ESSE Care

ESSE Care Expert care for endometriosis, adenomyosis, fibroids, and infertility with a whole-body approach.

ESSE Care is a boutique women’s health clinic offering advanced minimally invasive gynecological surgery, fertility support, and integrative wellness care. Led by Dr. Karli Provost Goldstein, the team specializes in treating conditions such as endometriosis, adenomyosis, infertility, and chronic pelvic pain. ESSE Care’s mission is to provide personalized, compassionate care that improves quality of life for women of all ages.

Endometriosis Excision Surgery: Step by Step During the surgery, your surgeon will: 1. Insert a camera through a small i...
04/01/2026

Endometriosis Excision Surgery: Step by Step

During the surgery, your surgeon will:

1. Insert a camera through a small incision near the navel to visualize the pelvic cavity.
2. Make additional small incisions for surgical instruments.
3. Systematically inspect all pelvic surfaces, organs, and structures for endometriosis.
4. Carefully excise all visible endometriosis lesions, removing them completely at their base.
5. Address any adhesions (scar tissue) that may be distorting anatomy.
6. Remove endometriomas if present.
7. Perform any additional necessary procedures to restore anatomy, optimize fertility, or achieve the patient’s goals for surgery.
8. Ensure careful hemostasis (control of bleeding).
9. Close the small incisions with absorbable sutures.

The surgery typically takes 2-5 hours depending on the extent and location of disease, but it can take longer in more complex cases.

03/30/2026

Sometimes cramps are there from the very beginning which is called dysmenorrhea. Other times, periods may start off manageable and become more painful over time. This is known as secondary dysmenorrhea and it can be linked to conditions like endometriosis.

No matter what you’ve been told intense period pain is not normal.

Your pain should not cause you to:
⁍ Miss school
⁍ Sit out of sports
⁍ Lay the bathroom floor
⁍ Throw up
⁍ Pass out

When on your period, you deserve to feel supported, heard, and pain free.

03/27/2026

Endometriosis isn’t just physical, it’s a whole-body disease.

Chronic inflammation is of the main symptoms and can lead to elevated anxiety levels.

When the body is in a constant fight-or-flight state or dealing with long-term sleep deprivation, that stress builds over time. For many, this leads to more intense or chronic anxiety alongside the physical symptoms of endometriosis.

That’s why care often includes more than treating the condition itself, and focuses on supporting mental health as well. Healing isn’t just about managing your symptoms, but getting back to feeling like yourself again.



03/26/2026

The body has a natural rhythm where cortisol should be high in the morning to get us moving and low at night to let us rest.

For those with Endometriosis, the chronic inflammation often keeps the body in a constant state of stress. This can lead to a nervous system that feels depleted and a cortisol curve that follows the wrong rhythm. It’s exactly why that 4 AM insomnia happens followed by feeling exhausted in the morning.

Using a combination of acupuncture and targeted supplements like L-Theanine can help:
• Calm the brain to help you fall and stay asleep.
• Support the nervous system so your adrenals can recover.
• Balance cortisol to manage inflammation and restore energy.



-Theanine

03/24/2026

Most people don't realize that a typical uterus is only about 𝟕 𝐱 𝟓 𝐱 𝟒 𝐜𝐦. That’s roughly the size of a fist or a small peach!

But with conditions like Endometriosis or Adenomyosis, things change.

With 𝐄𝐧𝐝𝐨𝐦𝐞𝐭𝐫𝐢𝐨𝐦𝐚𝐬, when these cysts grow on both ovaries, they can actually occupy more space than the uterus itself.

For 𝐀𝐝𝐞𝐧𝐨𝐦𝐲𝐨𝐬𝐢𝐬, instead of that neat "triangular" shape, the uterus can become round and bulbous, globular in appearance.

Understanding the anatomy is the first step in understanding the pain.

An ESSE Blessing this Endometriosis Awareness Month 🤍This month we celebrate every journey, every diagnosis, every woman...
03/23/2026

An ESSE Blessing this Endometriosis Awareness Month 🤍

This month we celebrate every journey, every diagnosis, every woman who finally got answers and every story that deserves to be heard.

This Endo story began at just 12 years old with painful, heavy periods that were dismissed for years. She went on to face stage IV endometriosis, multiple surgeries, and the heartbreak of infertility while navigating IVF.

When she came to us, we focused on truly treating her disease through advanced excision surgery. This included careful removal of endometriosis from multiple areas, ovarian cystectomy, and restoring normal anatomy while preserving ovarian function.

Today, she has a wonderful blessing. 🤍

Endometriosis affects 1 in 10 women, yet diagnosis can take 7 to 10 years on average. More visibility means more diagnoses. More diagnoses means more women getting the care they deserve sooner.

Every journey looks different. Every story matters. Every woman deserves answers, proper care, and hope.



03/20/2026

Endometriosis often affects far more than the pelvis. Chronic pain, fatigue, fertility challenges, and years without answers can disrupt careers, relationships, and emotional well-being.

This past Saturday ESSE Care was honored to participate in the 2026 Pelvic Health Conference and Endometriosis Symposium...
03/17/2026

This past Saturday ESSE Care was honored to participate in the 2026 Pelvic Health Conference and Endometriosis Symposium NYC. The event brought together physicians, pelvic health specialists, researchers, advocates, and members of the endometriosis community for an evening of education and conversation.

Dr. Amanda Chu spoke as part of the Expert Panel and Community Q&A, joining leading voices in pelvic health to discuss evolving perspectives in endometriosis care, diagnosis, and multidisciplinary treatment.

The event highlighted the importance of collaboration between clinicians and patients to improve awareness, diagnosis, and care for individuals living with endometriosis and other complex pelvic health conditions.

Living with endometriosis often means navigating more than physical symptoms. Years of pain, delayed diagnosis, and fert...
03/16/2026

Living with endometriosis often means navigating more than physical symptoms. Years of pain, delayed diagnosis, and fertility uncertainty can take a significant emotional toll.

In Episode 8 of The Endo Exchange, Batya Novick will share insight into the emotional realities of chronic illness and how mental health support can help patients feel more supported in their care journey.

Join us for this free virtual webinar.

March 20
3:00 p.m. ET – 4:00 p.m. ET

Featuring:
Dr. Karli Goldstein ×
Dr. Chu ×
Dr. Mary Sabo ×
Batya Novick ×




Endometriosis often disrupts more than physical health. For many patients it affects daily life, relationships, fertilit...
03/16/2026

Endometriosis often disrupts more than physical health. For many patients it affects daily life, relationships, fertility planning, and emotional well being.

Episode 8 of The Endo Exchange brings together experts in surgery, integrative medicine, and reproductive mental health to discuss the life disruptions many patients face and how multidisciplinary care can help.

Join us for this free virtual webinar.

March 20
3:00 p.m. ET – 4:00 p.m. ET

Featuring:
Dr. Karli Goldstein ×
Dr. Chu ×
Dr. Mary Sabo ×
Batya Novick ×




Endometriosis can affect far more than the pelvis. Chronic pain often impacts the nervous system, sleep, digestion, and ...
03/16/2026

Endometriosis can affect far more than the pelvis. Chronic pain often impacts the nervous system, sleep, digestion, and overall well being.

In Episode 8 of The Endo Exchange, Dr. Mary Sabo will share how acupuncture and Chinese medicine can support patients living with endometriosis and help regulate the body alongside medical treatment.

Join us for this free virtual webinar.

March 20
3:00 p.m. ET – 4:00 p.m. ET

Featuring:
Dr. Karli Goldstein ×
Dr. Chu ×
Dr. Mary Sabo × Lily + Horn
Batya Novick ×




03/13/2026

Can laparoscopy make endometriosis pain worse?

Laparoscopies are designed to treat and alleviate your symptoms. However, surgery can sometimes create internal scarring that could create pain.

Don't be afraid to ask your surgeon their methods to minimize and prevent scarring or secondary sources of pain from laparoscopy. Your surgery should be a step toward relief, not more complexity.

Address

779 North Street
Greenwich, CT
06831

Opening Hours

Monday 8am - 5pm
Tuesday 8am - 5pm
Wednesday 8am - 5pm
Thursday 8am - 5pm
Friday 8am - 5pm

Website

Alerts

Be the first to know and let us send you an email when ESSE Care posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Shortcuts

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram

Category