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Fertility after uterine artery embolization: a review
Bruce McLucas1, William D Voorhees2, Stephanie Elliott3
1a 1 Department of Obstetrics and Gynecology, David Geffen School of Medicine, University of California , Los Angeles, California, USA.
Summary
Uterine artery embolization (UAE) is safe for women of reproductive age. This review highlights UAE
Area of Science:
- Reproductive medicine and interventional radiology.
Background:
- Uterine artery embolization (UAE) research predominantly focuses on women over 40.
- Concerns exist regarding UAE's impact on fertility in women of reproductive age.
- Physicians may hesitate to recommend UAE for fertility preservation due to perceived risks.
Purpose of the Study:
- To comprehensively review the fertility potential following UAE in women of reproductive age.
- To evaluate pregnancy rates, complication risks, and effects on ovarian function and reserve post-UAE.
- To compare UAE with traditional myomectomy for women desiring future fertility.
Main Methods:
- Systematic review of existing literature on UAE in women of reproductive age.
- Analysis of studies reporting pregnancy outcomes, ovarian reserve markers, and complications.
- Comparative assessment of UAE versus myomectomy in fertility-focused studies.
Main Results:
- UAE can be performed in women of reproductive age without increased morbidity.
- Evidence suggests UAE may offer benefits for fertility compared to myomectomy.
- Detailed data on pregnancy rates and ovarian function post-UAE are presented.
Conclusions:
- UAE is a viable option for women of reproductive age seeking fertility preservation.
- UAE demonstrates potential advantages over myomectomy for women desiring future pregnancies.
- Further research should focus on optimizing UAE protocols for fertility outcomes.
