
Pain with Sex Isn’t Normal: Understanding Dyspareunia
Pain with sex is common, but it is not normal. Learn what dyspareunia is, why it happens, and how the right care can help you find relief.
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Pain with sex is common, but it is not normal. Learn what dyspareunia is, why it happens, and how the right care can help you find relief.

A uterine septum can affect pregnancy and fertility. Here’s what to know about how it’s diagnosed, when surgery makes sense, and what recovery looks like.

Secondary dysmenorrhea—period pain—is often a sign of underlying gynecologic disease. Dr. Karli Goldstein breaks down the leading causes, from endometriosis to fibroids and uterine anomalies.

Dr. Amanda Chu walks through surgical footage from a patient who presented with heavy, irregular bleeding and significant cramping. Although prior imaging did not reveal any abnormalities, the patient’s ongoing symptoms and clinical history raised concern for an intrauterine cause, prompting hysteroscopic evaluation.

In this video, fertility specialist Dr. Lucky Sekhon asks ESSE Care’s Dr. Leigh Rosen the most common questions about Asherman’s syndrome.

While period pain is common, it is not always normal. Dysmenorrhea is divided into two categories: primary dysmenorrhea, which occurs without an identifiable cause, and secondary dysmenorrhea, which is associated with underlying conditions such as endometriosis, adenomyosis, or fibroids.

8 days after her hysterectomy for adenomyosis and precancerous changes, Novia shares her recovery experience—from minimal pain to starting hormone therapy. “I feel amazing,” she says. “New woman, new me.”

Dr. Karli Goldstein reviews surgical footage from a total hysterectomy performed 8–10 years after endometriosis excision, highlighting recurrence risk, ovary preservation, and patient recovery.

Two sisters. One life-changing day. Explore the genetic roots and full-body impact of endometriosis—and why collaborative care is key—in Episode 7 of The Endo Exchange.

Hysterectomies can be performed at various ages—not just at menopause. Dr. Karli Goldstein explains when and why patients may consider this procedure, including for conditions like endometriosis, adenomyosis, fibroids, or early uterine cancer.
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.