Will Uterine Artery Embolisation Affect Fertility? What the Research Says

Can You Still Get Pregnant After Uterine Artery Embolisation?

Yes, getting pregnant post uterine artery embolisation and fertility treatment is a feasible option. Research indicates that a majority of women can still conceive naturally. Pregnancy rates post-procedure range between 40% to 61%. Some women have even reported becoming pregnant within a few months after finishing treatment. This data certainly brings hope to those opting for a non-surgical path towards managing fibroids while hoping for future family growth.

Comparing Fertility Outcomes: Uterine Fibroid Embolisation vs Surgery

When comparing the fertility outcomes between uterine artery embolisation and myomectomy (surgical procedure), the numbers are somewhat similar. The success rates of uterine fibroid embolisation (UFE) hover around 58%, while myomectomy has a success rate of 57%. Aspects such as:

  • The type of fibroids,
  • Size and location of the fibroids, and
  • Personal factors like age and overall health

play a key role in both determining the choice of treatment and the results.

Fertility Influences Post Uterine Artery Embolisation

Age stands as one of the more significant influences on uterine artery embolisation and fertility. Younger women frequently see better results as their ovarian function tends to be more resilient. Conversely, for older women, a decrease in ovarian reserve following the procedure could potentially make it harder to conceive.

Pregnancy Health Post-Uterine Fibroid Embolisation

Though the majority of women who conceive post-uterine artery embolisation have healthy pregnancies, risks have been noticed. These include an increased likelihood of encountering placenta previa or giving birth earlier. Nevertheless, through effective fibroid treatment, this procedure often assists in alleviating symptoms like heavy bleeding and pelvic pressure, thereby reducing the stress associated with trying to become pregnant.

Deciding upon uterine fibroid embolisation as a fertility care strategy often boils down to personal goals and medical history. If future parenthood is a part of your plan, an open discussion with your healthcare provider can provide a clear understanding of whether this treatment complements your fertility journey.

Uterine Artery Embolisation and Fertility: What We Know

Understanding the connection between uterine artery embolisation and fertility is important for many women considering treatment for fibroids. While the procedure is successful at easing symptoms like heavy bleeding and pelvic pain, its role in fertility is still being studied. However, recent research does offer some encouraging data.

Studies suggest that UFE and fertility might be more compatible than we once thought. In some cases, women have conceived naturally after the procedure. One study reported that about 61% of women trying to conceive post-procedure became pregnant, with many of them doing so within a year. This shows that uterine fibroid embolisation and fertility could align positively, depending on the person’s health and the type of fibroids involved.

How Uterine Fibroid Embolisation and Fertility Are Connected

The procedure works by blocking the blood flow to fibroids, causing them to shrink. When fibroids shrink, the uterus may regain some of its natural function, potentially improving fertility. But results aren’t guaranteed—and outcomes vary based on individual factors like age, hormone levels, and ovarian function. For younger women, research shows that ovarian reserve may not be significantly affected, which is an important factor when evaluating the safety of uterine artery embolisation regarding fertility.

Risks to Consider with UFE and Fertility

Although many women go on to have healthy pregnancies after the procedure, there are still risks. Some women report flu-like symptoms shortly after treatment, known as post-embolisation syndrome. Others, particularly those over 40, may be concerned that reduced blood flow could impact the ovaries.

Experts caution that more research is needed to fully understand how UFE and fertility interact. The long-term effects on reproductive health remain an area of interest. That said, current studies show comparable fertility outcomes between uterine artery embolisation and other treatments like myomectomy.

Making the Right Decision About Uterine Fibroid Embolisation and Fertility

Choosing the right treatment is deeply personal. If you’re thinking about having children, the link between uterine artery embolisation and fertility should be part of the conversation with your doctor. Factors like your age, the size and location of your fibroids, and your reproductive goals all matter. While the procedure isn’t a guaranteed path to pregnancy, many women see successful outcomes.

Ultimately, uterine artery embolisation and fertility may go hand in hand for some, offering a non-surgical path to symptom relief and potential pregnancy. Discussing your options with a healthcare provider who understands your goals can help you make an informed, confident choice.

Uterine Artery Embolisation and Fertility: Comparing Options for Better Outcomes

Deciding between treatments like myomectomy and uterine artery embolisation can feel overwhelming—especially when fertility is top of mind. Knowing how each option affects your ability to get pregnant helps make a more informed decision. Research shows that UFE and fertility outcomes are quite similar to myomectomy, with around 58% of women conceiving after embolisation and about 57% after surgery.

How Uterine Fibroid Embolisation and Fertility Stack Up Against Myomectomy

The key difference lies in how these treatments work. Myomectomy removes fibroids surgically and is often used for women with fibroids inside the uterus. It gives a clearer view during future pregnancies. Uterine artery embolisation, on the other hand, cuts off blood flow to the fibroids, causing them to shrink naturally. Uterine artery embolisation and fertility results have been generally promising for women who prefer a less invasive option.

While both treatments can offer positive outcomes, certain factors like age, the size and number of fibroids, and overall uterine health may influence success. Uterine artery embolisation and fertility rates tend to be higher compared to those with more complex cases for women with only a few fibroids. Studies have even shown that nearly 30% of women conceive within a year following embolisation.

What to Consider About UFE and Fertility

Some women worry about the impact of embolisation on ovarian function, especially at an older age. While these concerns are valid, evidence suggests that younger women usually maintain good ovarian reserve post-procedure. However, like with any treatment, risks exist. Placenta problems or early delivery may occur, but these can also happen after myomectomy.

Choosing between uterine artery embolisation and fertility-centered surgery depends on what suits your body and lifestyle best. Although more long-term research is needed, current findings support uterine artery embolisation and fertility as a reliable option for many women thinking about pregnancy.

Take the Next Step in Your Fertility Journey

Understanding the nuances of treatment options like uterine artery embolisation can be vital for those planning their path to parenthood. Whether you’re considering this procedure for its non-invasive benefits or comparing it to other treatments like myomectomy, working with seasoned specialists can make all the difference. If you’re ready to explore how uterine artery embolisation might fit into your fertility strategy, take the first step towards informed decision-making by discussing your personal needs with experts who care. Contact Minima Radiology today to start your journey towards a brighter, more fulfilling future.

 

Sources:

Pregnancy After Uterine Artery Embolization for Symptomatic Fibroids: A Series of 15 Pregnancies – American Journal of Roentgenology: https://www.ajronline.org/doi/10.2214/AJR.07.3904#:~:text=RESULTS.,Apgar%20scores%20greater%20than%208.

Uterine Artery Embolization and Its Effect on Fertility – JVIR: https://www.jvir.org/article/S1051-0443(13)00742-2/pdf

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