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

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.

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.

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

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