Can you explain what happens during the procedure? Is it painful?

Uterine fibroid embolization is done under sedation by using an IV and gentle pain and sleep medications. As opposed to more invasive hysterectomy and myomectomy, we do not use general anesthesia or a tube down the throat. You will be sleepy throughout the procedure and won’t remember anything but will be able to wake up as soon as the procedure is completed. The procedure by itself is painless. A tiny catheter is inserted into the femoral artery at the hip level. Another thin catheter is then threaded into the uterine arteries. Through this catheter, small beads are delivered into the fibroid vascular supply under imaging guidance. This shuts down the blood flow to the fibroids and the healing process starts immediately. At completion, a tiny plug is placed on the artery puncture followed by a Band-Aid and you are done.

Patients do experience abdominal cramps for a couple hours as the fibroids start undergoing blood depletion. If left untreated, the cramps will subside eventually. At our practice, however, we appropriately and aggressively address these issues ahead of time using a combination of medications to significantly reduce painful episodes. Very few patients may continue to have some discomfort for few days which can be managed with pain and anti-inflammatory medicines. Keep in mind that at all times, You will be able to reach our doctors. They will address any issues you might have 24/7, 7 days a week.