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Uterus · Fibroids

Uterine Fibroid Embolization

Fibroids treated by cutting off their blood supply — the uterus stays, the incisions never happen, and most women are home the same day.

Uterine Fibroid Embolization

Uterine fibroids are benign muscular growths, and they are extraordinarily common. What varies is how much trouble they cause. Some are silent. Others produce bleeding heavy enough to cause anemia, periods that last for weeks, pelvic pressure, a visibly distended abdomen, pain with intercourse, constipation, or the constant need to urinate that comes from a fibroid pressing on the bladder.

For decades the definitive answer was hysterectomy. It works, and for some women it is genuinely the right choice — but it is major surgery, it ends fertility, and it is a very large intervention for a benign condition.

Uterine fibroid embolization treats the fibroids without removing anything. Fibroids depend on a rich, abnormal blood supply. We reach the uterine arteries through a catheter and release particles that block flow to the fibroids specifically, while the healthy uterine tissue, which has a different and more resilient blood supply, continues to be perfused. Deprived of their supply, the fibroids soften, shrink and stop bleeding.

UFE is performed through a needle puncture, requires no incision and no general anesthesia, and most women go home the same day.

What the procedure involves

1

MRI first

Imaging tells us how many fibroids there are, where they sit, how large they are, and whether embolization is the right tool. It also rules out the small number of conditions that mimic fibroids.

2

Access at the wrist or groin

A needle enters the artery. A microcatheter is navigated to the uterine arteries under live X-ray guidance.

3

Selective embolization

Particles are released into the vessels feeding the fibroids on both sides. The healthy myometrium keeps its blood supply.

4

Same-day discharge

The catheter is removed. Cramping in the first twenty-four hours is expected and is managed with medication we send you home with.

Uterine Fibroid Embolization

Who it's for

  • Heavy or prolonged menstrual bleeding, with or without anemia
  • Pelvic pressure, bloating, or a firm abdominal mass
  • Urinary frequency or constipation caused by a fibroid pressing on nearby organs
  • Pain with intercourse or chronic pelvic pain attributed to fibroids
  • Women who want to avoid hysterectomy or who are not surgical candidates
Recovery

What to expect afterward

Expect significant cramping for the first day or two — this is the fibroids responding, and it is treated with medication arranged in advance. Most women are back to normal activity within a week. Bleeding usually improves with the first or second cycle, and bulk symptoms ease over three to six months as the fibroids shrink.

FAQ

Common questions

Will I still have my uterus?

Yes. That is the point of the procedure. Nothing is removed.

Can I get pregnant after UFE?

Pregnancies after UFE are well documented, but fertility is a nuanced discussion that depends on your age, your fibroids and your goals. If future pregnancy matters to you, say so at the first visit — for some women myomectomy is the better choice, and we will tell you that plainly.

How does UFE compare with myomectomy?

Myomectomy removes fibroids surgically and preserves the uterus, but it is an operation with incisions, anesthesia and a longer recovery, and fibroids can regrow. UFE treats every fibroid in the uterus at once through a pinhole. The right answer depends on the number, size and position of your fibroids and on your plans.

Is it covered by insurance?

UFE is a well-established, widely covered treatment for symptomatic fibroids. We verify your benefits and give you the numbers before scheduling.

Contact

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