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Doctor insights on: Cost Of Uterine Fibroid Embolization

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I need to know what is uterine fibroid embolization?

I need to know what is uterine fibroid embolization?

Fibroids are: Obliterated by injecting micro particles thru blood vessels which cut the blood supply. Typically this is performed by vascular interventional radiologists. ...Read more

Fibroids (Definition)

Uterine fibroids are the most common pelvic tumor in women. 1 of every 3 women of child-bearing age have these tumors and up to 80% of african-american women have fibroids. They are often asymptomatic but they can also cause significant symptoms. It is the most common cause of heavy menstrual bleeding. Pelvic pain and increased urinary frequency ...Read more


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What is uterine fibroid embolization? How do you treat it?

What is uterine fibroid embolization? How do you treat it?

A procedure: Uterine fibroid embolization is a procedure that is used to treat fibroids of the uterus. It involves blocking off the blood vessels that supply the fibroids. IT is one option for people with symptomatic fibroids. The risks and benefits of this procedure should be discussed with a gynecologist. along with alternatives and the procedure itself discussed with an interventional radiologist ...Read more

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Is it rare for women to have a uterine fibroid embolization?

No: It is very common for patients to have a uterine fibroid embolization. In fact, it is now part of the treatment algorithm for a fibroid uterus according to the american society of ob/gyn. It is very effective for fibroid disease. ...Read more

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I recently got a uterine fibroid embolization. What do I do next?

I recently got a uterine fibroid embolization. What do I do next?

Depends: We see every patient at 3 months post procedure and check for significant improvement/resolution of symptoms and obtain MRI with contrast to insure all fibroids dead. This is the case 90% of the time and if so patient can resume yearly visits for routine screening with her physician. If symptoms remain at 3 months determine why and MRI tells you (ex. Fibroid not completely dead) so you can fix it. ...Read more

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What are the pros and cons of having a uterine fibroid embolization?

What are the pros and cons of having a uterine fibroid embolization?

More good than bad.: Con: you still have a uterus. Therefore there is a small recurrence rate.

Pros:
Shorter recovery time
No surgical incisions
Highly effective when there is good patient selection
Less complications
Keep your uterus ...Read more

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Please help! What is the real low down on uterine fibroid embolization?

A great procedure: Ufe is a wonderful procedure for most women with symptomatic uterine fibroids. There has been some discussion about pregnancy and ufe. Ufe is not contraindicated in women who desire pregnancy. There have been multiple studies where women actually improve pregnancy rates but it is not meant simply to make it easier. There is some evidence of increased c-section rates with patients post ufe. ...Read more

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What information do I have to bring along to do the uterine fibroid embolization?

Probably a referral: To have an arterial embolization, it would be beneficial to the radiologist to have a referral, a history and physical exam by the referring physician, records including a previous MRI or ultrasound, and any information that might help the radiologis, like amount of bleeding, allergies. ...Read more

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Does uterine fibroid embolization affect fertility?

Does uterine fibroid embolization affect fertility?

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). ...Read more

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What are the long term side effects of having uterine fibroid embolization?

Minimal: Some women will experience menopausal symptoms after uae. This is very unusual in women under 40. Women 45 and older have at least a 15-25% chance of never having a period again after uae - which is almost always a welcome effect. Other long-term complications are very rare. The particles do not migrate or cause any long-term reactions. ...Read more

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Hysterectomy side effects compared with uterine fibroid embolization?

Higher risk w surger: The risk of significant complications of any major abdominal surgery is generally considered to be between 5-10%. The risk of major complications of uae/ufe is below 3%. Embolization also has a faster recovery than surgery. ...Read more

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Hysterectomy side effects- is it possible to get uterine fibroid embolization?

Hysterectomy side effects- is it possible to get uterine fibroid embolization?

Yes: Uterine fibroid embolization (ufe) allows a woman to not only avoid all of surgical risks associated with hysterectomy but also risks of what happens to these women without their uterus. Having a hysterectomy particularly before age 50 and despite leaving in the ovaries increases their risk for osteoporosis and heart disease. It also affects many women psychologically & sexually. Ufe avoids this. ...Read more

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I had a uterine fibroid embolization last month and now I have a problem. Who should I talk to?

I had a uterine fibroid embolization last month and now I have a problem. Who should I talk to?

Radiologist: Presuming that your procedure was performed by an interventional radiologist, he/she should be the physician to diagnose and potentially treat the problem. ...Read more

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Can I get pregnant after doing uterine fibroid embolization?

Can I get pregnant after doing uterine fibroid embolization?

Pregnancy UAE: Yes, you can get pregnant. Current recommendations are you should not have uae if you want to become pregnant. Several trials have show a slight increase in miscarriages and low birth weight infants. ...Read more

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Anyone had the 'uterine fibroid embolization' procedure done before getting pregnant?

Yes: There are many women who have had successful pregnancies after uae. The data is relatively weak, but seems to indicate that fertility after embolization is similar to fertility after multiple myomectomy. A patient needs to discuss the details of her individual situation with her doctors before deciding on a therapy. ...Read more

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Is the uterine fibroid embolization treatment available for the uninsured or low income?

Is the uterine fibroid embolization treatment available for the uninsured or low income?

Maybe: Many practices and hospitals have programs to assist people with limited insurance resources either get insurance or get medial care. One needs to call various practices to ask about this specific issue. ...Read more

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I previously had a uterine artery embolization/uterine fibroid embolization - can I still get this treatment?

I previously had a uterine artery embolization/uterine fibroid embolization - can I still get this treatment?

Yes, you can.: Uterine fibroid embolization (ufe) can be done more than once. A more important question is why have the fibroids become symptomatic again? I've seen fibroids come back in an individual patient after having a myomectomy and two ufe procedures. Genetics, estrogen metabolism, diet, stress, gut health, and unhealed emotional wounds all play a role. Consider working with a holistic gynecologist. ...Read more

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How effective and painful is a uterine embolization of the fibroids?

How effective and painful is a uterine embolization of the fibroids?

Very effective: Uterine artery embolization (uae) is a very effective, non-surgical, outpatient procedure to treat symptoms from fibroids. Typical recovery 4-5 days (out of work 1week). A small percentage of patients have a rough go with pain, most find it manageable with oral meds. Most important to find an experienced ir with uae and one that has a specific pain regimen in place. ...Read more

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Do large uterine fibroids (22 cm) shrink after menopause and how much, if they do? I am a 50 yr old caucasion. I was thinking of waiting until menopause and lettingt it shrink. It isn't causing any problems other than bulk related which I can handle. My d

Do large uterine fibroids (22 cm) shrink after menopause and how much, if they do? I am a 50 yr old caucasion. I was thinking of waiting until menopause and lettingt it shrink. It isn't causing any problems other than bulk related which I can handle. My d

Leiomyomas: Leiomyomas of the uterus (fibroids) sometimes shrink after menopause, but some women have them actually enlarge. It sounds like yours are very large which concerns me. I would recommend following your doctors advice, or at least obtaining a second opinion, because it sounds like your doctor is concerned they may compress your ureters which could cause kidney damage. Please be re-evaluated or at least seek a second opinion as I am concerned by that. ...Read more

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Can uterine fibroids affect sex?

No: They are fibrous masses that take up space in your uterus, can cause excessive uterine bleeding, but do not affect sex. ...Read more

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Can uterine fibroid grow quickly?

Sometimes, get US: Anyone can get a uterine fibroid, which is an overgrowth of muscle cells in the shape of a ball. Like moles on the skin, they come in different sizes/shapes; RARELY cancerous. You only need surgery if you have symptoms like pain/pressure/incontinence/bleeding/bloating. Size/location don't matter. Lupron (leuprolide) or embolization are ways to control w/out surgery. US follow up is very important. ...Read more

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Can uterine fibroids grow in size?

Yes: Fibroids grow all the time, in part due to female hormones. They stop growing from menopause or stopping your hormones with a Lupron (leuprolide) shot. Some fibroids grow slowly; fibroids in some women grow quickly. ...Read more

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How many women get uterine fibroids?

How many women get uterine fibroids?

As many as 40%: At autopsy, as many as 40% of women have evidence of fibroids. Fibroids are usually benign tumors of the uterus that are not symptomatic. Sometimes fibroids can be painful, cause heavy bleeding, miscarriage, preterm labor, problems voiding or constipation. Fast growing fibroids need to be monitored closely and may necessitate surgery. Certain ethnicities have higher prevalence of fibroids. ...Read more

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What are the common symptoms of uterine fibroids?

Bleeding, cramping: Uterine fibroids are benign growths in the uterus that can cause heavier, longer menstrual periods. Increased cramping with periods is also a symptom of fibroids. They can also cause pressure and heaviness in the pelvis, as well as pain with sex. ...Read more

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Having multiply uterine fibroids do u have to get operated?

Depends on what: Your reproductive goals are and what symptoms you have. Patients with mutiple fibroids can have heavy periods and cramping adn this can be rather bothersome. There are many options to consider, some more aggressive than others, but your decision should uiltiamtely hinge on your future reproductive desires. ...Read more

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What are the options to treat pain for large uterine fibroids?

What are the options to treat pain for large uterine fibroids?

Uterine embolization: Another good option is uterine artery embolization, a method of cutting off the blood supply to the fibroids causing them to shrink and die. While it does not remove the fibroids it is 95% successful for bleeding and 85% for bulk symptoms. It is performed as an outpatient procedure without the need for stitches and is well tolerated. Performed by interventional radiologists (image guided surgeons). ...Read more

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Can you tell me about what it's like to have uterine fibroids?

Fibroids: Interesting and difficult question to answer, but main issue is heavy bleeding for the woman. It is certainly debilitating as most patients have conveyed and more so if severely anemic as a result. ...Read more

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If uterine fibroids left untreated, what if anything could happen?

Maybe nothing: Depending on where the fibroids are located and how big they are, they can cause problems like abnormal bleeding, pain, infertility, and "mass effect" that affect the function of other organs like pressing on your bladder. They may grow but they may not. There is no reason you have to do anything about fibroids if they are not causing a problem. ...Read more

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I was just told I ould have uterine fibroids! When should I get checked?

I was just told I ould have uterine fibroids! When should I get checked?

Why did someone: Suspect this. If they felt an enlarged uterus on exam, or you have heavy periods that may be common reason why a provider would suggest this. A pelvic ultrasound would confirm this and I would recommend speaking to your obgyn about pursuing this further. Fibroids are usually benign tumors but I would follow up with your gyn to get more specific information. ...Read more

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What do you advise if I'm suffering from uterine fibroids what are my options?

Options: Surgical options for treating fibroids are: hysterectomy; uterine artery embolization, magnetic resonance guided focused ultrasound, endometrial ablation, myomectomy and myolysis. There are also non-surgical options for the symptoms caused by fibroids that include birth-control pills, Progesterone IUDs or injections etc. Do some research and then talk to your doctor about your situation. ...Read more

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I want to know if fibroid can be too big to be treated using Uterine Fibroid Embolisation?

Possibly: The likelihood of embolization being successful decreases the bigger a fibroid is. There is also more pain associated with embolization of larger fibroids. ...Read more

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Can someone explain to me what are uterine fibroids there for, and why you have to remove them?

Clonal tumors: Fiboids or leiomyomata are almost always benign tumors. They start as a single cell from the cell line producing uterine muscle. They clone themselves and grow. Concentrically like an onion. There is no purpose we have identified for them. They only need to be removed if they cause symptoms--heavy bleeding, pain, pressure, infertility. Most are asymptomatic. ...Read more

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Are natural cures for uterine fibroids effective?

Are natural cures for uterine fibroids effective?

Nutritional Rx: Fibroids are a result of high estrogen levels. High estrogen can be caused by excessive carbohydrate intake (via competetive inhibition of glucoronidase enzyme) therefore a low carb diet is beneficial to reduce estrogen and help shrink fibroids. You may also have low iodine, thyroid problems, low progesterone. All of these things should be evaluated. All phytoestrogens should be avoided. ...Read more

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What's the best option to treat big (18 weeks) uterine fibroids?

Fibroids: Removal (myomectomy) if wanting children/more children. You may need to be on Lupron first to stop any bleeding and help shrink the fibroid a bit before removal ...Read more

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I have a Uterine fibroid and it fells like something is falling out of me stomak is on fire?

Pelvic and medical: Exam. You have 2 separate issues and certainly get examined for the sensation of something falling out. For heartburn use antacids and OTC omperazole AM/PM. I suggest immediate GYN and medical examination. ...Read more

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Can uterine fibroids lead to cancer?

Can uterine fibroids lead to cancer?

Not directly: Fibroids are a result of high estrogen levels. High estrogen can be caused by excessive carbohydrate intake (via competetive inhibition of glucoronidase enzyme) therefore a low carb diet is beneficial to reduce estrogen and help shrink fibroids. You may also have low iodine, thyroid problems, low progesterone. All of these things should be evaluated. High estrogen levels can cause cancer. ...Read more

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Can uterine fibroids turn into cancer?

Can uterine fibroids turn into cancer?

No: The medical term for fibroids is leiomyomata. They are benign tumors that arise from smooth muscle cells; they do not become cancerous. The cancerous counterpart is called leiomyosarcoma. The problem is the inability to distinguish between the two without taking them out and looking at the cells under the microscope. Uterine tumors that enlarge quickly should be evaluated and possibly removed. ...Read more

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Can uterine fibroid surgery be serious?

Can uterine fibroid surgery be serious?

It shouldn't be: Any surgery can be serious. But if surgery for fibroids is indeed necessary (it isn't always), there are several surgical approaches. Laparoscopy and laparotomy are two of them. In certain situations, the fibroid uterus may be removed vaginally. Tho there are risks with any type of surgery, the risks are minimized in experienced hands with good pre-operative preparation. Pls ck with your surgeon. ...Read more

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Can I give birth if I have uterine fibroids?

Can I give birth if I have uterine fibroids?

Yes: Many patients with uterine fibroids can deliver vaginally, depending on the size and position. If the fibroids are large and placed low in the uterus, your doctor may recommend a cesarean, but may give you a trial of labor. If you have had a previous myomectomy (a surgery to remove fibroids), your doctor will usually recommend a c/s as the risk of uterine rupture is too high with labor. ...Read more

Dr. Amrita Dosanjh
3 Doctors shared insights

Fibroid (Definition)

A leiomyomata (fibroid) is a smooth muscle growth in the uterus that is rubbery, binds the female hormone estrogen and can grow to "epic" proportions causing distortion of the uterus. They cause bleeding, and burning pain (aka "fireball tumor") as ...Read more


Dr. John Lipman
660 Doctors shared insights

Uterine Fibroids (Definition)

Abnormal growths that develop in or on a woman’s uterus. It is unclear why fibroids develop, but hormones and family history may influence their formation. Approximately 70% to 80% of women aged 50 ...Read more