Uterine fibroids treatment methods include the use of various conventional treatments for uterine fibroids. While natural fibroid treatment options can be quite effective and comes without the substantial expense and side effects associated with standard methods, in some cases, conventional methods which includes surgery is necessary and uterine artery embolization (UAE) is one of the conventional techniques for getting this done.
Uterine Fibroids Treatment through UAE
This is a fairly brand new method for the treatment of fibroids although UAE which is also known as UFE (Uterine Fibroids Embolization) has been used since the ’70s to treat and stop hemorrhaging that could result after giving birth or after going through a pelvic surgical procedure.
It just started being used as an uterine fibroids treatment in the ’90s when it was approved as a safe method for fibroid treatment in 1995. This means that even though it is considered a safe method, the long term effects are still unknown when compared to surgical procedures such as the myomectomy or the hysterectomy.
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This procedure is performed by an interventional radiologist (IR) and not a gynecologist and technically speaking, it is not considered surgical treatment for the surgical removal of uterine fibroids because nothing is cut from the body during the procedure. Because it is not surgical procedure and because gynecologists do not perform this process, your gynecologist may not mention this process to you. If he or she does not mention laser hair removal option, ask him or her about it plus why they did not mention it.
Uterine Artery Embolization Procedure
Although it remains fairly unknown why fibroid tumors develop, one thing is known. They require a robust blood supply to continue to develop. The logic with an UAE is that if the blood supply is cut off or reduced to the tumors, they ought to start to disintegrate.
Once the blood provide is cut off or reduced, the particular fibroids may shrink and even die. With no blood supply to help all of them grow, the fibroid tumors should start to disintegrate or generally become harmless.
While the fibroid tumors will disintegrate, the uterus remains unaffected. This really is probably because the uterine muscle requires some blood supply but not just as much as the amount that the tumors require to develop. The UAE does keep some blood flowing to the uterus region but this reduced blood flow whilst enough for the uterus and encircling organs, is apparently not enough to get fibroids.
To perform the procedure, the patient is going to be placed under local anesthesia or mindful sedation and a thin tube is going to be inserted close to your groin to the large arteries that are close to your own groin that supply blood to the uterus and other organs in the vicinity along with the uterine fibroids.
Since nearly all women have two uterine arteries, you should expect two puncture wounds to be performed to reduce the blood flow to this area.
A dye is then injected into the arteries first to be able to help the IR perform this process as the dye will show up in the x-ray machine and will help guide the IR during the procedure.
Once the catheter is in the uterine artery, the IR releases small particles referred to as polyvinyl alcohol (PVA) into the blood stream which are then guided by the bloodstream to the area that the IR wants them to settle. Once the PVA connect themselves, they will start to slow down the blood supply to the uterus. This procedure is then repeated for the second uterine artery. The procedure should final only 30 to 45 minutes through start to finish.
While not considered the surgical procedure, it is still invasive but it is still safer than surgical removal associated with uterine fibroids methods such as the myomectomy or the hysterectomy and the recovery time is usually less than the aforementioned procedures. You ought to be able to return to work in about a week.
The UAE is considered an outpatient procedure which means that after the procedure is conducted, the patient can be sent home. However for some patients who experience bad cramps after the procedure, an immediately hospital stay may be required.
Another of the benefits of this procedure is that the uterus remains intact unlike a full hysterectomy.
What You Can Expect After the Procedure
one After the procedure, mild abdominal pain may be experienced and require hospitalization in only a few cases when the pain is significant. You will be given discomfort medication as well as medication to help deal with nausea and to help you sleep.
second . A follow-up will be required together with your gynecologist as well as with your IR.
3. Physical activity is prohibited for at least two weeks.
4. A brown or even pink discharge resulting from a disintegrating tumor or tumors is commonly reported in the weeks and months after the procedure.
5. Post embolization symptoms may be experienced by some women which is like a fever but can also be such as menopause resulting in cramping, mood shifts, hot flashes, nausea, severe pelvic pain, etc . This condition is considered to be the offshoot of disintegrating cells in the fibroid tumor(s). Hospitalization may be required. The treatment for pain plus nausea may also be required. With treatment, these symptoms should go away within a week or two.
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