Fertility
Optimization
We address the conditions that may be interfering with your fertility while coordinating closely with top fertility specialists.
What We Treat
Facing fertility challenges can be an emotionally and physically draining experience. We work with the best fertility specialists to treat underlying conditions and optimize your path forward.
Fertility
Optimization
Signs You May Need Fertility Support
You are not alone. Even with perfect anatomy and fertility, the likelihood of conceiving each month is only 20% if you’re under 35. In the second year of trying, 5-10% who did not conceive within the first year will get pregnant.
Difficulty
Conceiving
If you’ve been trying to conceive for 6-12 months without success, uterine anomalies, blocked tubes, or other gynecologic conditions may be contributing factors.
Recurrent
Pregnancy Loss
If you’ve experienced two or more miscarriages, anatomical issues like uterine septum or Asherman’s syndrome may need to be addressed. Learn more.
Unexplained
Infertility
Up to 50% of “unexplained infertility” is actually endometriosis. If you’ve been told everything looks normal but you’re still not conceiving, surgical investigation may reveal answers.
Failed IVF
or IUI Cycles
Don’t let any team tell you the same protocol is necessary 10 times in a row. If you’ve had multiple failed cycles, there may be underlying factors—like endometriosis—that need to be addressed. Learn more.
Pain with Intercourse
(Dyspareunia)
Deep pelvic pain during intercourse affects 10-20% of women and can indicate endometriosis, adhesions, or other structural issues that may be contributing to infertility.
Painful Periods
(Dysmenorrhea)
Severe menstrual pain that interferes with daily life affects up to 30% of women and is often a sign of endometriosis or adenomyosis—conditions that significantly impact fertility.Learn more.
Fertility Planning Options
Second Opinion
& Case Review
We’ll analyze all your records and obtain fertility bloodwork before your visit. Our doctors will personally connect you with the best specialists and help collaborate on your plan.
Endometriosis
Investigation
If you or your fertility specialist suspect endometriosis is contributing to your struggles, we offer comprehensive evaluation including fertility labs, MRI, pelvic sonogram, and surgical diagnosis with excision.
Fertility Restorative Surgery
Advanced hysteroscopy can include endometrial biopsy for chronic endometritis, tubal patency assessment, adhesion removal, and careful excision of scar tissue, inflammation, or endometriosis. Uterine anatomy can be optimized for those with failed or painful transfers.
Whole-Person
Integrative Care
We coordinate with trusted partners for pelvic floor therapy and nutrition, hormone, and mental health support. With ESSE Care, you’re never left to figure it out alone.
Where Are You in Your Fertility Journey?
Starting
to Try
You’re beginning your family-building journey and want to optimize your fertility before or while trying to conceive naturally.
Facing
Challenges
You’ve been trying without success, experienced loss, or feel overwhelmed navigating fertility clinics and IVF treatments.
Preparing
for IVF
You’re working with a fertility clinic and want surgical optimization before your next cycle to maximize your chances of success.
Our Surgical Offerings
Advanced procedures tailored to your clinical needs and reproductive goals.
Each case is unique, surgery technique varies by:
Laparoscopic, robotic, hysteroscopic, vaginal, or abdominal (requires visit)
Fertility-preserving or definitive management
First-time or revision surgery
Gynecology-only or multidisciplinary team
Why Patients Choose ESSE Care
Relief &
Restoration
Definitive
Care
Integrative
Support
Minimally
Invasive
Fertility
Preservation
Surgical
Excellence
Getting Started with ESSE Care
Insurance Verification
Submit your insurance and ID information over the phone or through our online form. We’ll verify your benefits and let you know what’s covered before your appointment.
First Office Visit
Want to know what to expect when you come into one of our offices for an in-person appointment? We’ve got you covered. Find out what to bring and how to prepare.
Surgical Planning
Our team is dedicated to taking the headache out of planning for your surgery. We’ll coordinate all the necessary expertise behind the scenes while you focus on your path to healing. Learn more.
Travel Support
Our patients travel from all over the world for treatment at ESSE Care. We provide comprehensive concierge travel support to make the process stress-free for you. All you have to do is show up. Learn more.
It just felt very warm and comforting to have a team of women who are not only experts in their field, but also understood the disease I had and had been through it.
Nabila, ESSE Care Patient
Have more questions?
Your journey to relief begins now.
We’re with You Every Step of the Way
Endometriosis & Pelvic Pain
ESSE's excision specialists offer precise, compassionate care that targets the root cause of endometriosis.
Gynecologic Surgery
We treat fibroids, uterine anomalies, polyps, and more with expertise and intention.
Fertility Optimization
We address the conditions that may be interfering with your fertility while coordinating with fertility specialists.
Comprehensive & Partner Support
ESSE Care offers comprehensive gynecologic care for all ages, as well as integrative therapies via our trusted partners.