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   Dr. Andrea Vidali, MD | Endometriosis Treatment Center NYC
   143 Google reviews 
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   Elham Ahmadpour 
 September 26, 2024.
 
 
  Dr. Andrea Vidali is an exceptional physician who truly takes the time to explain every detail and possible outcome. He was thorough, patient, and made sure I understood all aspects of my condition and treatment options. His expertise and willingness to answer all my questions put me at ease and gave me confidence in moving forward. Highly recommend!
  
 
       
   Jessica Parisi 
 July 23, 2024.
 
 
  I am 4 weeks post surgery with Dr. Vidali. I feel better each day! I wish I met him sooner. In 2023, I went through extensive endometreosis workup at two major NYC hospitals and was not offered clinical advice for multiple symptoms that I have had for years. I started to believe there was no one skilled or confident to perform my laparoscopy and excisional surgery. I was living with chronic abdominal pain, back pain 9/10, endo belly/adeno belly 24/7, GI issues, chronic fatigue and nausea. Dr. Vidali was the first doctor who was paying attention to my history and pain. He is warm, kind and intelligent. He is excellent at reviewing the imaging and listening, he found things in minutes that the radiologists missed. His passion for this diagnosis and raising awareness is why I trusted him to do my surgery. He works with an enthusiastic team who makes you feel comfortable and safe. While I was in recovery on a Friday evening, he went to the waiting room and sat with my caretaker to explain the surgery in detail and how I was doing. The nurses, office and billing staff were all professional, prompt and available. I have only good things to say!  If you are local or have to travel a far distance to meet him, it is worth it! He is the best.
  
 
       
   Candice Sturtevant 
 June 7, 2024.
 
 
  Having my surgery with Dr. Vidali was the absolute best decision. Such a genuine and caring doctor! All of his staff are equally as wonderful! I had a complex stage 4 case of endometriosis that included a bowel resection and after too many years of suffering and mistreatment/misdiagnosis, I literally feel like a new woman. Don't go anywhere else. ❤
  
 
       
   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 
 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 
 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 
 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 
 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.

Endometriosis and Fertility: What You Need to Know

Endometriosis, a chronic condition where tissue similar to the uterine lining grows outside the uterus, can significantly impact fertility. Understanding how endometriosis affects reproductive health is crucial for those trying to conceive. This blog will explore the relationship between endometriosis and fertility, available treatments, and strategies to improve chances of conception.

How Endometriosis Affects Fertility

Endometriosis can interfere with fertility in several ways:

Physical Blockages

Endometrial tissue can cause scarring and adhesions, which may block the fallopian tubes and prevent the egg and sperm from meeting. Adhesions can also distort the pelvic anatomy, making it difficult for the reproductive organs to function properly.

Inflammation and Immune Response

The presence of endometrial tissue outside the uterus can trigger an inflammatory response, which can damage the sperm, egg, or embryo. Inflammation may also alter the immune environment in the pelvis, making it harder for implantation to occur.

Hormonal Imbalances

Endometriosis can lead to hormonal imbalances that affect ovulation and the menstrual cycle. These imbalances can reduce the quality of the eggs and disrupt the normal reproductive process.

Egg Quality

Chronic inflammation and oxidative stress associated with endometriosis can negatively impact the quality of the eggs, reducing the likelihood of successful fertilization and implantation.

Diagnosis and Assessment

Diagnosing endometriosis-related fertility issues typically involves a combination of medical history, physical exams, and diagnostic tests:

Medical History and Symptoms

Discussing symptoms such as pelvic pain, painful periods, and infertility with your doctor is the first step in diagnosing endometriosis.

Imaging Tests

Ultrasound: While it can detect cysts associated with endometriosis (endometriomas), ultrasound is not always effective in identifying smaller lesions or adhesions.

MRI: Provides detailed images of the pelvic organs and can help identify endometrial implants and scarring.

Laparoscopy

A definitive diagnosis of endometriosis is often made through laparoscopy, a minimally invasive surgical procedure that allows the doctor to view the pelvic organs and remove or biopsy endometrial tissue.

Treatment Options for Improving Fertility

Several treatment options can help improve fertility in women with endometriosis:

Medications

Hormonal Therapy: Birth control pills, Gn-RH agonists, and progestins can help manage endometriosis symptoms, but they do not improve fertility. These treatments are often used to suppress the condition before attempting conception.

Fertility Medications: Medications that can stimulate ovulation and improve the chances of conception.

Surgery

Laparoscopic Surgery: Removing endometrial implants, cysts, and adhesions through laparoscopic surgery can improve fertility by restoring normal pelvic anatomy and reducing inflammation. This procedure can significantly enhance the chances of natural conception and improve the outcomes of fertility treatments.

Assisted Reproductive Technologies (ART)

Intrauterine Insemination (IUI): In cases of mild endometriosis, IUI can increase the chances of conception by placing sperm directly into the uterus, closer to the egg.

In Vitro Fertilization (IVF): IVF is often recommended for moderate to severe endometriosis or when other treatments have failed. IVF bypasses many of the barriers caused by endometriosis, such as tubal blockages and pelvic adhesions.

Lifestyle Changes and Support

Certain lifestyle changes and support strategies can enhance fertility and overall well-being:

Diet and Nutrition

Anti-Inflammatory Diet: Consuming a diet rich in fruits, vegetables, whole grains, and omega-3 fatty acids can help reduce inflammation associated with endometriosis.

Avoiding Processed Foods: Reducing intake of processed foods, sugar, and trans fats can improve overall health and potentially reduce endometriosis symptoms.

Stress Management

Chronic stress can negatively impact fertility. Practices such as yoga, meditation, and mindfulness can help manage stress and improve mental well-being.

Support Groups and Counseling

Joining support groups and seeking counseling can provide emotional support and valuable information for managing endometriosis and fertility challenges.

Endometriosis and Fertility: Conclusion

Understanding the impact of endometriosis on fertility is crucial for those trying to conceive. By exploring various treatment options and making lifestyle changes, women with endometriosis can improve their chances of achieving a successful pregnancy. Consulting with specialists like Dr. Andrea Vidali at the Endometriosis Treatment Center can provide personalized care and guidance.

Endometriosis Treatment Center
155 E 76th St
Front 1H
New York, NY 10021
516-584-8710

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