
Symptom Spotlight: Chronic Fatigue Isn’t Just “Being Tired”
If you wake up exhausted no matter how much you sleep, struggle to get through the day without pushing yourself past your limits, or feel like your energy has disappeared, we see you.
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If you wake up exhausted no matter how much you sleep, struggle to get through the day without pushing yourself past your limits, or feel like your energy has disappeared, we see you.

If your period leaves you exhausted, running to the bathroom constantly, missing work, canceling plans, or anxious about bleeding through your clothes, something significant may be happening in your body.

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.

If your period disrupts your life—forcing you to miss school, cancel plans, or wait for it to be “over” so you can function again—it’s not just a bad month.

Chest pain during menstruation isn’t common and it’s never something to brush off. While panic isn’t the answer, neither is ignoring your body’s signals. Many patients are told their symptoms are “just anxiety” when in fact, their body is sounding a very real alarm. Trust that instinct.

If you’ve had trouble getting or staying pregnant, there’s an important stat you should know: Up to 50% of unexplained infertility is caused by endometriosis. All of this raises an important question: Why is endometriosis so often overlooked as a cause of infertility?

Do you avoid intimacy because it’s painful? Does just the idea of intercourse make you anxious? Pain with intercourse (medically known as dyspareunia) is real, common, and significant—even though it’s often misunderstood.

Feeling overwhelmed by hot flashes or the thought of menopause? You’re not alone, and you don’t have to go through it without support. Learn how to manage symptoms and plan ahead for a smoother experience.

Even though this is devastating I like to encourage patients this is a sign your body knows what to do. Dr. Karli Provost Goldstein is passionate about talking you through the different options, carefully reviewing your records and making a new plan for the future.
ESSE's excision specialists offer precise, compassionate care that targets the root cause of endometriosis.
We treat fibroids, uterine anomalies, polyps, and more with expertise and intention.
We address the conditions that may be interfering with your fertility while coordinating with fertility specialists.
ESSE Care offers comprehensive gynecologic care for all ages, as well as integrative therapies via our trusted partners.