Gynecologic
Surgery

We treat fibroids, uterine anomalies, polyps, and more with expertise and intention.

What We Treat

Whether you’re coming to us with a confirmed diagnosis or looking for clarity before a procedure, our goal is to offer safe, minimally invasive surgical care with your long-term wellbeing in mind. Gynecologic Surgery addresses uterine, ovarian, and tubal conditions with precision and care.

Uterine
Conditions

Uterine fibroids
(leiomyomas)
Endometriosis & adenomyosis
Endometrial polyps
C-section scar defects
(isthmocele)
Uterine septum
(septate uterus and other congenital anomalies)
Asherman's syndrome
(uterine adhesions)
Retroverted uterus

Ovarian &
Tubal Conditions

Ovarian cysts
(endometriomas/chocolate cysts, dermoid cysts)
Hydrosalpinx
(fluid blockage in fallopian tubes)
Fallopian tube cysts or blockage
Tubal factor infertility

Supportive
Care

IUD care under anesthesia
Heavy menstrual bleeding
(other abnormal bleeding )
Postmenopausal concerns

Symptoms You May Be Experiencing

Understanding your symptoms is the first step toward finding relief.

Heavy or Prolonged Bleeding

Menstrual periods that last longer than 7 days, require changing pads or tampons every hour, or interfere with your daily activities may indicate fibroids, polyps, or other uterine conditions. Learn more. 

Chronic Pelvic Pain (CPP) or Pressure

Persistent pelvic pain, a feeling of fullness or pressure in your lower abdomen, or pain during intercourse can be signs of inflammation, recurrent cysts, or structural abnormalities. Learn more.

Difficulty Conceiving (Infertility)

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

Abnormal Discharge or Spotting

Unusual vaginal bleeding between periods, after menopause, or after intercourse should be evaluated to rule out polyps, fibroids, or other conditions.

Urinary or Bowel Changes

Frequent urination, difficulty emptying your bladder, or constipation can occur when fibroids or cysts put pressure on surrounding organs. 

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.

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

What You Can Expect from ESSE Care

We are here to provide a soothing sanctuary for healing, free from stress or manipulation. Our collaborative team takes a multi-pronged approach to managing the many symptoms you may be experiencing and finding the root cause.

Thorough
Evaluation

We take the time to listen to your concerns. During our new patient visits, we set aside a full hour to review your medical history and perform comprehensive diagnostic imaging.

Personalized
Treatment Plan

Your treatment plan is tailored to your unique anatomy, fertility goals, and long-term health objectives. We discuss all options and create a path forward that feels right for you. 

Minimally Invasive
Expertise

When surgery is needed, we use advanced laparoscopic and robotic techniques that mean smaller incisions, less pain, faster recovery, and better cosmetic outcomes.

Long-Term
Partnership

Your care doesn’t end after surgery. We provide ongoing follow-up, fertility support, and lifelong gynecologic care to ensure your continued wellbeing.

Where Are You in Your Journey?

Experiencing
Symptoms

You’re noticing changes in your body—pain, heavy bleeding, or other concerns—and want answers about what’s happening.

Have a
Diagnosis

You’ve been diagnosed with fibroids, cysts, or another condition and are exploring treatment options or seeking a second opinion.

Ready for
Surgery

You’ve decided on surgical treatment and want expert, minimally invasive care with a team that prioritizes your long-term wellbeing.

Our Surgical Offerings

Advanced procedures tailored to your clinical needs and reproductive goals. 

​​Operative hysteroscopy
Dilation and curettage (D&C)
Exploratory hysteroscopy (advanced hysteroscopy)
Hysterectomy
Hysteropexy (uterine suspension)
Isthmoplasty (isthmocele repair)
Adhesiolysis
Metroplasty
Abdominal myomectomy
Laparoscopic myomectomy
Sonata (for fibroids)
Polypectomy
NAPRO surgery
Ovarian cystectomy
Salpingectomy
Tuboplasty
Adhesiolysis
Endometriosis excision surgery
Infertility exploratory surgery
Vaginal endometriosis excision
Abdominoplasty and/or liposuction*
Plastic surgery*
Vaginal specimen removal
Contraception device management
Hernia repair*
Cystoscopy

*Performed in combination with necessary gynecologic surgery, not as standalone services 

Each case is unique, surgery technique varies by:

APPROACH

Laparoscopic, robotic, hysteroscopic, vaginal, or abdominal (requires visit)

INTENT

Fertility-preserving or definitive management

COMPLEXITY

First-time or revision surgery

SCOPE 

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.

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.

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.

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

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.

Ready to take the next step?