Moving Beyond IVF: Surgical Solutions for Reproductive Challenges at BRI/ESSI

At BRI/ESSI, we no longer offer in vitro fertilization (IVF) services. Instead, we focus on what is often overlooked in traditional fertility care: the underlying physical causes of infertility, such as Endometriosis, Adenomyosis, and other surgically treatable conditions that can significantly impact reproductive outcomes.

While IVF can be a powerful tool for some, many patients come to us after multiple failed IVF cycles — often without ever having had a full diagnostic evaluation for possible structural or inflammatory conditions that may be standing in the way of a successful pregnancy.

Why We Focus on Surgical Intervention, Not IVF

Dr. Vidali and the ESSI team specialize in diagnosing and surgically treating complex reproductive conditions that are frequently missed or misdiagnosed, even in high-level fertility centers. In many cases, IVF has been attempted repeatedly without success because the real issue — a surgically correctable condition — was never addressed.

Conditions like:

  • Endometriosis, including deep infiltrating disease
  • Adenomyosis
  • Pelvic adhesions or uterine anomalies

These can all interfere with implantation, contribute to recurrent miscarriage, or make IVF ineffective until properly treated.

We Support Patients Who Have Been Through IVF But Need Something More

Many of our patients have already been through the emotional and financial toll of unsuccessful IVF cycles. We provide:

  • Comprehensive Case Reviews to understand the full scope of your reproductive and medical history
  • Advanced surgical diagnostics and interventions to treat conditions that may be impeding your fertility
  • Continuity of care from a U.S.-based, expert-led team who will guide you through diagnosis, treatment, and recovery

Our mission is not to repeat what hasn’t worked — but to find out why it hasn’t worked and correct the root cause.

A Different Approach to Infertility Care

While our past work in IVF and reproductive immunology helped thousands of patients, our current focus at BRI/ESSI is exclusively on surgical care and diagnostics. This shift reflects a growing recognition that many patients who struggle with infertility need more than IVF. They need answers.

Our team is here to offer those answers and provide the targeted, expert care needed to give you the best possible chance of a healthy pregnancy — whether naturally, with IUI, or through IVF down the line (after surgical correction, if needed).

Take the Next Step Toward Real Answers

If you've been told IVF is your only option or if you've already been through multiple IVF cycles without success, you may be missing a crucial piece of the puzzle. At BRI/ESSI, we’re here to help you find it.

Schedule a Case Review with Dr. Vidali today to get started on a path to truly personalized care.