Fibroids are non-cancerous growths that develop in the uterus, affecting a significant number of women during their reproductive years. Though they are often asymptomatic, fibroids can cause a variety of symptoms such as heavy menstrual bleeding, pelvic pain, frequent urination, and fertility issues. For many women, finding an effective treatment option to manage fibroids is a priority. One such treatment is Uterine Fibroid Embolization (UFE), a minimally invasive procedure that has gained recognition for its ability to provide relief from fibroid symptoms without the need for major surgery.

In this blog, we will explore what UFE for fibroids is, how it works, its benefits, and who is an ideal candidate for the procedure.

Uterine Fibroid Embolization (UFE) is a non-surgical, minimally invasive procedure used to treat uterine fibroids. During the procedure, a radiologist uses imaging technology, such as X-rays, to guide a catheter into the arteries that supply blood to the fibroids. Once the catheter is in place, tiny particles are injected into the blood vessels that feed the fibroids, blocking their blood supply. As the blood flow is restricted, the fibroids begin to shrink and die, leading to a significant reduction in symptoms.

UFE is typically performed under local anesthesia and sedation, which means the patient is awake but relaxed during the procedure. It is performed through a small incision in the groin or wrist, making it less invasive than traditional surgical methods like myomectomy or hysterectomy.

The UFE procedure targets the blood vessels that nourish fibroids. These blood vessels, known as the uterine arteries, are responsible for delivering oxygen and nutrients to the fibroids. By blocking these blood vessels with embolic agents (small particles), the fibroids lose their blood supply and begin to shrink over time.

The procedure is typically done on an outpatient basis, meaning the patient can go home the same day. While recovery varies from person to person, most women experience significant relief from symptoms within a few months. The procedure is highly effective, with studies showing that UFE can reduce fibroid size by up to 50-60% and help alleviate common symptoms like heavy bleeding and pelvic pain.

Minimally Invasive: One of the main advantages of UFE is that it is a minimally invasive procedure. Unlike traditional surgeries, UFE does not require large incisions or a long hospital stay. It can be performed with just a small incision in the groin or wrist, which means less trauma to the body and a shorter recovery time.

Shorter Recovery Time: Compared to traditional surgical options like hysterectomy or myomectomy, UFE has a significantly shorter recovery time. Most women are able to return to work and their regular activities within a week to ten days.

Preservation of the Uterus: Unlike a hysterectomy, which involves removing the uterus, UFE allows women to preserve their uterus while still achieving significant symptom relief. This is especially important for women who want to maintain their fertility or those who prefer not to undergo a more invasive surgery.

Effective Symptom Relief: UFE is highly effective in treating the symptoms of fibroids, such as heavy menstrual bleeding, pelvic pressure, and pain. Studies show that about 85-90% of women experience relief from their symptoms after undergoing UFE.

Reduced Risk of Complications: As UFE is a non-surgical procedure, it carries a lower risk of complications compared to more invasive options like surgery. There is less blood loss, fewer infections, and a reduced risk of scarring.

UFE is not suitable for all women with fibroids. It is most effective for women who meet the following criteria:

Presence of Symptomatic Fibroids: UFE is typically recommended for women who experience symptoms related to their fibroids, such as heavy menstrual bleeding, pelvic pressure, or pain.

Desire to Avoid Surgery: Women who are looking for a non-surgical alternative to treat their fibroids may be good candidates for UFE.

Preserving the Uterus: UFE is a good option for women who wish to preserve their uterus and avoid a hysterectomy. It is often recommended for women who still want to maintain fertility.

Fibroid Location and Size: UFE is most effective for women with fibroids located in the uterine muscle (intramural fibroids) or just under the uterine lining (submucosal fibroids). It is less effective for fibroids that are located on the outer walls of the uterus (subserosal fibroids) or those that are very large.

It is important to consult with a healthcare provider to determine if UFE is the right treatment for your fibroids, as it may not be appropriate for every case.

While UFE is generally safe, it is important to consider the potential risks. Some women may experience side effects such as:

Pelvic Pain: Mild to moderate pelvic pain is common after the procedure, but it usually subsides within a few days.

Menstrual Changes: Some women may experience changes in their menstrual cycle, including a lighter or heavier flow.

Infection: As with any medical procedure, there is a small risk of infection at the incision site.

Premature Menopause: In rare cases, UFE can lead to premature menopause, especially in women over the age of 45.

Uterine Fibroid Embolization (UFE) is a highly effective, minimally invasive treatment for women who are experiencing troublesome symptoms related to uterine fibroids. It offers numerous benefits, including a shorter recovery time, preservation of the uterus, and effective symptom relief. However, it’s essential to consult with a healthcare provider to determine if UFE is the right option based on your individual health needs and fibroid characteristics.

If you're struggling with fibroid-related symptoms and are looking for a non-surgical option, UFE could be the solution you need to regain control of your health and quality of life. Reach out to a qualified healthcare professional to learn more about how UFE for fibroids can help you.