The Hormone Puzzle Podcast: Endometriosis, Infertility, and the Power of Excision Surgery
In this episode of The Hormone Puzzle Podcast, Dr. Karli Provost Goldstein shares insight into one of the most overlooked causes of infertility: endometriosis. Drawing from clinical experience and personal perspective, she offers patients a clear, compassionate look at why so many are told their infertility is “unexplained”—and what can be done about it.
If you’ve been through IVF without answers, or your lab work looks fine but pregnancy still isn’t happening, this conversation explores how endometriosis may be silently interfering with your fertility—and how excision surgery and integrative care can change the outcome.
What You'll Learn:
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Why endometriosis may be the missing explanation behind “unexplained infertility”
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How it can affect the ovaries, uterus, tubes, and pelvic environment—even in the absence of pain
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Why individualized, fertility-focused excision surgery matters
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What to expect during recovery and when to resume trying to conceive
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How nutrition, fitness, and holistic support play a role in healing and long-term success
This episode is for patients who are:
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Navigating infertility without a diagnosis
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Experiencing hormone-related symptoms that aren’t improving
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Looking for expert surgical care supported by whole-body wellness
ESSE Care provides advanced gynecologic surgery and integrative support across New York, Connecticut, and Los Angeles, with telehealth available nationwide. Contact us today.


