Will I Be Able to Get Pregnant After UFE?
Uterine fibroids are non-cancerous growths that develop in the uterus. These growths can cause a variety of symptoms, including heavy menstrual bleeding, pelvic pain, and pressure. In some cases, uterine fibroids can also interfere with a woman's ability to get pregnant or carry a pregnancy to term. One treatment option for uterine fibroids is uterine fibroid embolization (UFE). But what effect does UFE have on a woman's fertility? Can a woman get pregnant after undergoing UFE? In this post, we'll explore the answers to these questions and more.
What is Uterine Fibroid Embolization?
Uterine fibroid embolization is a procedure in which small particles are injected into the blood vessels supplying the fibroids, cutting off their blood supply and causing them to shrink. UFE is less invasive than traditional surgical treatments, such as myomectomy, and typically results in a shorter recovery time [4].
Advantages of UFE include a lower risk of complications, preservation of the uterus, and reduced blood loss compared to surgery. However, there are also potential disadvantages, such as post-embolization syndrome (pain, fever, and nausea following the procedure) and the possibility of fibroid recurrence [1 ].
In comparison to other fibroid treatment options, UFE may be a more attractive choice for some women due to its minimally invasive nature and lower complication rates. However, it's essential to discuss all treatment options with your healthcare provider to determine the best course of action for your individual situation.
Pregnancy After UFE: Factors and Considerations
UFE's Impact on Fertility
Both conventional and partial UFE have been studied as potential fertility-preserving options for women with fibroids who wish to conceive [3]. While UFE may not be the first choice for women actively trying to become pregnant, it can be a viable option in certain cases, especially for those who have had previous failed myomectomies or in vitro fertilization.
Success Rates of Pregnancy Post-UFE
A study found that spontaneous pregnancy rates at 1 year and 2 years after UFE were 29.5% and 40.1%, respectively. The probability of successful pregnancy with live birth at 1 year and 2 years was 24.4% and 36.7%, respectively. These results suggest that conventional and partial UFE may be safe and effective outpatient procedures for women with uterine fibroids who want to conceive [3].
Potential Pregnancy Complications Related to UFE
Although UFE may offer hope for women seeking to get pregnant after fibroid treatment, it's essential to be aware of potential pregnancy complications. These may include preterm labor, placental abruption, and intrauterine growth restriction. It is crucial to discuss these risks with your healthcare provider and carefully weigh the benefits and risks of UFE before deciding on this treatment option.
Tips for Improving Fertility After UFE
Lifestyle Changes
Adopting a healthy lifestyle can help improve fertility after UFE. This includes maintaining a healthy weight, engaging in regular physical activity, eating a balanced diet, and managing stress.
Monitoring Fibroid Symptoms and Follow-up Care
After UFE, it's essential to continue monitoring any fibroid symptoms and attend regular follow-up appointments with your healthcare provider. This will help ensure that your fibroids are being managed effectively and allow for early detection of any complications or recurrence.
Alternative Treatments if UFE Isn't Successful
If UFE doesn't result in the desired outcome, there are other treatment options to consider. These may include [2]:
Myomectomy: A surgical procedure to remove fibroids while preserving the uterus. This is often the preferred option for women who want to maintain their fertility.
Hormone therapy: Medications such as gonadotropin-releasing hormone (GnRH) agonists can help shrink fibroids and alleviate symptoms. However, they are typically used for short-term treatment and may not be suitable for women trying to conceive.
Hysteroscopic resection: This minimally invasive procedure removes submucosal fibroids through the cervix using a hysteroscope. It can be an option for women with fibroids that are primarily located within the uterine cavity.
Consult with your healthcare provider to explore these alternative treatments and determine the best course of action based on your individual needs and fertility goals.
Ready to Take the Next Step?
Understanding the intersection between UFE and your fertility journey can be a winding road. It's essential to have a solid medical team by your side to navigate it. Here at Indiana Vascular, we're ready to sit down with you, delve into your personal situation, and explore the right path forward. Our doors are open; schedule a visit with us. Let's untangle your questions and step closer to fulfilling your motherhood dreams together. Your future family is worth exploring every avenue.
Sources
Mara, M., & Kubinova, K. (2014). Embolization of uterine fibroids from the point of view of the gynecologist: pros and cons. International journal of women's health, 6, 623–629. https://doi.org/10.2147/IJWH.S43591
Mayo Clinic. “Uterine Fibroids.” Mayoclinic.org, 2018, www.mayoclinic.org/diseases-conditions/uterine-fibroids/symptoms-causes/syc-20354288.
Pisco, J. M., Duarte, M., Bilhim, T., Branco, J., Cirurgião, F., Forjaz, M., Fernandes, L., Pereira, J., Costa, N., Pisco, J. B. M., & Oliveira, A. G. (2017). Spontaneous Pregnancy with a Live Birth after Conventional and Partial Uterine Fibroid Embolization. Radiology, 285(1), 302–310. https://doi.org/10.1148/radiol.2017161495
U.S. Department of Health and Human Services, Office on Women's Health. (2018). Uterine fibroids. Retrieved from https://www.womenshealth.gov/a-z-topics/uterine-fibroids
