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

Patient Story: Audrey Craven on Migraine, Hormones, and Reclaiming Brain Health
Dismissed for decades, told her pain was hormonal, “just stress,” or something she’d grow out of, Audrey became an advocate not just for herself—but for millions. Today, she leads global efforts through the Migraine Association of Ireland and the Global Patient Advocacy Coalition for Headache (GPACH), using her story to fuel change.

Partnership Spotlight: Dr. Olivia Begasse de Dhaem on Hormonal Headaches, Brain Fog & the Neurology of Chronic Pain
Migraine is a neurologic disease. Endometriosis is an inflammatory, estrogen-responsive disease. And both can dramatically alter quality of life and function—especially when they’re dismissed, separated, or misunderstood.

Top 5 Takeaways from the Reproductive Care and the Brain Webinar
What happens when we finally connect the brain and the body in reproductive care? Explore five takeaways from our Endo Exchange webinar on the neurologic side of reproductive care.