Q – Why must I have an MRI before consult even if I have had an ultrasound?
A – Ultrasound is a rudimentary imaging tool for fibroids that often does not show other underlying diseases or all the existing fibroids. For this reason, MRI is the standard imaging tool used by interventional radiologists.
Q – Can I become pregnant afterwards?
A – There have been numerous reports of pregnancies following uterine fibroid embolization; however prospective studies are needed to determine the effects of UFE on the ability of a woman to have children. One study comparing the fertility of women who had UFE with those who had a myomectomy showed similar numbers of successful pregnancies. However, this study has not yet been confirmed by other investigators.
Q – Can I expect a 100% reduction in symptoms?
A – The results of studies that have been published or presented at scientific meetings report that 78 – 94% of women who have the procedure experience significant or total relief of pain and other symptoms, with the large majority of patients considerably improved.
Q – Will a UFE cause me to enter menopause?
A – Less than 2% of patients have entered menopause as a result of UFE. This more likely to occur if the woman is in her mid 40s or older and is already nearing menopause.
Q – How long is the recovery following the procedure?
A – Fibroid embolization usually requires a hospital stay of one night. Pain-killing medications and drugs that control swelling typically are prescribed following the procedure to treat cramping and pain. Many women resume light activities in a few days and the majority of women are able to return to normal activities within 7 to 10 days.
Q – What kind of anesthesia is necessary?
A – Conscious sedation and local anesthetic are used for this procedure in the hospitals. Local anesthetics like Lidocaine are used to numb up the skin where the doctor will make his assess. Conscious sedation medications such as Fentanyl, Dilaudid, and Versed are administered intravenously.