Does uterine fibroid embolization affect fertility?

Potentially: The the goal is to minimize blood flow to the fibroids (and uterus), the decrease in blood supply can negatively impact fertility. Or, more specifically, not conception, but implantation and fetal growth.

Yes!: These procedures should only be performed for women who are done having kids or are sure they don't want kids in the future. Uterine fibroid embolization (ufe) and uterine artery embolization (uae) block off blood vessels that supply fibroids - fibroids shrink but don't go away 100%. Some of the vessel-blocking material reduces blood flow to your ovaries, lowering egg supply (ovarian reserve).

Perhaps: Patients can get pregnant after fibroid embolization and live healthy births have been reported. There is an increased incidence of abnormal positioning of the fetus and miscarriage. There is also risk of uterine rupture. There is also a small risk of ovarian embolization (and subsequent ovarian failure) if collaterals to ovary exist from uterine artery.

Depends: Some studies show an improvement in fertility after UFE but because definitive scientific data is lacking it is primarily done on women who have finished childbearing. It can be done on those who desire pregnancy with appropriate counseling. The size and location would be contributing factors.