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

Contraception Device Management: What It Is and What to Expect
Intrauterine devices (IUDs) are small but powerful tools. For some, they provide years of reliable contraception. For others, they offer critical hormonal relief from symptoms of endometriosis, heavy bleeding, or painful periods.

Laparoscopic Myomectomy for Uterine Fibroids: What It Is and What to Expect
There is no one-size-fits-all treatment plan for fibroids, but laparoscopic myomectomy is a popular option for women experiencing uncomfortable or disabling symptoms related to their fibroids.

Top 5 Takeaways from the Thoracic Endometriosis Webinar
Thoracic endometriosis is one of the most underrecognized yet life-altering forms of endometriosis, and too often, patients are told their symptoms are just anxiety, asthma, or unrelated.