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Monday 8am - 5pm Tuesday 8am - 5pm Wednesday 8am - 5pm Thursday 8am - 5pm Friday 8am - 5pm

Dr. Karli Provost Goldstein

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Greenwich, CT
Dr. Karli Provost Goldstein

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🧒Patient🤒.Surgeon👩‍⚕️🩺.Mama🤰
🥼 Functional gynecology, endometriosis excision surgery, fertility, wellness.

Founder of Esse Care Reproductive Surgery and Wellness

10/27/2026

Perimenopause and menopause can look different for everyone. ✨

From hot flashes and night sweats to brain fog, fatigue, dry skin, changes in muscle tone, and weight gain, hormonal fluctuations can cause a wide range of symptoms.

The good news? You don’t have to just live with them. There are a variety of hormonal and non-hormonal treatment options that can help you feel more like yourself again. 🤍

If something feels different in your body, it’s worth talking about.

10/23/2026

Let’s debunk a common menopause myth: Menopause does NOT happen overnight!

The transition into menopause, known as perimenopause, can last 8–10 years. During this time, your periods may become irregular, skip for several months, and then return.

So, what officially defines menopause? 12 consecutive months without a menstrual period.

Your body is going through a transition, not flipping a switch overnight. Understanding the process can help you recognize the changes, feel more informed, and know when to seek support.

10/19/2026

After years of athletic training, followed by nearly a decade when surgeries, IVF, and high-risk pregnancy restrictions meant movement had to take a back seat, the ability to move freely and get stronger feels extra special.

Fitness is about so much more than aesthetics. It’s about building muscle, supporting bone density, strengthening the core, protecting the back, and investing in long-term health.

It feels good to make fitness a part of everyday life again. 💪

10/15/2026

Today, we're thinking of all the families missing their little ones. Sending so much love, gentle hugs, and comfort to everyone carrying a loss, today and every day. Your babies are remembered, your love is never forgotten, and you are in our hearts. 🤍🕊️

10/05/2026

A little look into a very full day 🤍

From getting the kids out the door, to working out, seeing patients, charting, and getting ready for tomorrow’s cases.

Busy days, but always grateful to do what I do.

09/11/2026

A normal Pap smear does NOT mean you’ve been screened for ovarian cancer. 🚨

A Pap smear is designed to screen for cervical cancer and cervical dysplasia, and it can also help identify certain infections affecting the cervix.

Think of the Pap smear as looking at the doorway of the pelvis. 🚪

It examines the cervix — essentially the entrance to the uterus — but it does not screen the rest of the pelvis or abdomen, including the ovaries, fallopian tubes, or the main body of the uterus.

So if your Pap smear is normal, that’s great news for your cervical health — but it doesn’t mean everything else in the pelvis has been screened.

💡 At your yearly checkup, bring up any concerns or symptoms with your gynecologist and ask what screenings are appropriate for you.

09/03/2026

At ESSE Care, we believe women deserve expert, compassionate, and specialized care at every stage of life. Endometriosis remains underdiagnosed, under-researched, and underfunded, leaving too many women navigating chronic pain without answers or access to advanced surgical treatment.

Move With Purpose was created to bring women together through movement, conversation, and community — while directly supporting access to life-changing surgical care through the .

This summer, we gathered in a beautiful private garden in the Wilton, CT area for an afternoon centered around wellness, connection, and women’s health. The experience began with a Pure Barre class, followed by an intimate garden party featuring food, community connection, wellness partners, and an inspiring panel discussion with endometriosis experts and survivors.

Together, we raised awareness, fostered community, and helped more women receive the care they deserve.

09/02/2026

Ovarian cancer can be difficult to recognize because its symptoms are often subtle and may overlap with other conditions.

Symptoms such as persistent bloating, pelvic pain, digestive changes, or other symptoms that are new or worsening shouldn’t be ignored. Tracking when symptoms occur and sharing those changes with your gynecologist or primary care provider can be an important first step.

Certain factors, including BRCA mutations and endometriosis, may also be associated with an increased risk.

This September, let’s raise awareness, listen to our bodies, and encourage conversations about ovarian health.

08/31/2026

A meaningful afternoon with and at a Pvolve workout and conversation celebrating Chloe Melas’ book, The Girl’s Guide to Guts, and Brooks Bell’s powerful journey as a mother of two navigating a colon cancer diagnosis in her 30s. 🤍

Worldclass Clothing is a survivor-founded luxury fashion brand that donates proceeds to help fund colonoscopies for underinsured individuals, making early detection and cancer prevention more accessible.

At ESSE Care, we believe in listening to your body, asking questions, seeking answers, and advocating for your health. It was meaningful to be part of a conversation that brings greater awareness to the importance of prevention and early detection, while empowering people to take an active role in their care.

You can find The Girl’s Guide to Guts linked in our Amazon Storefront! 🤍

08/26/2026

When most of us think of Mexico, we think of beautiful beaches, rainbow-colored fabrics, rich culture and heritage, tacos, and mezcal. But most people don’t realize they have one of the best neuro-pelviology centers and groups in the world.

The hospital we visited in Morelia has dedicated pelvic physical therapists, pain management specialists, advanced diagnostics, all specifically focused on pelvic pain, room by room, beside each other before the patient even gets to the OR down the hall.

The goal with their pelvic pain group is that every nerve, vessel, and structure causing trouble is identified even before the patient goes to the OR. It was impressive to see and something we can all take note of and try to emulate.

What really stood out to me was that they aren’t taking people to the OR to do nerve surgery without first knowing what is going on. They aren’t simply uncovering nerves without a clear diagnosis and trying to figure it out once they are in surgery. Every step of a nerve or vascular release is safely and clearly planned out and executed, and only when surgery is truly necessary.
They also provide post-op care, pre-op care in person, long-term pain management, physical therapy, and all of the collaborative care for endometriosis patients.

It was incredibly impressive to see this kind of multidisciplinary approach in action—and something I think we can all take note of and try to emulate.

Congratulations and well done to and their team, .possover, and .anasierra

Address

779 North Street
Greenwich, CT
06831

Opening Hours

Monday	8am - 5pm
Tuesday	8am - 5pm
Wednesday	8am - 5pm
Thursday	8am - 5pm
Friday	8am - 5pm

Telephone

+16468449602

Website

https://esse.care/

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