
What Does a Minimally Invasive Gynecologic Surgeon Do?
From fibroids to uterine scar tissue, Dr. Leigh Rosen shares how she collaborates with fertility specialists and provides expert surgical care to restore function and comfort.
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From fibroids to uterine scar tissue, Dr. Leigh Rosen shares how she collaborates with fertility specialists and provides expert surgical care to restore function and comfort.

Dr. Karli Provost Goldstein explains how a bulky adenomyotic uterus can strain the pelvis and spine, and why full evaluation during hysterectomy ensures complete care and long-term stability.

Pregnancy doesn’t cure endometriosis or adenomyosis. As Dr. Karli Provost Goldstein shares, stage 4 disease requires real treatment, not reassurance. Learn why pain, fainting, and fertility struggles deserve comprehensive, compassionate care.

Even without a cure for endometriosis, healing is possible. With the right team, wellness, and hormone balance, many patients thrive again.

Adenomyosis doesn’t always cause fertility problems, but for some people, it can make it harder to get pregnant or carry a pregnancy to term. Some studies suggest that adenomyosis may be linked to pregnancy complications like miscarriage and preterm birth.

We’re incredibly thankful to The Donna Drake Show for creating such a thoughtful, empowering segment. Their team approached our work with respect and curiosity, giving us the space to speak from the heart.

What if your chest pain, shortness of breath—or even a collapsed lung—wasn’t random, but a red flag? In this episode of The Endo Exchange, we confront one of the most misunderstood manifestations of endometriosis: when the disease travels to the diaphragm, lungs, and chest cavity.

Watch real surgical footage from a complex 9-hour endometriosis excision involving the diaphragm, lungs, ureters, bowel, and pelvis. Dr. Karli Goldstein and her team address multi-organ disease with precision and care.

Dr. Karli Goldstein shares a real-time PSA about the risks of skipping follow-up imaging after endometriosis surgery. A patient with persistent hydronephrosis and thoracic disease was undergoing embryo transfers without proper evaluation — a reminder that imaging is essential for safe and coordinated fertility care.

If you’ve been told you have uterine scar tissue, often referred to as Asherman’s syndrome, you may be feeling uncertain or overwhelmed. You are not alone. Many of the patients we care for come to us with this diagnosis, especially when they are navigating fertility concerns and looking for answers.
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.