Fertility Sparing Surgery in NYC & NJ: Protecting Your Future First
For many women diagnosed with endometriosis, the decision to have surgery is paralyzed by one terrifying question:
“Will surgery damage my ability to get pregnant?”
It is a valid fear. Traditional surgery, especially when performed by non-specialists who use heat (ablation) or aggressive techniques on the ovaries, can diminish ovarian reserve. But at Endometriosis Surgical Specialists International (ESSI), our philosophy is different. We don’t just treat the disease; we protect the dream.
Serving patients across New York City and New Jersey, we are the region’s leaders in Fertility Sparing and Nerve Sparing excision. Here, we always put fertility first.
The “Fertility First” Promise
Our approach to surgery is built on two non-negotiable pillars:
1. Maximum Preservation of Ovarian Reserve Endometriomas (cysts on the ovaries) are delicate. A clumsy surgeon can strip away healthy eggs while removing a cyst. Our team uses microsurgical techniques to peel the cyst wall away from the healthy ovarian tissue with extreme precision, preserving your egg count (AMH levels) as much as possible.
2. Nerve Sparing Techniques
The pelvis is a web of delicate nerves that control your bladder, bowel, and sexual function. Damaging these nerves can lead to long-term dysfunction. We utilize Nerve Sparing dissection to carefully separate the disease from these neural pathways. Why? Because protecting sexual function is essential for natural conception, and reducing inflammation is key to implantation.
Meet the Team Protecting Your Future
We have assembled a multidisciplinary team in NYC and NJ specifically chosen for their ability to handle complex disease without compromising reproductive organs.
Dr. Andrea Vidali
The Pioneer & Leader A globally recognized leader in endometriosis surgery and reproductive immunology, Dr. Vidali has performed thousands of robotic procedures. He specializes in the intersection of “Silent Endometriosis” and Infertility, helping patients who have failed IVF cycles find success through precise surgical intervention.
Dr. Madhu Bagaria
The Precision Specialist When disease wraps around the ovaries or tubes, you need a surgeon with steady hands and infinite patience. Dr. Bagaria is known for her meticulous dissection, ensuring that the delicate reproductive structures are freed from adhesions without causing damage that could hinder future conception.
Dr. Osbert Fernandez
The Advanced Robotic Surgeon Dr. Fernandez brings extensive expertise in minimally invasive gynecologic surgery. His mastery of the Da Vinci robotic platform allows him to tackle complex cases—including large fibroids and deep infiltrating endometriosis—with faster recovery times and minimal scarring that could otherwise block fallopian tubes.
Dr. Daniel Cibulsky
The Patient Advocate Dr. Cibulsky combines surgical excellence with a deeply patient-centered philosophy. He is an expert in diagnosing the “unexplained” pain that other doctors miss. By eliminating chronic pain, he helps create a calmer, healthier physiological environment for conception.
Fertility Sparing Surgery: Your Questions, Answered
Q: Will endometriosis surgery lower my ovarian reserve (AMH)? A: It depends entirely on the technique used. Inexperienced surgeons often use heat (ablation) or strip away healthy ovarian tissue. At ESSI, we use a tissue-sparing excision technique, carefully peeling the cyst wall away from the healthy ovary to leave the maximum amount of healthy ovarian tissue behind.
Q: What is “Nerve Sparing” surgery, and why does it matter for fertility? A: Your pelvis is a web of nerves that control sexual function. If these are damaged, “trying to conceive” naturally can become difficult or painful. We use robotic magnification to identify and protect these nerves, ensuring you can continue your fertility journey without new complications.
Q: Do you prioritize fertility over aggressive surgery? A: Yes. Always. We do not believe in a “scorched earth” policy. If we encounter a situation where aggressive removal might risk an ovary or tube, we pause. We prioritize preservation over perfection, ensuring we save the egg supply rather than risking sterilization.
Q: Can I freeze my eggs or embryos before surgery? A: Absolutely. Because Dr. Vidali is also a Reproductive Endocrinologist, ESSI is uniquely equipped to coordinate Fertility Preservation (egg or embryo banking) before your surgery. This “banks” your fertility at its highest potential, giving you an insurance policy for the future.
The ESSI Standard: Your Destination for Complex Care
When you choose ESSI, you are choosing more than just a local clinic; you are choosing the premier Endometriosis Specialist NYC and NJ patients trust with their future. Whether you are searching for a Stage 4 Endometriosis Specialist to navigate a Frozen Pelvis, or a dedicated Adenomyosis Specialist to preserve your uterus, our team delivers the highest standard of Complex Benign Gynecology Surgery. We are the Top Rated Endometriosis Doctors patients turn to for Revision Endometriosis Surgery when previous treatments have failed. From Thoracic Endometriosis Surgery to being a skilled Bowel Endometriosis Surgeon, we handle the cases others turn away. Don’t settle for “good enough”—secure your future with a true Endometriosis Excision Specialist performing Fertility Sparing Endometriosis Surgery and Deep Infiltrating Endometriosis (DIE) Surgery defined by safety, precision, and hope.
