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

09/03/2026

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 was created to bring women together through movement, conversation, and community — while directly supporting access to life-changing surgical care through the .

This summer, we gathered in a beautiful private garden in the Wilton, CT area for an afternoon centered around wellness, connection, and women’s health. The experience began with a Pure Barre class, followed by an intimate garden party featuring food, community connection, wellness partners, and an inspiring panel discussion with endometriosis experts and survivors.

Together, we raised awareness, fostered community, and helped more women receive the care they deserve.

09/02/2026

Ovarian cancer can be difficult to recognize because its symptoms are often subtle and may overlap with other conditions.

Symptoms such as persistent bloating, pelvic pain, digestive changes, or other symptoms that are new or worsening shouldn’t be ignored. Tracking when symptoms occur and sharing those changes with your gynecologist or primary care provider can be an important first step.

Certain factors, including BRCA mutations and endometriosis, may also be associated with an increased risk.

This September, let’s raise awareness, listen to our bodies, and encourage conversations about ovarian health.

08/31/2026

A meaningful afternoon with and at a Pvolve workout and conversation celebrating Chloe Melas’ book, The Girl’s Guide to Guts, and Brooks Bell’s powerful journey as a mother of two navigating a colon cancer diagnosis in her 30s. 🤍

Worldclass Clothing is a survivor-founded luxury fashion brand that donates proceeds to help fund colonoscopies for underinsured individuals, making early detection and cancer prevention more accessible.

At ESSE Care, we believe in listening to your body, asking questions, seeking answers, and advocating for your health. It was meaningful to be part of a conversation that brings greater awareness to the importance of prevention and early detection, while empowering people to take an active role in their care.

You can find The Girl’s Guide to Guts linked in our Amazon Storefront! 🤍

08/26/2026

When most of us think of Mexico, we think of beautiful beaches, rainbow-colored fabrics, rich culture and heritage, tacos, and mezcal. But most people don’t realize they have one of the best neuro-pelviology centers and groups in the world.

The hospital we visited in Morelia has dedicated pelvic physical therapists, pain management specialists, advanced diagnostics, all specifically focused on pelvic pain, room by room, beside each other before the patient even gets to the OR down the hall.

The goal with their pelvic pain group is that every nerve, vessel, and structure causing trouble is identified even before the patient goes to the OR. It was impressive to see and something we can all take note of and try to emulate.

What really stood out to me was that they aren’t taking people to the OR to do nerve surgery without first knowing what is going on. They aren’t simply uncovering nerves without a clear diagnosis and trying to figure it out once they are in surgery. Every step of a nerve or vascular release is safely and clearly planned out and executed, and only when surgery is truly necessary.
They also provide post-op care, pre-op care in person, long-term pain management, physical therapy, and all of the collaborative care for endometriosis patients.

It was incredibly impressive to see this kind of multidisciplinary approach in action—and something I think we can all take note of and try to emulate.

Congratulations and well done to and their team, .possover, and .anasierra

08/25/2026

We often see the uterus, fallopian tubes, and ovaries drawn in a very neat and predictable arrangement. But real pelvic anatomy doesn’t always look like the textbook picture.

The ovaries can sit in different places, and conditions like endometriosis and adhesions can change where the ovaries are and how they relate to the fallopian tubes.

Why does this matter?

Because when we’re talking about fertility, the relationship between the o***y and fallopian tube is important. And that relationship isn’t always as simple as the diagrams make it look.

Real anatomy is more complex than the picture — and those details matter.

08/17/2026

Endometriosis isn’t one-size-fits-all—and neither is treatment.

Hormonal medications can be an important tool for managing endometriosis, but everyone responds differently. What works well for one person may not be the right fit for another.

In this clip from the Endo Exchange Episode 9, we’re talking about the connection between hormone fluctuations and endometriosis symptoms, including why some patients with more severe disease can experience predictable symptom changes around shifts in their hormones.

There may not be one “perfect” option for endometriosis, but there are options—and finding the right approach starts with understanding your individual symptoms and how your body responds.

07/27/2026

Endometriosis can’t always be confirmed with imaging alone. The gold standard for diagnosis is surgery.

During a laparoscopy or robotic procedure, the abdomen is carefully examined for endometriosis, any suspicious biopsies or lesions are removed, and the tissue is sent to a pathologist for analysis under a microscope. If endometrial glands and stroma are identified, the diagnosis is confirmed.

In some cases, endometriosis is discovered unexpectedly during another surgery or through a biopsy done for a different reason. But when endometriosis is suspected, surgical evaluation remains the most definitive way to make the diagnosis.

07/09/2026

Acupuncture isn’t just about the needles. For many people, it’s an opportunity to step away from the stress of everyday life, relax, and give their nervous system the break it deserves.

Taking an hour to truly decompress and reset can be incredibly beneficial. Sometimes, slowing down is one of the best things you can do for your overall well-being.

07/02/2026

Normal imaging doesn’t always mean everything is normal.

Many people with endometriosis have completely normal ultrasounds and MRIs. While imaging can be helpful, it can’t reliably rule out the disease.

That’s why your symptoms matter. If you’re experiencing chronic pelvic pain, painful periods, or unexplained infertility, it’s important to look at the full clinical picture—not just the scan.

06/22/2026

When fertility is a goal and IVF isn’t an option, surgical treatment of endometriosis may help optimize natural fertility—but technique matters.

Some studies suggest endometriosis surgery can harm ovarian reserve, but it’s important to look closely at how those surgeries were performed. In the studies often referenced, energy was used to remove cyst walls and then to control bleeding on the o***y. This approach can damage healthy ovarian tissue, including follicles that may become eggs in the future.

That’s why surgical technique is so important. The goal is to remove endometriosis while preserving as much healthy ovarian tissue as possible.

Address

779 North Street
Greenwich, CT
06831

Opening Hours

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

Telephone

+16468449602

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