If you’ve been diagnosed with uterine fibroids, you’re likely familiar with their unwelcome effects: heavy periods, bloating, pelvic pain, and sometimes a frustrating impact on fertility. Uterine fibroid embolization (UFE) is an option that many women consider as an alternative to traditional surgeries like hysterectomy. But who is a good uterine fibroid embolization candidate?
Learn more about the typical candidate criteria for UFE, as well as some factors that might make this treatment less suitable for certain individuals.
What is Uterine Fibroid Embolization?
Before exploring candidate criteria, it’s important to understand what Uterine Fibroid Embolization entails. UFE is a minimally invasive procedure where a radiologist inserts a catheter into the arteries that supply blood to the fibroids. Tiny particles are injected through the catheter, blocking blood flow to the fibroids and causing them to shrink over time. The procedure usually takes around one to two hours, and many patients experience relief within weeks to months.
Who is a Good Candidate for UFE?
The ideal uterine fibroid embolization candidate generally meets the following criteria:
- Moderate to Severe Symptoms
UFE is most commonly recommended for women whose fibroids cause significant symptoms, such as heavy bleeding, intense cramping, pelvic pressure, or issues with bowel and bladder function. If your fibroids are mild and don’t interfere much with daily life, your doctor might suggest monitoring rather than immediate intervention. - Desire to Avoid Surgery
One of the main reasons women choose UFE is to avoid major surgeries, like hysterectomy. UFE is a minimally invasive, outpatient procedure with a shorter recovery time. It’s often a good option if you’re looking for a treatment with fewer risks and a quicker return to normal activities. - No Immediate Plans for Pregnancy
While UFE doesn’t prevent future pregnancies, it’s often recommended for women who don’t have immediate plans to conceive. Research is still ongoing about how UFE impacts fertility, so if pregnancy is a primary goal, consult your physician to discuss the pros and cons. - No Other Health Issues that Prevent UFE
For UFE, candidates should have a relatively healthy vascular system. Conditions like atherosclerosis or severe allergies to contrast dye used during the procedure might make UFE riskier.
When UFE May Not Be Right for You
Some situations may make UFE a less ideal option. Women with very large fibroids, especially those larger than 10 cm, may see limited improvement. Additionally, if you’re dealing with a pelvic infection or certain types of uterine cancers, these conditions would likely require other treatments.Ultimately, determining whether you’re a good uterine fibroid embolization candidate involves an honest conversation with a knowledgeable doctor. While UFE has been a life-changing procedure for many, it’s not a one-size-fits-all solution. Dr. Nazar Golewale of NG Vascular & Vein Center specializes in performing UFE procedures in an outpatient setting. We have three locations in Munster, Indiana; Merrillville, Indiana; and Palos Heights, Illinois. Call the location most convenient for you to schedule a GAE consultation.
