BRI REPRODUCTIVE IMMUNOLOGY
DR. ANDREA VIDALI

155 East 76th Street
Suite 1H

New York, NY 10021

516-584-8710

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Sarah Doucette
Sarah Doucette
May 14, 2024.
Dr Vidali and his team are so amazing. I traveled to see him from Canada. No regrets! I felt so confident and comfortable at every step. Highly recommend him and his team.
Amanda Cox
Amanda Cox
April 27, 2024.
Dr. Vidali is an excellent and caring physician. He takes the time to listen to his patients’ experiences and answer all questions. He is very knowledgeable, skilled, and very kind. He addressed all follow up concerns promptly and helped with anything that came up after surgery. I had very little pain after an extensive endometriosis surgery, and I believe that is due to his skill and planning. Thank you, Dr. Vidali!
kim estrada
kim estrada
April 26, 2024.
After trying everything else, Dr. Vidali did my excision six months ago and I’ve never felt better. I went from 10 out of 10 pain to 0 out of 10 pain these last six months, which has never happened in over 20 years. I’m a new person. It’s a totally different life without pain, fatigue, GI issues. I’ll be forever grateful.
Tracy Duffy
Tracy Duffy
April 26, 2024.
If I could give Dr. Vidali 100 stars, I would. The summer of 2022 I started having debilitating periods with slowly got worse. It went from mild pain during my period to daily pain that disturbed my life. In 2023 I had multiple ultrasounds to be told that everything was unremarkable and the only way to help was hormonal birth control. I tried every type of birth control out there and it would work for a few months until I found myself in pain that continued to get more severe. I finally switched OB-Gyn doctors and was told I might have endometriosis. I knew I had to not only go to an OB-Gyn but one who specializes specifically with endometriosis excision surgery. I live near Boston and consulted with the amazing team up here(will leave them nameless but I think they are great), but the wait for surgery was about 14 months out. I couldn’t wait that long with my deteriorating condition. I found Dr. Vidali from a friend who went to him. I filled out the forms and in 48 hours had an in person consultation scheduled for 8 days later. His office staff was warm and welcoming, answering my questions prior to my appointment. Dr. Vidali spent an hour with me which included an ultrasound where he immediately saw what looked like adenomyosis. He laid out a few possible treatment plans for me and gave me all the pros and cons. He was confident he could get me out of the pain I was in daily and my life back. I felt heard, validated, and understood. I scheduled surgery for 7 weeks later. The nurses and office staff answered all my questions no matter how minor they were. I went into surgery with debilitating back pain that started in my lower back and would extend at the worst of times up to my neck and down to my knees. I was in constant pelvic pain. I barely slept because of how uncomfortable I was. I had daily issues with my GI track no matter what I did. I came out of surgery after a hysterectomy, appendectomy, and excision of endometriosis with absolutely no back pain. I am currently almost 4 weeks post operation with no back pain, my GI problems are basically resolved, and I do not have any more pelvic pain like before. I have normal pain from healing from a major surgery but still feel better than I have in years. Dr. Vidali and his staff continue to communicate with me, and respond quickly to anything I need. I cannot thank him enough for giving me my life back.
Kimberly Ackerbauer
Kimberly Ackerbauer
April 24, 2024.
I had excision surgery with Dr. Vidali this past April and HIGHLY recommend him to anyone struggling with endo. I have stage IV disease involving many organs and he was able excise it all while keeping my fertility intact. He is highly skilled with excellent bedside manner and checked in on me several times post-op to made sure I was recovering well. I am 3 weeks out and feel incredible. His team coordinators were also well organized and spelled out every step of the process along the way.
Melanie Orlins
Melanie Orlins
April 17, 2024.
I credit Dr. Vidali with my pregnancy success after a history of recurrent miscarriage. I messaged him upon a positive pregnancy test, knowing I needed immune treatment to avoid another miscarriage. He quickly looked over my labs and prescribed medication. His wonderful nurse Linda made sure to get the script in ASAP so I could have it overnighted. All of this happened while I was anticipating my upcoming consult with Dr. Vidali. I’m forever grateful he took time out of his day (in between cases) to help me. Dr. Vidali’s advocacy for women battling infertility related disease and immune issues is unmatched — a true hero for many, including myself!
Federica Torri
Federica Torri
April 6, 2024.
If I had 6000 stars, those would not be enough to reflect my experience of a consult with Dr.Vidali. I was seeking a second opinion due to my latent pain after excision surgery and stage IV endo and Adenomyosis diagnosis six months ago. What meant to me the most was not only the quality of the medical consult but the empathy, humanity and professionalism I was met with. We spent a good hour and a half reviewing all my history truly in depth like I have never been able to do in any other medical appointments in more than 15 years of agony going to more than 35 specialists. Dr. Vidali not only is a very knowledgeable endometriosis surgeon, he also has a strong competence in radiology and ultrasound. He has been truly a one stop shop for me during my consult, and something that truly should be the gold standard of care. He was able to show me live the findings of my MRIs pre-op, and in less than 5 mins skillfully performed an ultrasound that confirmed serious Adenomyosis and possible residual endo disease. I am not joking when I say that I learnt more about my situation in this hour and a half than in 15 years. I truly wish I had this visit 12 years ago when my symptoms started becoming unbearable but I guess we get to a place when we are supposed to. He also showed true empathy for my pain and gave me some pain management tools that i have never had before, and he even arranged an express compounding for me at a pharmacy within few hours before I left NYC. He truly has a 360 degree vision of endo care, we even discussed lifestyle and things to implement to optimize my healing. I also appreciated the extreme intellectual honesty and respect for other surgeons he showed when reviewing my surgery videos and notes. He didn’t throw his ego in the conversation to push me into picking him for my next surgery or discrediting the previous team who took care of me and that truly I had an amazing experience with. This way of talking was in absolute starking contrast with some other conversations and consultations where I received very rapid judgements without even taking the time to review my materials (e.g. they must have done something wrong if you have pain, they didn’t do what I do so well, etc). I felt seen, understood, respected. I didn’t feel he gave anything for granted, he truly wanted to help with his knowledge and experience and then leaving me with my reflections and personal decisions. I left NYC with my heart heavy because of my diagnosis and situation, but light and full by this conversation that has been healing and full of informations that will enable me to decide and do what is best for my health and quality of life. thank you Dr. Vidali! Grazie grazie grazie
Andrea Tolliver
Andrea Tolliver
April 6, 2024.
There are no words to describe the level of care that Dr. Andrea Vidali provides his patients. His bedside manner is superb! Dr. Vidali’s calm demeanor, humble nature, and cozy office put me at ease the moment I walked in. I felt like I was catching up with an old friend! Prior to our introduction, my suspected endometriosis was properly excised and diagnosed. My bowel and bladder symptoms, chronic left leg and hip pain, and sciatica pain were addressed by having a sacral nerve stimulator implanted giving me 80% relief from the chronic debilitating pain that I once experienced 24/7. Although my quality of life has drastically improved, I continue to have some uncomfortable cyclic symptoms. I have spent most of my adult life in doctor’s offices trying to navigate my symptoms, multiple doctors have suggested a hysterectomy to biopsy and rule out adenomyosis. The thought of having a hysterectomy at my age, another major surgery, to biopsy my uterus was not sitting right with me. What if my uterus was totally normal and the source of discomfort was coming from somewhere else? I lost count of how many sleepless nights I have wrestled over the thought of a hysterectomy. Dr. Vidali’s advanced skills in MRI and ultrasound reading is invaluable. He determined in 30 seconds, what I have not been able to accomplish in 3 years, that I do indeed have adenomyosis. The answer to a question that seemed so out of reach just moments prior, saving me so many next steps! During the ultrasound he took time to show me on the monitor where the adeno is located in my uterus. He answered millions of questions, listened to my thoughts and concerns, and never once did I feel rushed. Dr. Vidali confirmed that my adeno is a “classic” case, is not advanced, and if symptoms are under-control for the most part I do not need a hysterectomy or another major surgery right now! Dr. Vidali gave me a huge gift, peace of mind and preservation of a major organ! Furthermore, Dr. Vidali complemented the work of my previous surgeon after reviewing surgical photos. He reassured me that I had taken all the right steps prior to meeting him. I was met with respect, honesty, compassion, transparency, and professionalism. In addition to my experience in his office, it should be noted that Dr. Vidali is well-versed in current research in the field. He is constantly researching, educating, advocating, training, and networking with other highly skilled advanced surgeons and practitioners. Most importantly, his dedication and commitment to patient advocacy has served as an immeasurable resource, providing a sense of community I had once longed for, a dream come true! I left Dr. Vidali’s office feeling like I had a new friend, a likeminded proponent who understood my passion for advocacy, and someone to turn to if the adeno discomfort accelerates. Since our initial meeting he has been easy to reach, responds quickly, and has served as an invaluable resource. The validation I got from this experience was profound!
Erin Elise Artiste
Erin Elise Artiste
April 5, 2024.
Dr Vidali reviewed and spoke to me about my stage four sciatic endometriosis. He was very compassionate, weighing my options with me and being very clear about what I need to do whichever path I took. He's extremely Knowledgeable, and I have talked to many top surgeons in Europe and in the US. I have some unique circumstances that actually do not necessarily lend to surgery as the best option, and he made me feel confident that I could watch and wait. I really appreciate that perspective coming from a world renowned surgeon.

Adenomyosis: Definition, Causes & Treatment

Adenomyosis Definitions & Causes | Best Treatment Center New York NYCWhat is the definition, causes & treatment for Adenomyosis? Adenomyosis is a disorder that causes a woman’s uterus to thicken due to the proliferation of cells resembling the endometrium (lining of the uterus) among the cells of the uterine wall (myometrium). This tissue is entirely functional in patients with this disease, but also misplaced.

Every menstrual cycle causes the tissue to thicken, shed, and bleed. This results in inflammation, pain, fibrosis, and enlargement of the uterus. Though it can also afflict younger women, the illness is most frequently diagnosed in women between the ages of 35 and 50.

Adenomyosis patients frequently have painful menstrual periods (dysmenorrhea), excessive menstrual flow (menorrhagia), or both. Other probable symptoms include pain during sex, persistent pelvic pain, and urinary bladder irritation. This misplaced tissue causes hyperplasia of myometrial fibers. Unlike the functional layer, the basal layer does not experience the typical cyclic alterations associated with the menstrual cycle.

Adenomyosis can focally affect the uterus, resulting in an adenomyoma. The uterus enlarges and weighs more with broad involvement. Endometriosis and adenomyosis can coexist, although endometriosis patients have endometrial-like tissue external to the uterus. The tissue in endometriosis resembles the endometrium but is distinct from it. Though they frequently happen individually, the two disorders are commonly observed together.

Adenomyosis was formerly known as endometriosis interna before it was recognized as a different illness. Adenomyometritis, a less popular term, is a more precise term for the disorder, indicating uterine involvement.

Causes of Adenomyosis

Adenomyosis has been linked to uterine trauma, including caesarean sections, surgical pregnancy terminations, and any pregnancy which may damage the junctional zone, which serves as a barrier between the endometrium and the myometrium. It has been associated to endometriosis, although studies comparing the two disorders; similarities and differences have shown mixed results.

Diagnosis of Adenomyosis

The size and location of adenomyosis; invasion into the uterus can differ greatly. However, non-invasive imaging methods including transvaginal ultrasonography (TVUS) and magnetic resonance imaging (MRI) can be used to guide treatment options, assess response to treatment, and strongly suggest the diagnosis of adenomyosis. In fact, the only two feasible methods for making a pre-surgical diagnosis are TVUS and MRI.

Transvaginal Ultrasound

Transvaginal ultrasonography is thought to have an overall sensitivity of 79% and specificity of 85% for detecting adenomyosis imaging with magnetic resonance. Due to the greater ability of MRI to objectively distinguish between various forms of soft tissue, it offers a marginally higher diagnostic capability than TVUS.

The increased spatial and contrast resolution of MRI makes this possible. According to estimates, MRI has a 74% sensitivity and 91% specificity for detecting adenomyosis. The junctional zone is the primary area of investigation during MRI diagnosis. On both T1 and T2 weighted sequences, the junctional zone of the uterus will be enlarged and show a darker or weaker signal.

Adenomyosis is suspected with a junctional zone thickness of 8 to 12 mm or more. The normal range is less than 8 mm or having a junctional zone that is wider than 40% of the myometrium. higher than 5 mm of variation in the junctional zone breadth. On the T2 weighted scans, one will frequently see hyperintensity (bright spots) foci that correspond to smaller cystically dilated glands or more severe locations of microhemorrhage scattered among the thickened, darker signal of the junctional zone. Calcified uterine fibroids do not restrict MRI as other causes do (as is ultrasound). Adenomyosis is particularly easier for MRI to distinguish from uterine fibroids.


Adenomyosis Treatment: Schedule a Consultation Today

Adenomyosis is typically not a life threatening condition and will go away once a person reaches menopause. However, it can cause extreme discomfort and lead to complications prior to menopause.

If you have or think you may have adenomyosis or endometriosis, call Dr. Andrea Vidali or use our contact form to schedule a consultation today.

Dr. Andrea Vidali
155 East 76th Street
Suite 1H
New York, NY 10021

516-584-8710


 

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