Uterine Artery Embolization is a non-invasive and non-surgical procedure which helps in shrinking fibroids. The procedure is done by administering local anesthesia to the patient which enables her recover almost immediately. Majority of women will be able to return to work within a week of this method of uterine fibroid treatment. In this article you will find answers to some basic questions related to the entire procedure of Uterine Artery Embolization.
What does the Procedure involve?
As a first step your medical history and physical condition will be reviewed. Next complete pelvic imaging with the help of ultrasound or MRI will be carried out. This is done to ascertain the size of the uterus and check whether any other abnormalities exist. Finally to prepare for embolization, the inside and outside of the pelvis will be evaluated with the help of endoscopic methods.
Post embolization, the first follow up is normally done after a week. Subsequently to confirm whether the uterine fibroid treatment has been successful or not you will be called for check ups at regular intervals.
What are the risks of uterine artery embolization?
o Bleeding from the catheter entry site
o Adverse reaction to medicines
o Injury to the blood vessels
o Accidental embolization of any other tissue
It would be worthwhile to add here that the risk of drastic complications arising out of this procedure is lower than 0.5%.
How does it impact the reproductive function?
Presence of fibroids itself negatively impacts the chances of a woman getting pregnant. Determining whether embolization specifically is also responsible for failure of conception is difficult. Although a lot of research has been done on this subject, there is nothing conclusive to prove that embolization can act as a hindrance in conception.
How cost effective is this uterine fibroid treatment method?
The overall cost of undergoing a uterine artery embolization is significantly lower than hysterectomy and moderately less than hysteroscopic and laparoscopic myomectomy. If you take into account the potential loss which you will incur as a result of the 6 week recovery period required for hysterectomy, the cost difference will mount further.
Is Uterine artery embolization a permanent cure for fibroids?
For women close to menopausal age this type of uterine fibroid treatment is permanent. This is because of reduction in estrogen production which happens after menopause. Thereafter fibroids automatically stop growing in most women. In patients who falled in the younger age group there are chances of fibroids growing back. Even if the fibroids recur it is always possible to do an uterine artery embolization for the second time.
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