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Fertility Issues

We know that it is possible to conceive and have a baby after uterine fibroid emobolization (UFE). We have had several patients deliver healthy babies after UFE and there have been multiple anecdotal reports of normal pregnancies following UFE published in the medical literature.  However, the long-term effects, if any, of UFE on a women's ability to conceive and have a normal pregnancy are currently unknown. Theoretically, there could be increased risks of infertility, complications of pregnancy and/or birth defects after UFE. Therefore, uterine fibroid embolization is not usually recommended as a first line therapy in women who may desire fertility. There are, however, exceptions including:

  • Patients who have failed myomectomy, or other treatment options, and have recurrent fibroid related symptoms.

  • Due to the size, number, and/or location of the fibroids, there is a high risk of a myomectomy resulting in a hysterectomy or causing significant uterine scarring, potentially decreasing the patient's fertility.

Some studies have shown no significant difference in pregnancy rates following UFE versus myomectomy while others have shown a better chance of pregnancy following myomectomy. Every patient's circumstances are different so there is no way to tell for certain if you are a candidate for UFE without reviewing the specifics of your case.  If you have questions regarding fertility or pregnancy in your situation, please contact us.