Uterine artery embolization (UAE), or uterine fibroid embolization (UFE), is a minimally invasive procedure. It successfully decreases and eliminates bleeding, pressure and pain in women with uterine fibroids or adenomyosis — a condition often mistaken for fibroids.
Uterine fibroid embolization is an alternative to surgery for women who have symptoms from fibroids or adenomyosis. The outpatient procedure preserves the uterus and is approved by the U.S. Food and Drug Administration (FDA).
An interventional radiologist (IR) performs fibroid embolization. These doctors have specialized experience with blood vessel imaging for diagnosing and treating certain health conditions.
The radiologist uses imaging to guide a small catheter (thin tube) into the arteries supplying the fibroids with blood. The radiologist then releases small particles called microspheres, blocking the targeted arteries and depriving them of blood. The fibroids and the uterus then decrease in size.
Your doctor will determine which fibroids can be treated with embolization. Generally, it can be used for submucosal, subserosal and intramural uterine fibroids. Read about what fibroids are, including the three main types.
Multiple fibroids can be treated in one session. Adenomyosis can be treated as well.
After receiving embolization, 85 to 90 percent of women experience significant or total relief from heavy bleeding, pain and symptoms related to uterus enlargement. The procedure is especially effective for multiple fibroids and large fibroids. Fibroid embolization also:
Rarely, fibroids return after embolization, even with successful relief of symptoms. (The same is true with all fibroid treatments other than hysterectomy.)
Fibroids usually grow slowly if they come back and don’t require additional intervention. But they can potentially grow enough to cause symptoms and require further treatment.
Fibroid embolization typically lasts one to two hours. You can go home the same day or choose to stay overnight to recover.
The procedure involves several steps: