A friendlier reproductive care experience.
We offer an integrated approach, by fusing Western medicine with an Eastern approach. Precision surgery if necessary is combined with complementary techniques to help you achieve vitality. We believe in the mind-body connection and the body’s innate desire to heal itself. By restoring pelvic anatomy and optimizing your overall health, balance can be achieved.
- Infertility
- IVF Failure
- Hot Flashes
- Bowel Symptoms
- Pelvic Pain
- Fatigue
- Hormone Imbalance
- Painful Periods
Precision Surgery
Wellness
Hormones
A place of healing
We are a private practice that aims to provide high-quality collaborative healthcare for our patients. To achieve this goal, we have an expert minimally invasive gynecologic surgeon with osteopathic training. In combination with the best acupuncture, therapists, hypnotherapists and physical therapists we are able to integrate your care so you don’t have to.
Dr. Karli Provost Goldstein completed advanced laparoscopic and robotic endometriosis training under the world’s best surgeons. We have a close network of colleagues and consultants available to offer a truly integrated approach.
We’re with You Every Step of the Way
Endometriosis & Pelvic Pain
ESSE's excision specialists offer precise, compassionate care that targets the root cause of endometriosis.
Gynecologic Surgery
We treat fibroids, uterine anomalies, polyps, and more with expertise and intention.
Fertility Optimization
We address the conditions that may be interfering with your fertility while coordinating with fertility specialists.
Comprehensive & Partner Support
ESSE Care offers comprehensive gynecologic care for all ages, as well as integrative therapies via our trusted partners.
Redefining Trust, Personalized Care, and Re-framing Expectations
No Jargon. Meet ESSE.
Your personal navigator for reproductive care.
Endometriosis
Endometriosis affects women from teenage years to menopause, causing pain, fertility issues, and impacting multiple organs.
Hormone Balancing
Personalized, holistic approach to hormonal balance and menopause, using tailored blends of hormones to restore vitality.
Fertility Consulting
We empathize with the emotional and physical challenges of fertility struggles, reminding you that you’re not alone.
What Our Patients Say
Recent Educational Articles

Symptom Spotlight: Living with Chronic Pelvic Pain (CPP)? You Deserve Real Answers
If you’re living with pelvic or lower abdominal pain that keeps returning, you’re far from alone. Chronic pelvic pain (CPP) affects up to 16% of women. For many, this pain is life-altering.

Endometriosis in the Spotlight: What Celebrity Stories Teach Us About Self-Advocacy
Celebrities have helped bring endometriosis into the spotlight. That visibility is valuable. But meaningful change often begins quietly—in exam rooms, with second opinions, and with patients who speak up and say, “I need more answers.”

When and How to Seek a Specialist for Painful Periods (Dysmenorrhea)
Many people experiencing painful periods are left feeling confused and dismissed. You may have been told your pain is “just part of having a period” or offered hormonal birth control without a full explanation, leading to a cycle of short-term fixes that never address the root cause of your symptoms.