Is Uterine Artery Embolization Right for Me? Exploring Treatment Options for Fibroids
Fibroids are a common problem faced by many women, yet they are not often openly discussed. These noncancerous growths in the uterus can have a significant impact on a woman’s physical and emotional well-being.
The symptoms of fibroids, such as heavy bleeding, pelvic pain, and pressure on the bladder or bowel, can significantly affect daily life and activities.
If you’re dealing with these issues, chances are you’ve heard about various treatment options like uterine artery embolization (UAE). But is this procedure right for you?
In this blog, we will explore uterine artery embolization as a potential treatment option for fibroids and help you navigate through the various factors to consider before making a decision.
Understanding Uterine Fibroids
Uterine fibroids are non-cancerous lumps that grow in the uterus. They can be as small as a pea or as big as a melon. Some women have one, while others have many fibroids.
While some women live with fibroids without any symptoms, others experience heavy menstrual bleeding, pelvic pain, and reproductive issues. Understanding the nature of fibroids is crucial when considering treatment options.
How Does Uterine Artery Embolization Work?
Uterine artery embolization for large fibroids involves inserting a catheter into an artery in the groin. Using X-ray guidance, the vascular specialist releases tiny particles through the catheter you’re your uterine arteries. These particles block blood flow to fibroids, causing them to shrink and bleed less.
Uterine artery embolization is also known as uterine fibroid embolization (UFE) as the treatment is often used to treat fibroids.
Who Is Eligible for Uterine Artery Embolization?
You are a candidate for uterine artery embolization if you have:
Symptomatic Fibroids
These are fibroids that cause noticeable problems. Women with symptomatic fibroids might have chronic pelvic pain, which means their lower belly hurts a lot, or they might have very painful menstrual cramps.
They could also experience heavy menstrual bleeding, meaning they have their periods for a long time or lose a lot of blood. These symptoms can be so bad that they stop women from doing their daily activities and can make their lives really difficult.
Preference for Non-Surgical Treatment
Some women prefer not to have surgery for fibroids. Surgery involves cutting into the body, and it usually takes a long time to recover. Procedures like myomectomy or hysterectomy are types of surgery used to treat uterine fibroids.
Instead, these women might choose a treatment called UAE (uterine artery embolization). UAE is less invasive, meaning it doesn’t involve large incisions or long recovery times. Women might prefer UAE because it’s less risky and they can get back to their normal lives faster.
No Plans for Future Pregnancy
Women who do not want to have children in the future are better candidates for UAE. This is because UAE can affect a woman’s ability to get pregnant.
During UAE, the vascular specialist blocks the blood flow to the fibroids, which can also affect the blood supply to the uterus and ovaries. This can make it harder to have a baby later on.
Large Fibroids
Some fibroids are very big. Women with large fibroids often have worse symptoms that might not get better with other treatments.
UAE can help shrink these large fibroids, making the symptoms less severe and improving the woman’s quality of life. This means they can feel better and get back to doing the things they enjoy.
Preparation for Uterine Artery Embolization
Before getting a uterine artery embolization for large fibroids, patients usually have to go through some tests. These tests might include an MRI or an ultrasound. These are done to check how big the fibroids are and where they are located in the body.
Next, there are pre-procedure consultations. These are meetings where the interventional radiologist talks to the patient. They will discuss the patient’s medical history, any allergies they have, and any medications they are taking.
Finally, patients might need to fast, which means not eating or drinking, for a few hours before the procedure. This is to make sure their stomach is empty during the uterine artery embolization for large fibroids.
What to Expect During the Procedure
During UAE, the patient lies on an X-ray table, and a local anesthetic is used to numb the groin so they don’t feel pain there.
The vascular specialist makes a small incision there, and a thin tube called a catheter is inserted into the artery. Then they uses X-ray images to guide the catheter to the blood vessels that supply the uterus.
Once the catheter is in the right place, tiny particles are released to block the blood flow to the fibroids. This makes the fibroids shrink over time.
Recovery After Uterine Artery Embolization for Large Fibroids
If the procedure was performed at a state of the art outpatient facility, most patients can go home the same day. Common side effects are cramping, pain, and a mild fever, which can be treated with medicine.
Most women can go back to their normal activities within a week, but they should avoid heavy physical activities for at least two weeks to ensure proper healing.
Comparing Treatment Options
When considering treatment for fibroids, it’s essential to compare your options. Surgery, such as a myomectomy or hysterectomy, is another approach. While surgery may provide a permanent solution, it comes with longer recovery times and more significant risks.
On the other hand, medication can help manage symptoms but may not shrink the fibroids.
Uterine Artery Embolization for Large Fibroids in Irvine, CA
If you think you might be a candidate for uterine artery embolization for large fibroids, visit us here at Pedes Orange County. We have a team of interventional radiologists who routinely perform uterine artery embolization procedures, and we will work with you to create a personalized fibroid treatment plan that meets your needs.
For further information about uterine artery embolization for large fibroids, contact us today at (949) 998-4568 or use our appointment form to request an appointment. We look forward to serving you!
