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Dr. Karli Provost Goldstein

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United States
Greenwich, CT
Dr. Karli Provost Goldstein

🧒Patient🤒.Surgeon👩‍⚕️🩺.Mama🤰
🥼 Functional gynecology, endometriosis excision surgery, fertility, wellness.

Founder of Esse Care Reproductive Surgery and Wellness

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.

01/28/2026

Simply put, secondary dysmenorrhea is a fancy word for period pain that begins after the first menstrual period. While primary dysmenorrhea starts from the very first period experienced, secondary dysmenorrhea happens when periods become painful at any point later in life.

𝐂𝐨𝐦𝐦𝐨𝐧 𝐜𝐚𝐮𝐬𝐞𝐬 𝐢𝐧𝐜𝐥𝐮𝐝𝐞:

• 𝐄𝐧𝐝𝐨𝐦𝐞𝐭𝐫𝐢𝐨𝐬𝐢𝐬: 30–80% of patients with pelvic pain have endo.
• 𝐀𝐝𝐞𝐧𝐨𝐦𝐲𝐨𝐬𝐢𝐬: Disease within the uterine wall itself that can develop in adolescence, adulthood, or after children.
• 𝐅𝐢𝐛𝐫𝐨𝐢𝐝𝐬: Specifically if they are inside the uterine cavity (though many are not painful).
• 𝐂𝐨𝐧𝐠𝐞𝐧𝐢𝐭𝐚𝐥 𝐀𝐧𝐨𝐦𝐚𝐥𝐢𝐞𝐬: Uterine shapes like a bicornuate uterus or uterine septum.
• 𝐎𝐭𝐡𝐞𝐫 𝐟𝐚𝐜𝐭𝐨𝐫𝐬: Infections around the uterus, tubes, and ovaries, or adhesive disease/isthmocele.

01/23/2026

True or False: You can’t have diaphragmatic endometriosis without a history of lung collapse.

Answer: ❌ False.

Endometriosis can occur on the diaphragm even if you’ve never had a lung collapse. Some patients develop small defects or lesions on the diaphragm without ever experiencing lung issues. That’s why during endometriosis surgery, the diaphragm should always be carefully evaluated to identify and remove lesions and repair areas to prevent future complications.

01/21/2026

How do we treat painful in*******se?

Treatment starts with a detailed history, pelvic exam, and muscle assessment to understand the root cause.

From there, care may include imaging, pelvic floor physical therapy, medical or surgical treatment if needed, and integrative support like sexual therapy and wellness care.

A collaborative, whole-person approach can make a real difference.

No matter your age, ongoing pelvic or menstrual pain deserves proper evaluation and support.

12/17/2025

Thanks for the sweet swag. Love my Barbie ID holder. And flash it when I get the worst room while the ortho bros waltz in and get the best.

No offense I have great ortho bro friends ;) but let’s face it- surgery is still a predominantly male dominated world. Despite fewer complications and lower risk of death from female surgeons.

The road is uphill and long towards respect. Patients and families and staff are more likely to call a male Dr By “Dr ____” and much more likely to call the female surgeon by first name or terms with less respect.

12/16/2025

Adenomyosis can be really hard to diagnose — even MRI's don’t always give clear answers.

One of my patients had years of painful cycles and heavy bleeding, but her imaging didn’t show anything definitive.

When pathology came back, it confirmed adenomyosis, with only a small amount of endometriosis present.

Imaging doesn’t always tell the whole story, but the symptoms do.

This is a good reminder that adenomyosis can be extensive even when MRI and endo findings look minimal.

12/13/2025

Wishing everyone a happy and healthy holiday season from our team to you! ❄️🎉

Today we’re celebrating together at our holiday party and feeling so grateful for all the hard work that made this year possible.

# MinimallyInvasiveSurgery

12/02/2025

Often, we put ourselves last and brush off discomfort as “just motherhood”...but suffering in silence is never ok.

If you have painful periods, chronic fatigue, or pelvic pressure, don’t ignore your symptoms!

On MomCast, we’re joined by two expert surgeons from who are changing the conversation around women’s reproductive health.

Dr. Karlie Provost Goldstein and Dr. Leigh Rosen actually *listen* to their patients and uncover exactly what’s going on. We discuss:

✨ red flags most doctors miss
✨ groundbreaking endometriosis diagnosis & treatment
✨ how minimally invasive surgery can solve common fertility obstacles

Your pain is real. Your story matters.

and know you deserve answers.

11/28/2025

Many people ask if endometriosis can come back, especially in advanced stages (Stage 3–4).

𝐇𝐞𝐫𝐞’𝐬 𝐰𝐡𝐚𝐭 𝐲𝐨𝐮 𝐬𝐡𝐨𝐮𝐥𝐝 𝐤𝐧𝐨𝐰:
• Even after expert surgery, it’s impossible to remove every microscopic cell of endometriosis.
• Recurrence is more common in patients with advanced or aggressive disease.
• Some patients may experience endometriosis coming back even after hysterectomy or o***y removal.
• Others may go many years without recurrence—every patient is unique.
• Predicting who will experience recurrence is still not possible.

𝐊𝐞𝐲 𝐭𝐚𝐤𝐞𝐚𝐰𝐚𝐲: Managing endometriosis is a journey. With the right care and support, symptoms can be managed, and you can feel great in your body.

11/26/2025

𝐖𝐡𝐚𝐭 𝐢𝐬 𝐚 𝐥𝐚𝐩𝐚𝐫𝐨𝐬𝐜𝐨𝐩𝐲?

𝐈𝐭’𝐬 𝐚 𝐦𝐢𝐧𝐢𝐦𝐚𝐥𝐥𝐲 𝐢𝐧𝐯𝐚𝐬𝐢𝐯𝐞 𝐬𝐮𝐫𝐠𝐞𝐫𝐲 𝐭𝐡𝐚𝐭 𝐮𝐬𝐞𝐬 𝐚 𝐟𝐞𝐰 𝐭𝐢𝐧𝐲 𝐢𝐧𝐜𝐢𝐬𝐢𝐨𝐧𝐬:
• One in the belly button (10 mm / 1 cm)
• Two small 5 mm incisions on the sides

A camera is placed through the belly button, and the abdomen is gently inflated (about 15 mmHg) so we can see everything clearly.

𝐃𝐮𝐫𝐢𝐧𝐠 𝐚 𝐥𝐚𝐩𝐚𝐫𝐨𝐬𝐜𝐨𝐩𝐲, 𝐰𝐞 𝐜𝐚𝐧:
• Examine the organs
• Look at the uterus, pelvis, and upper abdomen
• Remove cysts or adhesions
• Even perform an appendectomy

It can be both diagnostic and therapeutic, allowing us to thoroughly examine the abdomen and treat what we find.

11/20/2025

We could not be more thrilled to welcome 𝗗𝗿. 𝗔𝗺𝗮𝗻𝗱𝗮 𝗖𝗵𝘂 to the ESSE Care team! A board-certified OB/GYN and fellowship-trained minimally invasive gynecologic surgeon, 𝗗𝗿. 𝗖𝗵𝘂 brings advanced expertise in endometriosis excision, fertility-preserving surgery, and integrative pelvic pain care—delivered with empathy, clarity, and surgical precision.

With a fellowship in Minimally Invasive Gynecologic Surgery from Penn State Health and a patient-first philosophy shaped by both clinical expertise and lived experience, 𝗗𝗿. 𝗖𝗵𝘂 offers patients a combination of technical precision and clear, empathetic guidance. Her approach reflects ESSE’s core values: to listen deeply, treat thoroughly, and support the whole person—physically, emotionally, and systemically.

𝗞𝗲𝘆 𝗰𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝘀𝗽𝗲𝗰𝗶𝗮𝗹𝘁𝗶𝗲𝘀 𝗶𝗻𝗰𝗹𝘂𝗱𝗲, 𝗯𝘂𝘁 𝗮𝗿𝗲 𝗻𝗼𝘁 𝗹𝗶𝗺𝗶𝘁𝗲𝗱 𝘁𝗼:
• Endometriosis and adenomyosis (advanced laparoscopic and robotic excision)
• Fibroids and polyps (laparoscopic, robotic, and hysteroscopic removal)
• Ovarian cysts (laparoscopic cystectomy)
• Uterine septum and Asherman’s syndrome (hysteroscopic metroplasty and lysis of adhesions)
• Hydrosalpinx and fallopian tube pathology (laparoscopic salpingectomy)
• Chronic pelvic pain and abnormal uterine bleeding
• Infertility-related uterine and pelvic conditions
• Minimally invasive hysterectomy and oophorectomy
• IUD placement and removal

𝗗𝗿. 𝗖𝗵𝘂 will see patients at ESSE Care’s Manhattan and Greenwich locations. With her on the team, ESSE can continue to meet increased demand for individualized, minimally invasive gynecologic surgery while preserving the boutique, collaborative model that defines its care.

Her presence further strengthens ESSE’s ability to support patients seeking relief from chronic gynecologic conditions, needing second opinions, or desiring fertility-preserving interventions—all in a setting that prioritizes dignity, education, and empowerment.

𝗗𝗿. 𝗖𝗵𝘂 is now seeing patients at ESSE’s Manhattan office at 535 5th Avenue and Greenwich Office at 779 North Street, Greenwich, CT 06831.

Address

779 North St
Greenwich, CT
06831

Opening Hours

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

Telephone

+16468449602

Website

https://esse.care/

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