
Why Timing Matters: The Case for Early Endometriosis Surgery
When it comes to endometriosis, timing matters. Learn why early-stage surgery can reduce complications, protect fertility, and give you a better path forward.
Search and explore to learn more about the services, specialties, and care provided by our highly trained providers.

When it comes to endometriosis, timing matters. Learn why early-stage surgery can reduce complications, protect fertility, and give you a better path forward.

Dr. Karli Goldstein explains why emergency rooms don’t typically offer MRIs for endometriosis and what kind of imaging really helps diagnose the disease.

Dr. Karli Goldstein explains how a patient’s clear endometriosis imaging was overlooked in the ER and what must change in how pelvic pain is evaluated.

Pelvic pain dismissed as back strain? Dr. Karli Goldstein, DO, FACOG, reviews a case where endometriosis was overlooked in the ER—delaying critical care.

ERs focus on urgent, life-threatening issues—not hormone health. Dr. Goldstein explains why a fertility or hormone panel just isn’t part of emergency care.

In Episode 3 of The Endo Exchange, Dr. Goldstein, Dr. Sbiroli, and Gina Carloto offer real talk on navigating ER visits for pelvic pain. Learn how to advocate effectively, understand your imaging, and get the care you deserve.

Dr. Karli Goldstein addresses a dangerous myth: that endometriomas don’t rupture. Learn how a seemingly small cyst caused major complications after rupture—and why expert evaluation and timely surgery matter.

When an endometrioma ruptures, its contents can “splatter,” spreading endometriosis and creating dense adhesions between organs. In this video, Dr. Karli Goldstein discusses a complex case that illustrates why timing and expert excision are critical.

Vaginally palpable endometriosis is a red flag for deeply infiltrating disease. Learn why this serious finding requires specialist care — and what symptoms mean you shouldn’t wait.

Can adhesions hide from medical imaging? Our expert explains how to identify adhesive disease despite negative MRIs and ultrasounds, and the surprising symptoms to watch for.
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.