What is Uterine Fibroid Embolization (UFE)?

Uterine fibroid embolization (UFE), or uterine artery embolization, is a minimally invasive and highly effective procedure for treating uterine fibroids. Uterine fibroids are noncancerous growths that develop within the uterus and can cause many symptoms, including heavy menstrual bleeding, pelvic pain, and pressure. UFE has emerged as a revolutionary alternative to traditional surgical methods for treating fibroids, offering a quicker recovery, reduced risks, and the preservation of the uterus.


Indications of Uterine fibroid embolization:

UFE is primarily indicated for women who experience symptoms related to uterine fibroids but wish to avoid surgery or hysterectomy (removal of the uterus). Symptoms of uterine fibroids can include heavy or prolonged menstrual bleeding, pelvic pain, pressure or discomfort, urinary frequency, and even fertility issues. UFE is an excellent option for women who want to retain their uterus and avoid surgery's potential physical and emotional impacts.


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Who will treat for Uterine fibroid embolization:

Uterine fibroid embolization is performed by interventional Radiologists, who are highly trained specialists in using imaging techniques to perform minimally invasive procedures. If you are experiencing symptoms of uterine fibroids and are interested in exploring non-surgical treatment options, it's advisable to contact an interventional radiologist or get a referral from your primary care physician or gynecologist.


Preparing for Uterine Fibroid Embolization:

Before undergoing UFE, you will have an initial consultation with the interventional radiologist. During this consultation, your medical history will be reviewed, and your symptoms and fibroid size will be assessed using imaging techniques such as ultrasound or MRI. The radiologist will explain the procedure, discuss its benefits and potential risks, and answer any questions you may have.

You may need to undergo routine blood tests and imaging studies to ensure you are a suitable candidate for UFE. Your interventional radiologist will provide specific instructions about fasting, medications, and any other preparations you need to make before the procedure.


Recovery after Uterine Fibroid Embolization:

The recovery period following UFE is relatively short compared to traditional surgical options. You may experience discomfort, cramping, or pelvic pain for a few days, which can be managed with pain medication prescribed by your interventional radiologist. It's common to experience vaginal discharge as the fibroids begin to shrink.

Most women can return to their regular activities within a week, although avoiding strenuous exercise and heavy lifting for a few weeks is recommended. Your interventional radiologist will provide personalized post-procedure instructions and schedule a follow-up appointment to monitor your progress.


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Lifestyle Changes After Uterine Fibroid Embolization:

One of the advantages of UFE is that it often allows women to maintain their usual lifestyles without significant disruptions. You might notice improvements in your symptoms within a few weeks as the fibroids shrink. It's essential to continue regular check-ups with your gynecologist or interventional radiologist to monitor your condition and ensure the procedure's effectiveness.


Citations

https://myhealth.ucsd.edu/Library/TestsProcedures/92,P08484
https://www.pennmedicine.org/for-patients-and-visitors/find-a-program-or-service/interventional-radiology/uterine-fibroid-embolization
https://www.ucsfhealth.org/treatments/uterine-artery-embolization
https://www.acog.org/womens-health/faqs/uterine-artery-embolization
https://healthcare.utah.edu/radiology/preparing-appointment/interventional-radiology/after-uterine-fibroid-embolization.php
https://www.cedars-sinai.org/programs/imaging-center/exams/interventional-radiology/uterine-fibroid-embolization.html
https://www.columbiaradiology.org/patients/services/interventional-radiology/uterine-fibroid-embolization
https://www.beaumont.org/treatments/uterine-fibroid-embolization
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Frequently Asked Questions

1. Is UFE a permanent solution for uterine fibroids?

UFE is highly effective in treating fibroids, and many women experience long-term relief from their symptoms. However, in some cases, new fibroids can develop over time.

2. Will UFE affect my fertility?

UFE can impact fertility in some cases, so discussing your fertility goals with your interventional radiologist and gynecologist before undergoing the procedure is essential.

3. Are there any risks associated with UFE?

Like any medical procedure, UFE carries some risks, including infection, bleeding, and damage to nearby structures. Your interventional radiologist will explain these risks and help you make an informed decision.

4. Is UFE covered by insurance?

Many insurance plans cover UFE, especially when it is deemed medically necessary. It's recommended to contact your insurance provider to understand your coverage.

5. Can I undergo UFE if I have multiple fibroids?

Yes, UFE can be effective in treating multiple fibroids. The decision will depend on your location, size, and number of fibroids.

6. Can I choose UFE if I plan to have children in the future?

If you're considering future fertility, discussing your plans with your interventional radiologist and gynecologist is essential. UFE might impact your fertility, so other treatment options should be explored.

7. How long does the UFE procedure take?

The procedure typically takes 1 to 2 hours, depending on the case's complexity.

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