Dr. Karli Provost Goldstein

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

Founder of Esse Care Reproductive Surgery and Wellness

06/05/2026

There’s a big difference between looking at endometriosis, burning it, and actually removing it.

In this demo, we break down the difference between:
• Diagnostic laparoscopy
• Ablation/fulguration
• Excision surgery

Using an apple as an example 🍎

Ablation or fulguration burns the surface of endometriosis lesions but often leaves the deeper disease behind, which can contribute to ongoing inflammation, scar tissue, and persistent pain.

Excision surgery focuses on removing the lesion at the root with clean borders, allowing healthy tissue to heal properly. Patients deserve to understand their options and the differences between surgical approaches when it comes to endometriosis care.

All three ESSE Care physicians—Dr. Karli Provost Goldstein, DO, FACOG; Dr. Leigh Rosen, MD; and Dr. Amanda Chu, MD—have ...
05/13/2026

All three ESSE Care physicians—Dr. Karli Provost Goldstein, DO, FACOG; Dr. Leigh Rosen, MD; and Dr. Amanda Chu, MD—have been named to the 2026 New York Rising Stars list, published by Super Doctors. This marks a continued distinction for each physician, all of whom have been recognized multiple times in prior years, underscoring their sustained excellence and leadership in gynecologic and reproductive health care.

The New York Rising Stars list honors a select group of physicians who demonstrate outstanding clinical skill, professional achievement, and strong peer recognition. The designation is awarded through a rigorous process that includes peer nominations, independent credential verification, and evaluation by a panel of leading physicians.

“Ultimately, this recognition isn’t about us. It’s about our patients,” said Dr. Goldstein. “Knowing that every physician at ESSE Care has been independently recognized by peers reinforces what we strive for every day: exceptional, thoughtful medicine delivered with compassion. Our patients deserve to feel confident that they’re receiving care from doctors who are deeply committed to excellence.”

05/12/2026

Stage 1 endometriosis is often called “minimal” disease, but minimal doesn’t always mean insignificant.

These tiny 1 mm lesions may look small, yet they can still have a major impact on symptoms and fertility.

After multiple IVF cycles where embryos arrested prior, excision of this peritoneal endometriosis was followed by improved symptoms and 2 PGTA normal embryos by post-op month 2.

A reminder that the severity of endometriosis isn’t always defined by how much disease is visible.

04/13/2026

𝐖𝐡𝐚𝐭 𝐫𝐨𝐥𝐞 𝐝𝐨𝐞𝐬 𝐛𝐢𝐫𝐭𝐡 𝐜𝐨𝐧𝐭𝐫𝐨𝐥 𝐩𝐥𝐚𝐲?
The pill helps suppress ovulation, keep the lining thin, and prevent ovarian cysts.

𝐏𝐫𝐨𝐬:
• Can lead to lighter cycles
• Helps prevent ovarian cysts/endometriomas

𝐂𝐨𝐧𝐬:
• Endo can still progress or recur
• Some patients may worsen even on the pill

𝐊𝐞𝐲 𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲:
Birth control does not halt endo forever, but it can help manage certain aspects like the ovarian component.

04/06/2026

If you’re dealing with endometriosis or painful cycles, small things can make a big difference.

Here are a few simple practice to try after a long day on your feet:
1. Lay on the floor, put your legs up against a wall, and just breathe. This position helps improve circulation and takes pressure off your pelvis.
2. You can also try gentle, restorative poses using pillows for support and adding heat to your lower abdomen for extra relief.

On harder days, slow it down and support your body. On better days, move in ways that feel good to you.

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.

03/24/2026

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.

03/10/2026

In honor of Endometriosis Awareness Month, I am sharing my story in 60 seconds.

It’s been a whirlwind of IVF, surgeries, and a full hysterectomy. If you're stuck in the cycle of "unexplained" symptoms, you aren't alone. Today, I’m on hormone replacement and feeling better than I have in years.

1 in 10 women suffer from endometriosis, yet diagnosis still takes an average of 7-10 years. We need to change this.

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

Address

779 North Street
Greenwich, CT
06831

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

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+16468449602

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