Uterine Fibroid Embolisation
Uterine fibroid embolisation aims to reduce bleeding and pressure symptoms by blocking blood flow to fibroids. Fibroids are benign growths of the uterus, and those causing no symptoms may only need observation.
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Assessment and treatment choices
The size, number and location of fibroids, your symptoms and any plans for pregnancy are considered together. Ultrasound is usually used first; MRI may provide further information. Observation, medicines, myomectomy and hysterectomy are among the alternatives. Assessment should involve gynaecology and interventional radiology.
How embolisation works
A thin catheter is introduced through an artery, often at the groin or wrist. The uterine arteries are reached using imaging guidance, and small particles are delivered to reduce blood flow to the fibroids. The fibroids are not removed during the procedure; shrinkage and symptom changes are assessed over time.
Recovery and follow-up
Pain, cramping and nausea can occur after embolisation. Observation, pain control and follow-up imaging are planned according to your needs. Increasing pain, fever or offensive discharge should prompt contact with the treating team. Some patients have persistent or recurrent symptoms and need additional treatment.
What if I want a future pregnancy?
Keeping the uterus does not guarantee preservation of fertility. The effects of embolisation on fertility and pregnancy are uncertain. If future pregnancy is important to you, discuss this explicitly with both specialists and compare embolisation with options such as myomectomy.
Sources
NICE: Uterine artery embolisation for fibroids
ACR/RSNA: Uterine fibroid treatment
Assessment and contact
Suitability and treatment choices are determined individually. Contact Prof. Dr. Ali Fırat at Memorial Ataşehir Hospital.