BRI REPRODUCTIVE IMMUNOLOGY
DR. ANDREA VIDALI

155 East 76th Street
Suite 1H

New York, NY 10021

516-584-8710

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Click below to request a Consultation with Our Medical Team. He will review your history so that together you and he can determine your need for our services.

Elyse Cherney
Elyse Cherney
2023-11-30
Doctor Vidali is the best of the best. I was concerned with my ability to conceive given I was already diagnosed and had surgery for endometriosis. Doctor Vidali listened to my concerns and although he initially thought it would be minimal invasive surgery he still made time to fit me into his schedule. Dr. Vidali shows how much he cares for his patients by listening to them. He is very busy. It is important to have your questions ready during any follow up call because after surgery and after the follow up he will not be available. Regardless of his busy schedule I highly recommend Dr. Vidali.
Allison Loloci
Allison Loloci
2023-10-30
Despite being an ocean and two seas away over a phone line - I felt like we were in the same room. Dr. Vidali was so warm, kind, funny and he truly HEARD ME. He listened and heard me! Anyone with endo knows how rare this is. Zero gaslighting, full honesty and so so much help and guidance with my next steps through this perilous disease. All these 5* reviews are truly warranted. I wish I could give him 10*s and a hug. Thank you from the bottom of my heart Dr. V - you truly are THE BEST. xx
Macy Siddiqi
Macy Siddiqi
2023-10-25
I traveled from Texas to NYC to see Dr. Vidali. He was the first doctor to empathize with me and validate my concerns and pain, and I trusted him immediately! Once I decided on surgery, his staff got me scheduled pretty quickly. My experience on surgery day was also super seamless - the hospital staff all love Dr. Vidali and made sure that I was always comfortable and taken care of. Even after surgery he still answers texts and emails, and you can just tell he is so passionate about what he does. I recommend him to everyone and 10000% would travel to him again for surgery!! Thank you Dr. Vidali!
Jenny Tuckfelt
Jenny Tuckfelt
2023-07-14
I’ll sing Dr. Vidali’s praises to anyone who will listen. Traveling from Pittsburgh to see him is one of the best decisions I’ve ever made. He’s incredibly knowledgeable and has a clear passion for endometriosis care. One appointment with Dr. V was more productive and validating than the two decades I spent prior, groveling and begging other doctors to take me seriously. I left shedding tears of relief that I’d finally found a doctor I could count on. His team in the office is just as kind and helpful. I’m recovering very well from the excision surgery he performed just a few short weeks later and am endlessly grateful for Dr. Vidali’s expertise and dedication to his patients. You won’t regret putting your faith in him.
Jen S
Jen S
2023-07-12
After over a decade of going through dozens of doctors only to be left with worsening pain, no answers, and harmful treatments, I found Dr. Vidali. I do not know where I would be without him! Besides my surgery which was life changing, Dr. Vidali’s pre and post op care is incredible. Even two years after my surgery I had a question, and his office quickly scheduled a call for me. Dr. Vidali answered my question which put me at ease and even followed up asking about all aspects of my health and how I have been on my health journey. After going through tons of doctors, I can confidently say I would highly recommend him! He is clearly an expert in this field and is consistently up to date with all things endometriosis.
Alyssa Rogers
Alyssa Rogers
2023-06-12
Like many women, I unfortunately fell through the cracks of Ontario’s crumbling healthcare system. Having my concerns brushed aside for over a decade and then, in the last two years, playing the waiting game as to when I would be treated is what ultimately led to my decision to travel a distance of approximately 1,500 km from Ontario to New Jersey for surgical treatment. From the moment I met Dr. Vidali during my pre-operative appointment, I knew that I was in good hands. His confident but down-to-earth and caring demeanour instilled my trust in him, and I knew I had made the best possible decision for myself. In addition to Dr. Vidali’s expertise, the lengths he goes to educate on and advocate for this disease is admirable. There aren't enough words to thank Dr. Vidali and his surgical team including Dr. McHale, Dr. Larish, and Dr. Raccuia for providing me with the utmost care. Although my operation was only 2.5 weeks ago, I am already feeling like a new person. The debilitating symptoms I was experiencing on a daily basis seem to have been taken from my body along with the extensive disease that was removed. Thanks to Dr. Vidali and his team of experts, I feel hopeful for the future.
Brandy
Brandy
2023-06-12
I cannot recommend Dr. Vidali enough. He is a remarkable human being. From my initial phone consultation on April 5th to my surgery on May 25th, Dr. Vidali was able to do more for me in 7 weeks than the 6 doctors I had seen previously did in 5 years. Dr. Vidali definitely surrounds himself with the best so I knew that no matter what they encountered I would be in good hands. He was able to quickly get to the root cause of my pain instead of simply masking my symptoms. I also had a remarkably quick, pain free recovery which I 100% attribute to him and his amazing team. Thank you Dr. Vidali!
Katie Milligan
Katie Milligan
2023-06-10
I contacted Dr. Vidali on Instagram to see if he would mind reviewing pictures from my recent laparoscopic surgery. He was very quick to respond and said yes! He provided the answers to my questions and reassured me that my endo was properly excised. I can’t thank him enough for doing this for me.
Veerle Arts
Veerle Arts
2023-06-05
I saw Dr. Vidali for endometriosis treatment in 2021. He called me while on vacation (!!!) for my initial consultation, so I didn't have to wait too long. He took the time to listen to my long list of endo symptoms, from the physical to the social-emotional aspects of the disease. His team is as great as he is. I've been pain-free ever since my surgery, nearly 2 years now. I'm working, exercising, and enjoying life again after years of debilitating pain. I cannot recommend Dr. Vidali enough.
Sara Gena
Sara Gena
2023-05-17
Dr. Vidali is amazing! He gave me his expert advice to help guide me during my infertility journey. He even provided his personal cell phone number and encouraged me to reach out for questions. Highly recommend!

Adenomyosis: Definitions, Causes & Treatment

Adenomyosis Causes & Symptoms | Best Treatment Center New JerseyAdenomyosis is a medical disorder that causes the 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 several little 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
308 Willow Ave
First floor, C/o Women’s Center
Hoboken, NJ 07030

516-584-8710

Request a consultation form: https://landing.preventmiscarriage.com/

*Special packages available for Canadian patients
*New York City and New Jersey locations


 

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