Uterine artery embolization for uterine fibroids
Uterine fibroids are often accompanied by severe bleeding, pain, and pressure on the bladder or intestines. These symptoms interfere with normal living, working, and planning for the future. Uterine artery embolization eliminates these problems without surgery. In just a few days, you will feel relief, and in a few months, you will forget about the symptoms that interfered with your life. In this article, we will tell you how this method helps restore health and confidence.
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What is uterine artery embolization?
Uterine artery embolization is a gentle method of treating fibroids that allows you to avoid surgery. During the procedure, the doctor inserts special particles called emboli through a thin catheter, which block the blood flow to the fibroid.
The process looks like this: through a small puncture in the thigh, the doctor directs the catheter to the vessels that feed the tumor. The emboli block the blood supply to the nodes, causing the fibroid cells to be destroyed and the node itself to shrink. Over time, the tumor is replaced by connective tissue, which eliminates symptoms and discomfort.
Indications for uterine artery embolism
Sometimes the procedure is performed before surgical removal of large nodes to reduce their size and reduce the risk of complications.
Main indications:
- Uterine myoma. EMA is effective for the treatment of both single and multiple nodes of any size and location (including intramural, submucous and subserous).
- Heavy bleeding: If fibroids are causing heavy uterine bleeding, leading to anemia, UAE can help stop the blood flow and reduce the risk of complications.
- Painful menstruation. The procedure relieves the symptoms of dysmenorrhea caused by a tumor.
- Compression of adjacent organs. Large nodes can disrupt the functioning of the bladder or intestines. The procedure reduces the size of the fibroid, restoring organ function.
- Infertility due to fibroids. If the tumor interferes with conception or pregnancy, EMA can improve reproductive functions.
- Adenomyosis. The procedure helps reduce the symptoms of this condition, improving the quality of life.
Technique of uterine artery embolization (UAE)
Uterine artery embolization (UAE) is an effective and safe procedure that requires high precision. It is performed in the X-ray room using special equipment. The process is monitored by a team of doctors - a vascular surgeon and a gynecologist. This approach guarantees high-quality and comprehensive treatment.
The main stages of uterine artery embolization:
- Preparation for the procedure. Before the procedure, the patient undergoes an examination, including an ultrasound scan and angiography. This helps to determine the exact location and size of the myomatous nodes. The doctor explains in detail the procedure and possible risks.
- Local anesthesia. The procedure is performed under local anesthesia. The patient remains conscious, and the risk of complications from anesthesia is minimal.
- Femoral artery puncture. The doctor makes a small puncture in the thigh and inserts a thin catheter with a diameter of about 1.2-1.5 mm.
- Vascular mapping. A contrast agent is injected through the catheter so that the doctor can see the uterine vessels on the X-ray screen. This allows the doctor to pinpoint the location of the uterine arteries
- Embolization. The catheter is directed to the uterine artery, and special particles called emboli are injected through it. These microparticles, made of polyvinyl alcohol or other materials, block the blood flow to the fibroid
- Result monitoring. After the emboli are injected, a control angiography is performed. It shows that the uterine arteries remain patent, and the vessels feeding the fibroid are no longer functioning
The catheter is removed, and the puncture site is treated to prevent infection. The entire procedure takes 20 to 60 minutes.
Treatment of adenomyosis
Conservative treatment
In the early stages of adenomyosis or with moderate symptoms, doctors try to avoid surgery. The main goal is to relieve pain, reduce heavy periods and slow the progression of the disease. Hormonal therapy is most often used for this. It helps to reduce the level of estrogen - hormones that provoke the growth of the endometrium.
Some patients are given hormonal intrauterine systems, such as the levonorgestrel IUD. It acts locally: reduces inflammation and pain, makes menstruation less heavy. Doctors can also prescribe painkillers if the symptoms interfere with life and work.
Conservative treatment is suitable for those cases when a woman plans to preserve the uterus and fertility or when surgical intervention is not yet required.
Surgical treatment
If the disease progresses or the symptoms significantly worsen the quality of life, surgical treatment is prescribed. This may be an organ-preserving operation, when only the affected areas are removed, and the uterus remains intact. This approach is especially important for women who want to preserve the ability to become pregnant.
In severe cases, when the uterus is severely affected, doctors may suggest its removal (hysterectomy). It completely eliminates the problem, but is used only after all other options have been exhausted.
If you are faced with adenomyosis or have noticed symptoms that prevent you from living a full life, do not delay your visit to the doctor. At the K+31 clinic (Moscow), we offer accurate diagnostics, modern treatment methods and an attentive attitude to each patient.
Our advantages:
- Experienced doctors who will help you choose the best treatment method
- Affordable and transparent prices - you can always see them on our website
- Convenient appointment online or by phone
Take care of your health today. Sign up for a consultation at "K+31" - we will help you regain comfort and confidence in your body!
General information
Result of uterine artery embolization for uterine fibroids
What changes after uterine artery embolization:
- The fibroid becomes smaller. Just a few months after the procedure, the volume of the nodes decreases by 50-70%. By the end of the first year, the tumor shrinks by an average of four times
- Unpleasant symptoms disappear. Most patients (92-97%) experience normal menstruation. Symptoms caused by compression of neighboring organs, such as the bladder or intestines, also disappear. This happens due to the cessation of blood supply to the fibroid, due to which its cells are destroyed and replaced by connective tissue
- Reproductive function is preserved. The procedure does not prevent a woman from becoming pregnant and bearing a child. Studies show that the procedure does not cause infertility and does not leave scars on the uterus. The ovaries continue to function normally
Serious complications after the uterine procedure are extremely rare. The most common side effects are mild abdominal pain and small hematomas at the puncture site. They go away on their own in a few days.
Have you encountered this ailment? Come for treatment to the K+31 clinic - we will restore your health with care and professionalism!
Advantages of EMA in K31 (Moscow):
- Minimal trauma - no incisions or sutures
- Fast recovery
- High efficiency while preserving the uterus and its functions
- The procedure is performed by experienced vascular surgeons on modern equipment
We provide a comfortable stay in the clinic and full support at all stages of treatment. Book a consultation to discuss whether this method is right for you. All prices for services are listed in the price list, with no hidden charges.
Answers to frequently asked questions about embolization
Doctors' answers:
Is it possible to get pregnant after EMA?
Yes, pregnancy is possible after uterine artery embolization. The procedure does not damage reproductive functions and does not leave scars on the uterus. However, doctors recommend waiting 6-12 months to allow the body to recover. This period is necessary for complete tissue healing. If you are planning a pregnancy, be sure to discuss this with your doctor.
What is the likelihood of fibroids recurring after UAE?
Embolization is good at reducing fibroids and relieving symptoms, but relapse is possible in rare cases. According to statistics, only 1-2% of women require repeated intervention, most often due to the restoration of blood supply to the nodes or the appearance of new formations. However, for most patients (more than 98%), the procedure solves the problem once and for all.
How does embolization affect the menstrual cycle?
After EMA, the cycle may change. The first months of menstruation may become irregular, the volume of discharge may be more or less. After 3-6 months, the cycle usually normalizes. Reducing the size of fibroids reduces the abundance of menstruation and pain, which has a positive effect on the quality of life.
Is it possible to perform embolization if there is an allergy to contrast agents?
An allergy to contrast agents does not always prevent the procedure. If such a problem is known, the doctor may suggest alternative contrast agents or prepare the body with antihistamines. Be sure to tell your doctor about your allergies and other health conditions to choose a safe approach.
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