Would uterine fibroid embolization affect my fertility?

This is a crucial point to discuss with your provider if you desire to have children in the future. While the ideal patient for this procedure is near menopause with complete family, studies have shown that embolization is effective in all age group patients with symptoms. Here patient selection is of utmost importance.

Studies show that pregnancy is possible after embolization. In fact, some patients who couldn’t get pregnant because of fibroids have found success after embolization. Because of that reason alone, we actually advise our patients who are not planning on becoming pregnant after embolization to use a reliable form of birth control to prevent pregnancy. In addition, if fibroids are left untreated, they will grow rapidly during pregnancy and pose a serious risk of bleeding and miscarriage.

The overwhelming majority of women who undergo embolization for fibroids return to normal menstrual cycle. In rare cases reported, few women nearing menopause have lost their periods.

If you need fibroid treatment and desire to have children in the future, come see us for a complete evaluation. The chance of pregnancy in the presence of fibroids depends on few variables. Few examples for the sake of discussion, if a patient has multiple bulky fibroids causing uterus deformity, the likelihood of carrying a pregnancy to term are not the best. If a patient has a large fibroid in the uterine cavity causing bleeding and mass effects, the odds are likely not better.

Based on the above, we prefer to do a full evaluation including reviewing imaging findings (Our expert doctors are also trained to read all imaging modalities) then we will advise you on the best approach.