Many women with fibroids do not experience any symptoms, however, for those who do, the fibroids may need to be treated to reduce symptoms and pain. In the past, treatment usually involved surgery such as removing the uterus through a hysterectomy or removing the fibroids from the uterus through a myomectomy.
While these options are generally effective, they require general anesthesia and lengthy recovery times, and they carry the risk of surgical complications. Many women are also not candidates for a myomectomy because of the size, number, or location of their fibroids. Plus, the recurrence rate for fibroids following myomectomy is high.
At South Florida Vascular Associates, we perform uterine fibroid embolization (UFE), or uterine artery embolization to treat fibroids. It is a minimally invasive procedure in which the blood flow of the uterus is intentionally reduced, causing the fibroid tumors to shrink. It alleviates or improves fibroid symptoms 90% of the time.
Who is a Candidate for Uterine Fibroid Embolization?
Uterine fibroid embolization is generally recommended for any individual who is experiencing symptoms from her fibroids and who wishes to avoid major surgery such as a hysterectomy. A discussion with your vascular interventional physician regarding this treatment option can determine if it is right for you.
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Our doctors perform uterine fibroid embolization in our beautiful, state-of-the-art outpatient facility without the need for hospitalization.
The embolization procedure is performed by making a small nick in the skin in the groin and inserting a thin tube, known as a catheter, into the femoral artery. The catheter is guided through the arterial system and into the arteries supplying the uterus using X-ray imaging. Very tiny particles, the size of grains of sand, are then injected into the arteries to block the blood flow to the uterine fibroid.
Uterine Fibroid Embolization Aftercare
Following uterine fibroid embolization, you may experience pelvic pain and pressure, which can be controlled with pain medication and anti-inflammatory drugs. There are no restrictions after this procedure, though it typically takes about a week to fully recover. Many women resume light activities in a few days and the majority of women can return to normal activities within 7-10 days.
Frequently Asked Questions
How long does it take to recover from uterine fibroid embolization?
Most patients can resume normal activities within one to two weeks. Fatigue, cramping, and mild discomfort are normal during this period, but these symptoms typically subside within a few weeks.
How bad is the pain after uterine fibroid embolization?
Many patients report cramping, especially within the first 24 hours. These symptoms are usually manageable with a heating pad and prescribed medications. The discomfort tends to diminish over a few days.
When will I get my first period after uterine fibroid embolization?
Your menstrual cycles might be irregular for a few months following UFE. Some women experience a heavier first period, while others may notice lighter or missed periods initially. Typically, menstrual patterns stabilize within two to three months post-procedure.
Will my periods be heavier after UFE?
It's common for your first period after UFE to be heavier than usual. However, most women find that their periods become significantly lighter and shorter within two to three months as the fibroids shrink and symptoms improve.
Can UFE cause heart problems?
UFE preserves the hormonal function of the uterus, meaning you won’t be at a higher risk of heart problems as you would after a hysterectomy. Problems with bleeding and embolism are a risk of every surgery, but are exceedingly rare when you choose a reputable and experienced doctor.
Can UFE cause nerve damage?
Nerve damage from UFE is very rare but possible due to the nature of surgery. However, nerve damage is also possible if fibroids grow or press on nearby nerves. In many cases, the risk outweighs the benefits of UFE.
What are the symptoms of uterine fibroids?
Some of the symptoms of uterine fibroids include heavy, prolonged menstruation, pelvic pain, menstrual cramping, and back and leg pain. You may also experience urinary frequency, constipation, and bloating.
Who is a candidate for UFE?
Candidates for UFE are generally anyone who is struggling with fibroids, but doesn’t want to have a major surgery. It’s also perfect for those who aren’t able to have surgery to remove the fibroids entirely. You should also not be pregnant or trying to get pregnant.
What are the benefits of UFE?
There are a variety of benefits you can expect with UFE. With this nonsurgical procedure, you preserve your uterus, don’t have to undergo an invasive surgery, experience a faster recovery time, and relieve your fibroid symptoms.
Does insurance cover a uterine fibroid embolization?
Yes, most insurance plans do cover uterine fibroid embolization. As it’s often a medically necessary procedure and seen as a safe and effective treatment, insurance will more than likely cover the cost.
Will my fibroids completely go away after a UFE?
No, UFE doesn’t usually completely eliminate fibroids, but it will significantly reduce their size and limit your symptoms. Most of the time, the procedure can reduce the fibroids so much that symptoms completely go away.
Will I have lighter periods after a UFE?
Yes, many patients experience lighter periods after their uterine fibroid embolization. You should notice lighter menstruation periods (and shorter ones) within 2-3 months after the procedure.
What is the recovery process like after uterine fibroid embolization?
Recovery is relatively short after UFE. You may experience some cramping and fatigue in the first few days, but most patients feel better within the first week or two. You should be able to return to your normal activities within 1-2 weeks.
To learn more about uterine fibroid embolization, contact our offices conveniently serving the greater Southeast Florida region. We’re located in Coconut Creek, Boynton Beach, and Plantation, FL, and provide advanced vascular and interventional oncology treatments performed on an outpatient basis.
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