Stream the second episode of The Endo Exchange, a webinar series from Dr. Karli Provost Goldstein that brings together leading voices in fertility and endometriosis care. In this episode, discover how surgery, IVF, integrative medicine, and patient advocacy can work together to support fertility with clarity and compassion.
A Collaborative Webinar from The Endo Exchange
With Dr. Karli Provost Goldstein, Dr. Sheeva Talebian, Dr. Mary Sabo, and Dana
At ESSE Care, we know that navigating fertility with endometriosis isn’t just a medical decision—it’s a personal, emotional, and whole-body journey. That’s why we created The Endo Exchange, a webinar series designed to offer real answers, meaningful support, and expert guidance from across disciplines.
In this episode, Dr. Karli Provost Goldstein is joined by three trusted collaborators and patient advocates for a powerful discussion about one of the biggest crossroads in fertility care:
Should I move forward with IVF, or explore endometriosis surgery first?
Meet the Panel
👩⚕️ Dr. Karli Provost Goldstein
Board-certified minimally invasive gynecologic surgeon & Founder of ESSE Care
Shares how excision surgery helps identify and treat silent endometriosis that may be impacting egg quality, implantation, and IVF outcomes.
👶 Dr. Sheeva Talebian
Reproductive Endocrinologist at CCRM New York
Breaks down how IVF works, when to suspect endo in unexplained infertility, and how to sequence fertility treatments for the best results.
🌿 Dr. Mary Sabo
Acupuncturist & Integrative Hormone Specialist at LILY + HORN
Explains how acupuncture and nervous system support can improve cycle tracking, egg response, hormonal balance, and post-surgical recovery.
🎙️ Dana
Patient Advocate & IVF graduate
Shares her lived experience with failed IVF, undiagnosed endometriosis, and how finally assembling a collaborative care team changed everything.
What You’ll Learn
This isn’t just a conversation about protocols—it’s a look at what happens when your body’s story doesn’t fit the standard fertility script. You’ll learn:
- Why IVF sometimes fails for patients with undiagnosed endometriosis
- How silent inflammation affects embryo quality and uterine receptivity
- When to consider office testing (like ReceptivaDx) and what it means
- How excision surgery can be a diagnostic and therapeutic reset—not a last resort
- The role of acupuncture, stress regulation, and integrative support in enhancing fertility
- How a real patient, Dana, found clarity and confidence after years of confusion
Why This Matters
Many patients are told to “just try IVF” without a full evaluation of their symptoms, cycles, or inflammatory profile. But when endometriosis is part of the picture—even silently—it can impact every step of the process.
At ESSE, we believe in asking better questions, building stronger teams, and supporting the whole body—not just the reproductive organs. This webinar offers insight into what thoughtful, strategic fertility care really looks like.
A Look at Whole-Body Fertility Planning in Action
Dr. Goldstein shares why excision surgery can be a critical first step—not only for diagnosis, but for giving patients the clarity and confidence to move forward with IVF or natural conception.
Dr. Talebian offers practical, patient-first guidance on how to think about timing, age, egg quality, and the role of inflammation in failed IVF outcomes.
Dr. Sabo shares how acupuncture isn’t just for relaxation—it’s a tool for optimizing ovarian response, supporting digestion and hormone clearance, and reducing cortisol during emotionally demanding treatments.
Dana offers what only patients can: the emotional reality of doing IVF without answers—and what it feels like to finally be seen, validated, and supported by a care team that worked with her, not around her.
Catch the top 5 takeaways on "IVF vs. Endometriosis Surgery".
