INTRODUCTION: Studies show up to 50% of patients leave health care appointments not understanding or remembering important information, instructions, or correct use of medications. The Rutgers Center for Vulvovaginal Health treats women referred for complex vulvovaginal or pain disorders and sexual dysfunctions. Despite receiving written instructions and diagrams at initial visit, many returned without having started or having discontinued treatment. We initiated a nurse practitioner telehealth visit 2–3 weeks after initial encounter to evaluate acceptance and benefit in this population. METHODS: This was a retrospective chart review of 50 telehealth visits for new patients seen at the center. Outcome measures were determined from questions presented to all women regarding understanding of condition, and adherence to medication and treatment plan. RESULTS: Overall, 98% of women found the telehealth visit helpful, and 46% had questions related to their first visit. Of the 43 prescribed medications, 37 initiated treatment (86%) and only 2 (4.7%) had not attempted to fill the prescription. Medication was changed in 10%, mostly because of side effects. Pelvic floor physical therapy and imaging studies were initiated in 75% and 67%, respectively. CONCLUSION: Women with complicated gynecologic problems viewed a short-term follow-up telehealth visit positively. This communication presents an opportunity for another point of contact that can be incorporated into a busy practitioner schedule without the requirement of an in-person visit, and allow convenience and reinforcement for women, as well as necessary treatment alterations. Further studies are needed to see if this short-term follow-up enhances long-term compliance or outcomes.