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

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.

03/03/2026

Wishing everyone a very Happy Endometriosis Awareness Month!

March is a dedicated time to highlight a condition that impacts millions of people. For us however, Endo awareness is a year-round commitment.

We are proud to support our patients, advocates, and the entire community as we work together to educate and provide care.

AwarenessHappy Endometriosis Awareness Month

02/27/2026

𝐖𝐡𝐚𝐭 𝐞𝐱𝐚𝐜𝐭𝐥𝐲 𝐢𝐬 𝐄𝐧𝐝𝐨 𝐌𝐚𝐩𝐩𝐢𝐧𝐠?

It’s a combination of imaging and physical exams used to create a "map" of where endometriosis might be hiding before surgery.

𝐓𝐡𝐞 𝐌𝐚𝐩 𝐂𝐚𝐧 𝐇𝐞𝐥𝐩 𝐖𝐢𝐭𝐡:
• Planning the surgical team and getting the right specialists.
• Having a better idea of how long surgery might last.

𝐓𝐡𝐞 𝐃𝐫𝐚𝐰 𝐁𝐚𝐜𝐤𝐬:
• It’s not perfect and disease can still be missed on scans.
• Specialized ultrasounds can be long and often painful for those with pelvic tenderness.

Even with a map, endo can be unpredictable. Being prepared for anything is the best way to head into the OR.

02/25/2026

At ESSE Care, we believe women deserve expert, compassionate, and specialized care at every stage of life. Endometriosis remains underdiagnosed, under-researched, and underfunded, leaving too many women navigating chronic pain without answers or access to advanced surgical treatment.

Move With Purpose brings together movement, community, and meaningful action.

The afternoon begins with a 50-minute, all-levels barre class designed to build strength, alignment, and confidence in a supportive environment. Following class, guests gather for a curated after-party featuring local food and beverage partners, thoughtful gift bags, and intentional conversation.

This is a space to connect, learn, and directly support expanded access to life-changing care.

02/23/2026

Recovery is about more than just physical healing, it’s about feeling supported every step of the way.

We’re 24 hours post-op and Alyson is already up, walking, and looking incredible! Despite having had multiple surgeries in the past, she shared how this experience stood out because of the emotional support and the amazing team.

Gentle reminder to be easy with yourself post-surgery. Healing doesn't come overnight, and it’s okay to take it slow. Seeing someone navigate that process with such a positive mindset is incredible and make's this work so rewarding.

02/20/2026

When I ask a patient to tell me their story from the beginning, I know I’m asking them to revisit a lot of pain.

It bothers me that so many people feel like their vulnerability and struggles are a burden. If you’re going through the physical, emotional, and financial toll of infertility, the last thing you should feel is guilt for being upset.

I’m sharing this today because I want my office and this page to be a place where you never have to say "sorry" for your tears.

Many of my patients are navigating one of life’s hardest paths and emotions regarding this don't ever need an apology.

02/19/2026

The difference between excision and ablation matters significantly for long-term outcomes. Ablation uses heat or thermal energy to burn the surface of endometriosis lesions.

This approach may leave deeper disease behind, which can lead to symptom recurrence. Excision removes the entire lesion, including its base and roots, providing more complete treatment and better long-term relief.

02/17/2026

Chronic pelvic pain is non-cyclic pain lasting over 3 months that impacts your quality of life. It’s more than a symptom, but rather a condition that can actually change how your brain processes pain.
⁣
Conditions like Endometriosis, Pelvic Congestion Syndrome, Adenomyosis, and Fibroids often overlap. When pain goes untreated, it can lead to "central sensitization", amplifying your sensitivity over time.⁣
⁣
Don’t wait to seek help. Pain is a signal from your body that deserves an answer.

02/16/2026

One of the most common myths we hear is that hysterectomy automatically causes menopause. This is only true if the ovaries are removed when you are not already in menopause.

At ESSE Care, your ovaries are preserved unless there is a specific reason (or it is the patient’s personal preference) to remove them—such as a mass, severe endometriosis, or personal/family history of ovarian cancer.

If you keep your ovaries, you will not go into menopause immediately after hysterectomy—you will go into menopause close to your natural age.

Even if one o***y is removed, the remaining o***y can continue to function normally, albeit typically at reduced function compared to having both ovaries.

02/13/2026

At ESSE Care, Nabila underwent a full evaluation, including MRI imaging to get a detailed view of her pelvis. The results showed:

✔️ Endometriomas (blood-filled cysts caused by endometriosis) in both ovaries
✔️ Deep infiltrating endometriosis in the rectova**nal septum (the tissue between the re**um and va**na)
✔️ Extensive peritoneal adhesions—bands of scar tissue that bind organs together, often causing pain and dysfunction

To reduce inflammation and lesion size, Nabila completed a three-month course of GnRH agonist therapy, a hormone treatment that temporarily suppresses ovarian function. But her symptoms persisted, and she and Dr. Goldstein decided it was time to schedule excision surgery.

02/12/2026

In this case study, we put mapping to the test. While it flagged some initial findings, it failed to detect the widespread disease that was found in the OR:

❌ The Misses: Uterosacral ligament disease, re**al disease, bladder involvement, and appendiceal endo—all of which were labeled "normal" on the scan.

✅ The Finds: About 50-60% of the lesions in this specific patient.

The takeaway: Imaging is a helpful roadmap, but it doesn't show the whole story. Nothing replaces a thorough patient history and a prepared surgical team in the OR. This case study is a prime example of why "clear" imaging doesn't always mean a clear pelvis.

02/10/2026

Isthmocele repair is a proven procedure that helps patients achieve their goals, from symptom relief to fertility, with a minimally invasive surgery.

Though isthmoplasty is not necessary in all cases, clinical outcomes are promising—and often dramatic:
▪️ Abnormal bleeding and spotting resolved in over 90% of patients
▪️ Up to 79% pregnancy rate post-repair, with a live birth rate over 60%
▪️ Pelvic pain relief in nearly all patients
▪️ Restoration of the uterine wall from 1 mm to 5 mm thickness post-op

02/03/2026

It can be confusing to get to the building, so here is a quick guide to help you.

𝐃𝐢𝐫𝐞𝐜𝐭𝐢𝐨𝐧𝐬:
1️⃣ Exit the train at Grand Central Station
2️⃣ Exit through the Met Life Building onto East 44th Street
3️⃣ Walk down East 44th Street for two blocks, crossing at Madison Ave
4️⃣ The address is 535 Fifth Ave, but the entrance to the clinic is located on E 44th street
5️⃣ Lastly, head up to the 29th floor through the middle 3 elevators

Hope this helps and we look forward to seeing you in the office!

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

https://esse.care/

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