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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.

06/17/2026

Teens often face delays in diagnosis for pelvic pain, up to 5.4 years from symptom onset to proper evaluation. Many have been dismissed, told their pain is normal, or discouraged from speaking up. We’re changing that.

𝐎𝐮𝐫 𝐚𝐝𝐨𝐥𝐞𝐬𝐜𝐞𝐧𝐭 𝐆𝐘𝐍 𝐯𝐢𝐬𝐢𝐭𝐬 𝐚𝐫𝐞 𝐛𝐮𝐢𝐥𝐭 𝐝𝐢𝐟𝐟𝐞𝐫𝐞𝐧𝐭𝐥𝐲:
⦾You’ll meet providers experienced with teen gynecology and endometriosis.
⦾We honor your voice, your symptoms, and your story.
⦾No assumptions, no stigma, no egos.

If you are in your teenage years (or have an adolescent child) and are looking for advice, we provide adolescent-friendly care designed specifically for teens. Our approach is trauma-informed and welcoming, helping teens feel safe opening up about period pain.

06/15/2026

𝐂𝐚𝐧 𝐩𝐨𝐥𝐲𝐩𝐬 𝐜𝐚𝐮𝐬𝐞 𝐩𝐞𝐥𝐯𝐢𝐜 𝐩𝐫𝐞𝐬𝐬𝐮𝐫𝐞 𝐨𝐫 𝐝𝐢𝐬𝐜𝐨𝐦𝐟𝐨𝐫𝐭?

While abnormal bleeding is the most common symptom of uterine polyps, some patients do report pelvic pressure, cramping, or discomfort that improves after a polyp is removed.

𝐂𝐨𝐦𝐦𝐨𝐧 𝐬𝐢𝐠𝐧𝐬 𝐨𝐟 𝐚 𝐩𝐨𝐥𝐲𝐩 𝐜𝐚𝐧 𝐢𝐧𝐜𝐥𝐮𝐝𝐞:
• Heavier periods
• Bleeding between periods
• Bleeding with exercise or in*******se
• Fertility challenges
• Sometimes, no symptoms at all

If you’re experiencing any of these symptoms, it’s worth discussing them with your healthcare provider. The first step is often imaging to help determine what’s causing your symptoms and whether a polyp may be involved.

06/12/2026

Talking to your partner about s*x can be uncomfortable even when nothing is wrong, so bringing up an issue like dyspareunia can feel overwhelming. But open communication will help your partner understand and support you as you find solutions together.

𝐇𝐞𝐫𝐞 𝐚𝐫𝐞 𝐟𝐢𝐯𝐞 𝐭𝐢𝐩𝐬 𝐭𝐨 𝐩𝐫𝐞𝐩𝐚𝐫𝐞 𝐲𝐨𝐮:

1. 𝐓𝐚𝐤𝐞 𝐚 𝐝𝐞𝐞𝐩 𝐛𝐫𝐞𝐚𝐭𝐡. Remember that you deserve to enjoy s*x as much as your partner does.
2. 𝐏𝐢𝐜𝐤 𝐚 𝐭𝐢𝐦𝐞 𝐚𝐧𝐝 𝐩𝐥𝐚𝐜𝐞 where you both feel calm and comfortable.
3. 𝐅𝐨𝐜𝐮𝐬 𝐨𝐧 “𝐈” 𝐬𝐭𝐚𝐭𝐞𝐦𝐞𝐧𝐭𝐬 to avoid unintentional assignment of blame.
4. 𝐒𝐡𝐚𝐫𝐞 𝐚𝐧𝐲 𝐰𝐢𝐬𝐝𝐨𝐦 𝐲𝐨𝐮’𝐯𝐞 𝐠𝐚𝐢𝐧𝐞𝐝 thus far about what is causing or contributing to your pain.
5. 𝐀𝐬𝐤 𝐟𝐨𝐫 𝐰𝐡𝐚𝐭 𝐲𝐨𝐮 𝐧𝐞𝐞𝐝, whether that’s more lubrication, a slower pace, different positions, or activities that don’t involve pe*******on.

This will likely be an ongoing discussion, so don’t feel like you have to say everything at once. Often, the anticipatory anxiety is worse than the conversation itself.

06/11/2026

Pain that lasts more than 6 months is considered chronic—and often involves several overlapping conditions. You might hear it’s “just stress” or “normal,” but your body knows better. Some of the most common causes include:

✤ Endometriosis
✤ Adenomyosis
✤ Pelvic Floor Dysfunction
✤ Adhesions
✤ Central Sensitization
✤ Bladder & Bowel Issues
✤ Recurrent Cysts or Fibroids
✤ Interstitial Cystitis
✤ Structural Concerns

There are many potential causes of CPP, but endometriosis should always be considered, especially if other diagnoses and treatments fail to improve your symptoms. 20% to 80% of patients with chronic pelvic pain who undergo elective surgery are found to have endometriosis. And for those already diagnosed with endo, 70% of individuals will develop chronic pelvic pain. The longer endometriosis goes untreated, the more challenging it is to treat chronic pelvic pain.

06/09/2026

Asherman’s syndrome (also called intrauterine adhesions) occurs when scar tissue forms inside the uterus, causing the walls to stick together. This can block menstrual flow, prevent embryo implantation, or make the uterine lining too thin to support a pregnancy.

Adhesions often develop after uterine procedures such as dilation and curettage (D&C), fibroid removal, cesarean delivery, or a uterine infection.

Common symptoms include:

♥ Very light or absent periods
♥ Cramping or pain during expected menstrual times
♥ Infertility or recurrent miscarriage
♥ Irregular spotting or bleeding

These symptoms are not normal—and they are reason enough to seek care. The earlier adhesions are diagnosed and treated, the sooner your body can be restored to normal functioning.

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.

06/04/2026

We get a lot of questions from patients about what to expect after surgery—especially when it comes to managing pain and discomfort. Here is a look into the items we provide patients in our post-operative bag. These are all meant to ease pain, support digestion, and help your body begin healing smoothly.

Your care team will provide detailed instructions on how and when to take each medication. One common strategy is alternating two types of pain medications every few hours—this can help keep discomfort well controlled without overmedicating.

06/03/2026

It’s a common misconception that surgery should be considered a last resort for infertility. Undergoing exploratory surgery early in your fertility journey can help doctors understand and treat the root cause of your struggles.

This procedure may be appropriate if you have:

♥ Unexplained infertility
♥ Multiple failed embryo transfers or IVF cycles
♥ Recurrent pregnancy loss/miscarriage
♥ Signs of endometriosis or pelvic pain
♥ Low AMH, low follicle count, or early ovarian aging/premature ovarian insufficiency
♥ Diagnoses such as PCOS, adenomyosis, or intrauterine scarring
♥ A prior laparoscopy or hysteroscopy that found “nothing wrong,” but symptoms persist
♥ Ectopic pregnancies

If your fertility journey feels stalled and the usual workup has yielded few answers, this may be the step that finally brings the clarity you deserve.

06/01/2026

Whether you're preparing for IVF, exploring permanent birth control, or managing an ectopic pregnancy, your care team may recommend a salpingectomy, a surgical procedure to remove one or both fallopian tubes.

At ESSE Care, we specialize in minimally invasive laparoscopic salpingectomy, which allows for precise removal with less downtime and faster healing than open surgery.

This surgery can support your fertility goals, dramatically lower ovarian cancer risk, and help address painful and potentially dangerous conditions like hydrosalpinx, endometriosis, or ectopic pregnancy.

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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