Illinois, Colorado, and Texas. All visits are conducted via secure video.

No. The average time from first symptoms to endo diagnosis is 7–10 years. If you have chronic pelvic pain, painful periods, GI issues, or other symptoms consistent with endometriosis, you don’t need a surgical diagnosis to benefit from this work.

This is one of the most common situations I see. Surgery addresses lesions — but it doesn’t address central sensitization, nervous system dysregulation, gut-driven inflammation, immune activation, or hormonal resistance. Those are the systems that determine whether your pain resolves long-term or comes back. The assessment picks up where surgery leaves off.

Yes. If you enroll in The Luteal Protocol after your assessment, the $149 is credited toward your program investment. The assessment is built to be valuable on its own. But if you choose to continue, you don’t pay twice.

Four months of comprehensive, coordinated care. That includes regular visits, direct messaging access between visits, and a full graduation plan so you’re equipped to maintain your progress independently. Program pricing is shared during your assessment.

Hormones (progesterone, testosterone, birth control alternatives as indicated), anti-inflammatory medications that lower systemic inflammation, non-opioid medications for nerve pain, peptides and GLP-1s, and targeted supplements. I prescribe controlled substances only in the form of testosterone. I do not prescribe opioids or other pain medications.

The Luteal Protocol is excellent pre-surgical preparation. By addressing nervous system sensitization, gut health, pelvic floor tension, and hormonal balance before your procedure, you go into surgery with a body better equipped to heal. Some patients find comprehensive treatment reduces their symptoms enough to reconsider whether surgery is needed. Either way, you’ll be in a stronger position.

Ready to know what’s actually driving your pain?

The assessment is where three years of fragmented care becomes one clear picture. 45 minutes. Your full story. A personalized Endo Pain Signature report within 24 hours.

Book Your Assessment — $149 →

Fee applied toward The Luteal Protocol if you enroll. 100% Confidence Guarantee.

What’s actually driving your pain? Here’s where you find out.