Research shows that fibroids are prevalent in nearly 70% of women. However, they may remain unnoticed in the majority of women, with around 25% of women displaying clinical symptoms. Typically, this condition is more prevalent in women of childbearing age, although it can impact women of all ages. Fibroids vary, from being too small to see with the human eye to as large as a grapefruit or even more significant.
This article will explore the treatment options for leiomyoma and when doctors recommend Uterine Artery embolization.
What are the Reasons to Get Uterine Artery Embolization?
Uterine artery embolization is a minimally invasive surgery often used to treat vaginal bleeding caused by uterine fibroids (leiomyoma). UAE can address heavy bleeding in emergencies caused by trauma, malignant gynecological tumors, or postpartum hemorrhage, in addition to fibroids.
Uterine artery embolization is commonly recommended to alleviate symptoms caused by uterine fibroid tumors, such as heavy menstrual bleeding, pelvic pressure, constipation, painful intercourse, and frequent urination. These symptoms may significantly influence an individual’s quality of life, necessitating care.
Furthermore, healthcare providers can recommend UAE for conditions other than fibroid-related symptoms, like excessive bleeding after childbirth, trauma, or the presence of cancerous tumors. This procedure provides a flexible therapeutic solution, providing relief and control for different gynecological issues apart from uterine fibroids.
How Do Doctors Perform Uterine Artery Embolization?
Various methods are used for treating uterine artery embolization, focusing on the materials for embolization and the additional medications given. Below are various treatment options for the UAE:
Conventional UAE
This method involves using inert particles, such as polyvinyl alcohol (PVA) or tris-acryl gelatin microspheres, to block the blood flow to the fibroids.
Drug-Eluting UAE
In this approach, drug-eluting beads containing medications like doxorubicin or dexamethasone target the fibroids and reduce their size while minimizing inflammation and pain.
Gelatin Sponge UAE
Gelatin sponge particles can be used as an embolic agent in UAE. They are absorbable and gradually dissolve, promoting clot formation and fibroid shrinkage.
Adjunctive Medications
Alongside embolic agents, medications such as no steroidal anti-inflammatory drugs and pain relievers may be administered to manage post-procedure discomfort and inflammation.
These treatment variations allow for customization based on the patient’s medical history, fibroid characteristics, and desired outcomes, ensuring effective symptom relief and patient comfort.
Who Should You Consider for Uterine Artery Embolization?
Uterine artery embolization is usually performed by an interventional radiologist who utilizes their specialized skills in minimally invasive techniques. Gynecologists and obstetricians need to work closely together, as they have critical roles in informing patients about the pros and cons of this method.
They can provide valuable information on the differences between uterine artery embolization, surgical interventions, and medical treatments in their field.
Bottom Line
A uterine fibroid embolization is mainly done to get rid of uterine fibroid tumors that are hurting or causing other issues. With Uterine Artery Embolization, fibroids can now be handled with minor surgery. UAE has become the treatment of choice for women with symptomatic fibroids who want to avoid surgery or keep their fertility because it has many benefits, such as a faster recovery time, high success rates, and the ability to protect fertility.
Your doctor will look at your symptoms and may suggest uterine artery embolization (UAE), a minimally invasive treatment that can treat uterine fibroids while keeping the uterus intact.
Consulting with your family doctor or a healthcare professional can help you learn more about uterine artery embolization and how it might help you deal with uterine fibroids. They can give you personalized advice and information about your situation and help you find the best way to get treatment.
Sources
https://www.medicalnewstoday.com/articles/uterine-artery-embolization#outlook
https://www.gwhospital.com/conditions-services/womens-services/uterine-fibroids-artery-embolization