ESSI is an Out-of-Network Provider. We work with most Commercial Insurance Plans that offer Out-of-Network Benefits. Our team will verify your Out-of-Network Coverage, help you understand your benefits, and work directly with your insurance carrier regarding reimbursement for your surgical care through our Pilot Program, helping make the process as smooth and supportive as possible.
If your insurance plan is limited to in-network providers, such as an HMO or EPO, or if you do not currently have coverage, we will guide you through our self-pay pathway, the Excellence Program.
This program provides the opportunity to work closely with our senior excisional surgeons in a personalized setting, with a focus on thoughtful care, surgical expertise, and optimal results.
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The Fertility Preserving Treatment of Endometriosis
The Role of Endometriosis
Endometriosis is a chronic condition where tissue similar to the lining of the uterus (endometrium) grows outside the uterus, commonly on the ovaries, fallopian tubes, bowels, and other pelvic organs. This misplaced tissue behaves like normal endometrial tissue—it thickens, breaks down, and bleeds with each menstrual cycle—but has no way to exit the body, leading to inflammation, scar tissue, and the formation of painful adhesions.
Common symptoms include severe pelvic pain, painful periods, pain during intercourse, digestive issues, and fatigue. Endometriosis is also a leading cause of infertility, as it can interfere with ovulation, block the fallopian tubes, damage egg quality, or create a hostile environment for implantation.
BRI / ESSI has been on the cutting-edge addressing Root Causes of Infertility. Our research has shown that Adenomyosis has been a leading cause of Infertility, Implantation Failures, and Recurrent Losses.
As a board-certified Reproductive Endocrinologist, Reproductive Immunologist, and internationally recognized Master Excision Surgeon, Dr. Vidali is one of the few specialists in the world uniquely qualified to correctly identify and treat the complex interplay between endometriosis, adenomyosis, fibroids, and infertility.
His in-depth and experienced understanding of pelvic anatomy, immune dysfunction, and reproductive biology means that every case is approached not just surgically—but globally—with your fertility, pain relief, and long-term health in mind.
Dr. Vidali is uniquely positioned to offer this breakthrough procedure with the highest standard of precision and care — giving you the best possible chance at the best possible outcome.
Great News for our Infertility Patients:
Dr. Vidali is an expert in preserving fertility while treating Endometriosis–a condition that often go undiagnosed but can significantly affect Fertility, Quality of Life, Long-Term Pelvic Health and the need for a Hysterectomy.
Many doctors fail to consider the Presence of Endometriosis: this is particularly true in patients who only have subtle symptoms or no clinical symptoms: we call this silent endometriosis.
We have seen patients with multiple IVF failures whose doctors refuse to even consider a possible evaluation of endometriosis and continue recommending one IVF cycle after another. Although any surgery carries some risks, it is also true that repeat IVF cycles have consequences that are physical, psychological and financial. Once endometriosis is identified and treated, the appropriate fertility treatment is combined with immunological treatment.
Take the First Step
We understand that navigating care and coverage can be overwhelming, especially when you're in pain or trying to preserve your fertility. Our team is here to help guide you every step of the way.
If you’ve been waiting for a safer, more advanced option to treat Endometriosis, now is the time.