7 doctors weighed in:

Does uterine fibroid embolization affect fertility?

7 doctors weighed in
Dr. Khurram Rehman
Fertility Medicine
2 doctors agree

In brief: 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).

In brief: 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).
Dr. Khurram Rehman
Dr. Khurram Rehman
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1 comment
Dr. John Lipman
Both UAE and myomectomy can affect a woman's fertility. In fact, surgery may affect a woman's fertility more due to scarring caused by cutting on the uterus. Before a woman undergoes either treatment a thorough evaluation and discussion is necessary with both an experienced Interventional Radiologist and Gynecologist. Pelvic MRI is particularly helpful (vs. pelvic ultrasound) as ultrasound significantly underestimates the fibroid burden. That is an important factor in determining which procedure may be best. In general, the fewer the fibroids and the younger the patient, myomectomy is preferable while older women, women with numerous fibroids, or women who have already had one myomectomy UAE is preferable. With regards to ovarian reserve, there has not been any peer-reviewed study showing decreased ovarian reserve in women under 40.
Dr. Adam Newman
Obstetrics & Gynecology
2 doctors agree

In brief: 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.

In brief: 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.
Dr. Adam Newman
Dr. Adam Newman
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Dr. Stephen Hofkin
Radiology

In brief: 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.

In brief: 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.
Dr. Stephen Hofkin
Dr. Stephen Hofkin
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