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.
Looking for something particular?
Endometriosis
A disorder in which tissue similar to the tissue that lines the uterus grows outside the uterus in places where it doesn't belong.
Fertility Consulting
Exploration (surgical or non-surgical coaching through the journey or investigating options).
Hormone Balancing
Whether in peri-menopause, menopause or seeking optimal balance throughout life ESSE Care provides hormone knowledge and customized approaches to help you feel your best.
Teenage intro to Gynecology
A comfortable place to talk about what is normal and what is not regarding periods and the menstrual cycle. Hormone and vitamin panel can be drawn ahead of the visit and transabdominal sonogram can be done ahead for those who do not need or want a pelvic exam.
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

Behind the Scenes: MomCast with Dr. Goldstein and Dr. Rosen
From painful periods and chronic fatigue to pelvic pressure and bladder issues, many women are told these symptoms are “normal” or “in your head.” Dr. Goldstein and Dr. Rosen are here to set the record straight: Suffering in silence is never okay.

What Is an Intrauterine Device (IUD)?
An intrauterine device (IUD) is a small, t-shaped device often first introduced to patients as a form of birth control. At ESSE Care, we see it as something more. For many patients, an IUD can be a long-acting tool for not only birth control but also symptom relief, hormonal balance, and cycle control across every life stage.

Top 5 Takeaways: Genetics, Gut Symptoms, and the Full-Body Reach of Endometriosis
This patient-centered conversation highlights the genetics of endometriosis, the value of symptom mapping, and why multidisciplinary surgical care is critical when organs like the appendix or bowel are involved.