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Uterine Fibroid Treatments

Uterine Artery Embolization

Uterine artery embolization (UAE) is an innovative and minimally-invasive medical treatment option for uterine fibroids, also known as myomas. This treatment is a relatively new approach to treating uterine fibroids and involves the injection of tiny synthetic particles into the vessels that supply the fibroids with blood. The particles act to block the blood flow and lead to fibroid degeneration. Physicians specializing in UAE or interventional radiology can carry out the procedure, usually taking no more than several hours.

Despite its growing popularity, UAE is not a suitable treatment for every patient. For instance, individuals who wish to become pregnant, who fall into a certain age bracket, and who have large fibroids may require another type of procedure. Due to these and other factors, it's important to consult with an experienced doctor who can help decide if this technique is the best option for you.

The primary advantages of UAE are that it is minimally invasive and has a relatively low risk for side effects. Some of the types of side effects that patients may expect to experience include fever and nausea, as well as mild pain and cramping. Compared to other treatments that involve surgery, UAE causes fewer and milder risks of side effects, making it an appealing alternative for many patients.

Furthermore, the technique is non-hormonal, which means it will not interfere with your natural hormone levels, and the procedure is typically done on an outpatient basis. Women should expect to spend one night or a couple of nights in the hospital during recovery.

Patients who are considering UAE should understand that the procedure is not 100% effective and that there may be a possibility of recurrence in some cases. It's important to speak to your doctor and discuss the possibility of recurrence and the circumstances under which it is more likely to occur.

It is also important to note that the effects of UAE may take up to three to four months to become visible. After that time, patients can expect a significant reduction in the size of their fibroids, creating a more comfortable environment for them.

Uterine Fibroid Embolization

Uterine Fibroid Embolization (UFE) is a minimally invasive procedure that is used to treat both symptomatic and large uterine fibroids. This approach is relatively new and is used in place of surgery to help manage dysmenorrhea and excessive bleeding associated with uterine fibroids. UFE involves the injection of specialized particles or materials into the uterine artery to block the blood supply to the fibroids and cause them to shrink.

The procedure is usually performed under general anesthesia, or it may be done under local anesthesia followed by sedation. UFE usually takes no more than 45 minutes and usually very few risks are associated with it. Patients may generally experience temporary pelvic discomfort in the initial healing period.

UFE is not suitable for all types of fibroids, so make sure to speak to your doctor about your specific condition before committing to the procedure. UFE has some significant advantages in comparison to surgical procedures, including shorter recovery times, less scarring, and a higher success rate for large fibroids.

Patients should understand that to maintain the benefits of UFE, it's recommended to receive a follow-up ultrasound four to six months after the initial procedure. This will help to ensure that the fibroids remain stable and that the blood supply to them has not returned.

Individuals who are considering UFE should also note that it can take several months after the procedure before they start to see the full effects. However, in the majority of cases, the patient can expect to see results within four to six months after the procedure.


Myomectomy is a surgical procedure that is most commonly used to treat uterine fibroids. During a myomectomy, the fibroids are removed while the uterus is left intact. This is an important distinction since it means that a woman will still be able to become pregnant even after she has had a myomectomy. Myomectomy can be done through several different techniques, ranging from laparotomy to hysteroscopy. The type of technique used will depend on several factors, including the size and location of the fibroids.

Myomectomy is a commonly performed procedure, however there are risks of complications, such as bleeding and infection. Furthermore, the procedure may not completely remove all of the fibroids, leaving the possibility of recurrence. As such, patients are encouraged to discuss the potential risks and benefits as well as the likelihood of recurrence with their physician prior to committing to the procedure.

Recovery from a myomectomy is typically much faster than from a hysterectomy, and patients can usually return to their normal activities within one to two weeks. In addition, most women report an improved quality of life after a myomectomy and a greatly reduced likelihood of experiencing fibroid symptoms such as pain and heavy menstrual bleeding.

The best candidate for a myomectomy is a woman who is experiencing symptoms from her fibroids and who desires to keep her uterus in whom other treatments, such as medications and UAE, have been unsuccessful or not an option.

In conclusion, uterine fibroid treatments, such as UAE, UFE, and myomectomy, offer individuals an innovative and effective way to manage the symptoms associated with uterine fibroids. Myomectomy is often the preferred treatment option for women who desire to preserve normal fertility and is an effective means of bringing relief from the symptoms of fibroids. However, it is important to speak with a qualified doctor before committing to any procedure and to discuss which approach would be most suitable based on the individual's needs and situation.

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