Can Embolization Treat My Uterine Fibroids?

For many women uterine fibroids are harmless. Most women with fibroids are unaware of it. That said, women often find out they have fibroids when they run into issues, such as abnormally heavy periods, or challenges getting pregnant. 

While very little is known about what causes uterine fibroids to develop, we do know that treatments like embolization can shrink them, and improve symptoms.

At our Sheboygan, Wisconsin clinic, the team at Third Coast Vascular specializes in innovative vascular intervention. For women with problematic uterine fibroids, embolization serves as a minimally invasive option. It’s performed in-office using state-of-the-art imaging technology throughout the procedure. 

Uterine fibroid overview

Uterine fibroids are noncancerous growths that can develop within or on the walls of the uterus. In most cases, they’re small and few. However, if they increase in size or are in a problematic location, they can cause symptoms that range from heavy menstrual bleeding, and pelvic pain to bloating and increased urinary frequency.  

Large fibroids can change the shape of the uterus and cervix. Around 55% of fibroids develop in the outer uterine wall, while approximately 40% develop in the middle muscular layers of the uterine wall. 

How can fibroids affect fertility and pregnancy?

Whether or not fibroids interfere with getting pregnant depends on their size and location. Fibroids that grow in the cervix, or are large enough to change the shape of the cervix can impact the number of sperm that can reach the uterus. 

Because fibroids receive blood flow, they can sometimes compromise uterine blood flow, interfering with the ability of the embryo to stick to the uterine wall. In most cases, however, fibroids don’t cause fertility issues. It’s crucial to have a fertility specialist comprehensively evaluate the cause of infertility. 

As for pregnancy, large fibroids can increase the risk of preterm birth. 

What is fibroid embolization?

Uterine fibroid embolization (UFE) treats fibroids by cutting off their blood supply. Without blood flow, fibroids shrink, and symptoms usually improve over time. Unlike a myomectomy, UFE doesn’t involve removing any part of the uterus, which means shorter recovery time and less disruption to surrounding tissues. 

How is uterine fibroid embolization performed?

Interventional vascular specialist Awais Siddique, MD, performs uterine fibroid embolization through a small incision. Dr. Siddique uses imaging technology to guide a thin catheter into the arteries that supply blood to the fibroids. 

Small particles are injected into these arteries, blocking the blood flow to the fibroid tissue. Over time, the lack of blood flow causes the fibroids to shrink.

Patients go home the same day and can resume light activities within a few days. Full recovery takes about one to two weeks.

Who should consider fibroid embolization?

UFE is often recommended for women who experience moderate to severe symptoms that interfere with their quality of life. When dealing with heavy or prolonged menstrual bleeding, pelvic pain, or pressure symptoms, UFE may be a good option. 

Women who want to avoid invasive surgery, have multiple fibroids, or are not candidates for traditional surgical procedures may also consider UFE. 

However, not everyone is an ideal candidate. UFE is typically not recommended for women who are pregnant, have active infections, or have fibroids located in areas where the blood supply cannot be safely blocked. 

During a consultation, Dr. Siddique reviews the medical history, evaluates the size and location of the fibroids, and determines whether UFE is an appropriate option.

Moving forward with minimally invasive fibroid treatment

Dr. Siddique, our nurses, and other highly qualified healthcare professionals work together to provide exceptional care. Contact us to schedule a consultation, and learn more about UFE, and how to get lasting relief from fibroid symptoms.