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ESSE Care

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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.

10/19/2026

After years of athletic training, followed by nearly a decade when surgeries, IVF, and high-risk pregnancy restrictions meant movement had to take a back seat, the ability to move freely and get stronger feels extra special.

Fitness is about so much more than aesthetics. It’s about building muscle, supporting bone density, strengthening the core, protecting the back, and investing in long-term health.

It feels good to make fitness a part of everyday life again. 💪

10/15/2026

Today, we're thinking of all the families missing their little ones. Sending so much love, gentle hugs, and comfort to everyone carrying a loss, today and every day. Your babies are remembered, your love is never forgotten, and you are in our hearts. 🤍🕊️

10/15/2026

While you’re exploring your next steps, here are a few things you can do now to support your body:

✤ Track your symptoms. Use a journal to log pain, bowel or bladder changes, energy levels, and where you are in your cycle. This can help clarify patterns and guide care.
✤ Use gentle movement or breathwork. These tools can help regulate your nervous system and relax the pelvic floor.
✤ Identify what feels manageable and what doesn’t. These observations help us co-create a treatment plan that actually fits your needs.

10/13/2026

At ESSE Care, we often see patients who are preparing for gynecologic surgery — such as excision of endometriosis, fibroid removal , or hysterectomy — who also have abdominal wall issues, like a hernia or diastasis recti (abdominal muscle separation). These issues are common after pregnancy and can cause symptoms like bulging, weakness, or a feeling that your core has lost stability.

While we don’t offer hernia repair as a standalone procedure, we can repair the hernia at the same time as your planned gynecologic surgery when it’s medically appropriate. This combined approach allows you to avoid having two separate operations, two anesthesia events, and two recoveries. Instead, you can often address both your pelvic and abdominal health in one coordinated, minimally invasive procedure.

10/09/2026

There’s no universal version of dyspareunia. For some, pain occurs only with initial pe*******on; for others, it’s deep pelvic pain during or after s*x. Still others feel aching, burning, or cramping that lingers long after intimacy has ended. It can also radiate to other areas of the body, such as the lower back, hips, or thighs.

People with dyspareunia may also experience pain with tampon use or during pelvic exams.

Here’s a breakdown of the different types of dyspareunia, which can help you have the right vocabulary when talking to your provider:

✦ 𝐒𝐮𝐩𝐞𝐫𝐟𝐢𝐜𝐢𝐚𝐥: Sharp or burning pain at the entrance to the va**na, often upon initial pe*******on.
✦ 𝐃𝐞𝐞𝐩: Aching or pulling pain inside the pelvis during or after s*x.
✦ 𝐏𝐫𝐢𝐦𝐚𝐫𝐲: Pain felt since first s*xual experience.
✦ Secondary: Pain that emerged after previous pain-free experiences.
✦ 𝐆𝐞𝐧𝐞𝐫𝐚𝐥𝐢𝐳𝐞𝐝: Pain that always happens, no matter the partner, type of s*xual contact, or environment.
✦ 𝐒𝐢𝐭𝐮𝐚𝐭𝐢𝐨𝐧𝐚𝐥: Pain that only occurs with certain people or situations.

If you find yourself avoiding s*x, adjusting your relationship, or dreading intimacy because of pain, that is not “normal.” It’s a signal that your body deserves attention.

10/08/2026

We were honored to bring together three leading national experts for an insightful discussion on the often-overlooked connections between endometriosis, migraine, and eye health.

The panel explored how hormonal, inflammatory, autoimmune, and neurological pathways may connect these conditions—and why treating symptoms in isolation may not always tell the full story.
From the increased prevalence of migraine among women with endometriosis to emerging research on reproductive health and ocular surface disease, the conversation highlighted the importance of looking at women’s health through a more connected, multidisciplinary lens.

Thank you to our incredible panelists and everyone who joined us for this important discussion. Here’s a look back at the event and the conversations that are helping shape the future of women’s health.

10/05/2026

Exploratory hysteroscopy is typically recommended for patients with symptoms that cannot be diagnosed or confirmed through imaging alone, such as:

𝐨 Difficult embryo transfers (fluid buildup, etc.) or failed IVF cycles
𝐨 Thin endometrial lining
𝐨 Abnormal uterine bleeding
𝐨 Recurrent miscarriage
𝐨 Suspected scarring (mild) not visible on imaging
𝐨 Unexplained fertility concerns

IVF

10/01/2026

There is no one-size-fits-all answer to painful periods. Dysmenorrhea can be caused by normal hormonal activity (referred to as primary dysmenorrhea) or by underlying conditions like endometriosis, adenomyosis, or fibroids (secondary dysmenorrhea).

Each person’s pain experience is unique, which is why treatment must begin with understanding the root cause. Our goal is to not only reduce your symptoms but also support your overall health and quality of life.

09/30/2026

There’s no reliable screening test for ovarian cancer in women at average risk, which makes understanding your individual risk even more important.

Your personal history and family history can help inform that conversation.

Comment O***Y for a link to the 2026 NCCN Guidelines for Genetic Testing for Hereditary Ovarian CA with validated risk tools.

09/25/2026

Oophorectomy is sometimes recommended to treat ovarian cancer or lower cancer risk in individuals with certain genetic mutations or family history.

𝐖𝐡𝐚𝐭 𝐈𝐬 𝐎𝐯𝐚𝐫𝐢𝐚𝐧 𝐂𝐚𝐧𝐜𝐞𝐫?
Ovarian cancer is a malignant tumor that develops from cells in the ovaries or fallopian tubes. Ovarian cancer can develop silently, with symptoms like bloating, pelvic pain, or changes in appetite often appearing late or not at all. Early detection is difficult, so risk-reduction strategies are important.

𝐖𝐡𝐨 𝐈𝐬 𝐚𝐭 𝐇𝐢𝐠𝐡𝐞𝐫 𝐑𝐢𝐬𝐤 𝐨𝐟 𝐃𝐞𝐯𝐞𝐥𝐨𝐩𝐢𝐧𝐠 𝐎𝐯𝐚𝐫𝐢𝐚𝐧 𝐂𝐚𝐧𝐜𝐞𝐫?
⁍ Those with BRCA1 or BRCA2 mutations
⁍ Strong family history of breast or ovarian cancer
⁍ Certain inherited conditions, like Lynch syndrome

𝐑𝐢𝐬𝐤-𝐑𝐞𝐝𝐮𝐜𝐢𝐧𝐠 𝐒𝐮𝐫𝐠𝐞𝐫𝐲
For high-risk patients, removing the ovaries and fallopian tubes (bilateral salpingo-oophorectomy) can:
⁍ Reduce ovarian cancer risk by up to 96%
⁍ Lower breast cancer risk by up to 68% (if done before menopause)

This surgery is typically offered between ages 35 to 45, depending on your risk and reproductive plans. For some, fallopian tube removal (salpingectomy) alone may be an interim step to preserve fertility and avoid menopause before later o***y removal.

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

Website

https://esse.care/

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