Surgery

A Patient Guide to Fertility and Endometriosis Surgery

understanding the VERA method

If you're exploring surgical options for fertility challenges or endometriosis, the VERA Method—developed by Dr. Pederson—offers a precise, minimally invasive approach aimed at restoring reproductive health and alleviating pain.

What is the VERA Method

At VERA, we are Visualized, Excisional, Restorative, and Adhesion-conscious. This method combines advanced robotic-assisted surgery with meticulous techniques to:

Visualize

reproductive structures in high definition

Excise

(surgically remove) problematic tissues like endometriosis lesions, fibroids and scar tissue

Restore

normal anatomy, including fallopian tubes and ovaries

Prevent

scar tissue (adhesions) that can hinder fertility and cause pain

The goal is to optimize fertility outcomes while minimizing trauma and reducing the risk of postoperative complications like adhesions.

Why Robotic Surgery?

Using the da Vinci Surgical System, Dr. Pederson performs complex procedures through small incisions, offering benefits such as reduced blood loss, faster recovery, and less postoperative pain. This technology enhances precision and control, allowing for meticulous dissection and reconstruction of delicate reproductive structures.

Conditions Treated with the VERA Method

Dr. Pederson employs the VERA Method to address various conditions affecting fertility and pelvic health:

  • Endometriosis: Complete excision of endometrial lesions to alleviate pain and improve fertility.
  • Fallopian Tube Repair: Restoring patency and function to blocked or damaged tubes.
  • Fibroid Removal (Myomectomy): Excising fibroids while preserving healthy uterine tissue.
  • Ovarian Wedge Resection: Reshaping polycystic ovaries to improve ovulation.
  • Uterine Cavity Assessment: Inspecting and treating abnormalities within the uterine lining.
The Importance of Excision Over Ablation in Endometriosis

For endometriosis treatment, excision surgery—removing lesions entirely—is considered the gold standard. This approach offers better outcomes for pain relief and fertility compared to ablation, which only destroys the surface of lesions. Complete excision reduces the likelihood of recurrence and preserves healthy tissue.

Preventing Adhesions: A Key Focus

Scar tissue formation (adhesions) can compromise fertility and cause chronic pain. Dr. Pederson employs several strategies to minimize adhesion risk:

  • Peritoneal Closure: Suturing the peritoneum to restore natural anatomy and reduce raw surfaces.
  • Adhesion Barriers: Applying bioresorbable materials to separate tissues during healing.
  • Gentle Tissue Handling: Minimizing tissue trauma to reduce inflammation and adhesion formation.
What to Expect During Surgery

During the procedure, Dr. Pederson conducts a comprehensive evaluation to address all potential fertility barriers:

  • Uterine Cavity Inspection: Assessing for polyps, fibroids, or adhesions.
  • Fallopian Tube Flushing: Ensuring tubal patency to facilitate natural conception.
  • Ovarian Evaluation: Checking for cysts or other abnormalities that may affect ovulation.

This thorough approach ensures that no issue is overlooked, providing patients with the best possible outcome.

Recovery and Follow-Up

Recovery times vary based on the complexity of the surgery, but most patients experience:

  • Reduced postoperative pain
  • Faster return to daily activities
  • Less recurrence of endometriosis 

Dr. Pederson provides detailed postoperative care instructions and schedules follow-up appointments to monitor healing and discuss further fertility planning.

Is the VERA Method Right for You?

If you’re facing fertility challenges or suffering from endometriosis-related pain, the VERA Method offers a comprehensive, minimally invasive surgical option. Consult with Dr. Pederson to discuss your specific condition, treatment goals, and whether this approach aligns with your needs.

Intraovarian PRP Injections

What are Intraovarian PRP Injections?
Platelet-Rich Plasma (PRP) Intraovarian Injections are an innovative, regenerative therapy designed to rejuvenate ovarian tissue, enhance egg quality, and potentially restore fertility in women experiencing diminished ovarian reserve (poor egg quality), perimenopause, or abnormal cycles.

PRP is derived from your own blood. It contains a concentrated amount of growth factors and healing proteins that support tissue regeneration and cellular repair.

How Does It Work?

Blood Collection

A small sample of your blood is taken, just like a routine blood draw.

PRP Preparation

The blood is processed using a centrifuge to concentrate the platelets and growth factors into PRP.

Intraovarian Injection

The PRP is injected directly into the ovaries using minimally invasive robotic surgery with the da Vinci Surgical System, performed in an operating room under general anesthesia for maximum precision and comfort.

Who May Benefit?

PRP intraovarian injections may be ideal for women who:

  • Have low ovarian reserve or poor egg quality
  • Are experiencing early menopause or perimenopause
  • Are seeking alternatives to traditional fertility treatments
  • Have irregular cycles not responsive to other therapies
What to Expect
  • Outpatient Procedure
  • Minimal Recovery Time
  • Typically Completed in Under 2 Hours
The da Vinci Advantage

Using the da Vinci Surgical Robot, PRP is injected with high precision through tiny incisions. This method minimizes tissue trauma, reduces recovery time, and maximizes the targeted delivery of healing factors directly to the ovaries.

Schedule a Consultation

Learn if PRP intraovarian therapy is right for you. Our specialists will guide you through every step of this cutting-edge fertility enhancement procedure. Rediscover hope with science-backed, regenerative solutions.

"You should always feel like your doctor is listening to you and is making a plan that is in line with your goals and values."