FAQs - The North London Fibroid Clinic

Frequently Asked Questions

Specialist team of Doctors devoted to treating fibroids
with minimally invasive therapy

What are uterine fibroids?

Uterine fibroids are noncancerous growths that develop in the uterus. They can vary in size and number, and may cause symptoms such as heavy menstrual bleeding, pelvic pain, and urinary problems.

How is UFE performed?

UFE is typically performed under local anesthesia with sedation, although general anesthesia may be used in some cases. During the procedure, a small incision is made in the groin area, and a catheter is inserted into the femoral artery. The catheter is then guided through the blood vessels to the uterine arteries, where small particles are injected to block the blood flow to the fibroids.

Is UFE painful?

Most women experience mild to moderate cramping and discomfort during and after the procedure, although pain can be managed with medication.

How effective is UFE in treating uterine fibroids?

UFE has been shown to be an effective treatment option for uterine fibroids, with success rates ranging from 80-90%. However, the effectiveness of the procedure may depend on factors such as the size, location and number of fibroids being treated.

Can UFE cause infertility?

While UFE is not considered a fertility-preserving treatment, it does not typically cause infertility. However, there have been some rare cases of premature ovarian failure or early menopause following the procedure.

What are the potential side effects of UFE?

Some potential side effects of UAE include cramping, vaginal discharge, and temporary menstrual changes. More serious complications, such as infection or injury to other organs, are rare.

What is the recovery process after UAE?

Most women are able to leave the hospital the following day and are advised to rest for 1-2 days before returning to work or other activities. Full recovery may take several weeks, and women should avoid strenuous activity and sexual intercourse for several weeks after the procedure.

How often will I need to follow up after UAE?

Follow-up appointments are typically scheduled at 1-2 weeks and 6 months after the procedure. Additional follow-up appointments may be recommended depending on your individual situation.

How long does it take for the fibroids to shrink after UAE?

The fibroids typically begin to shrink within a few weeks after the procedure, although it may take several months for them to fully shrink.

What are the risks associated with Uterine Fibroid Embolization?

Like any medical procedure, uterine fibroid embolization (UFE) carries certain risks and potential complications. Some of the possible complications of UFE may include:

1. Pain: Patients may experience cramping or pain in the lower abdomen or pelvic area after the procedure. This discomfort can usually be managed with pain medications.

2. Infection: There is a risk of infection anytime a medical procedure is performed. However, the risk of infection is generally low with UFE.

3. Bleeding: Some patients may experience bleeding or bruising at the site where the catheter was inserted. In rare cases, there may be heavy bleeding that requires medical attention.

4. Damage to surrounding tissues: The catheter used in the procedure can potentially damage surrounding tissues or organs, such as the bladder or bowel. However, this is rare.

5. Early menopause: In rare cases, the procedure may cause a decrease in blood flow to the ovaries, which can lead to early menopause.