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693
Uterine artery embolization for heavy menstrual bleeding.
Jonathan Moss1, Andrew Christie1
1Department of Interventional Radiology, Queen Elizabeth University NHS Hospital Glasgow, 1345 Govan Rd, Govan, Glasgow, G51 4TF, UK.
Women'S Health (London, England)
|January 13, 2016
Summary
Uterine artery embolization (UAE) is a safe and effective treatment for fibroids, offering an alternative to surgery for heavy menstrual bleeding. Ongoing research compares UAE with other options, especially for women desiring future fertility.
Area of Science:
- Interventional Radiology
- Gynecology
- Vascular Surgery
Background:
- Uterine artery embolization (UAE) was introduced in 1995 for treating uterine fibroids.
- Initial adoption was met with skepticism, leading to varied global implementation.
- Publication of randomized controlled trials and national guidelines established UAE's safety and efficacy.
Purpose of the Study:
- To review the established role of UAE in managing fibroid-associated heavy menstrual bleeding.
- To highlight ongoing research comparing UAE with alternative medical and surgical treatments.
- To address the specific considerations for fertility preservation in women undergoing UAE.
Main Methods:
- Review of published randomized controlled trials and registries.
- Analysis of national guidance statements on fibroid treatment.
- Ongoing comparative research evaluating UAE against other interventions.
Main Results:
- UAE is now recognized as a safe and proven treatment for fibroids.
- It is a standard discussion point as a non-surgical option for heavy menstrual bleeding.
- Comparative research is actively evaluating its merits against other treatments.
Conclusions:
- Uterine artery embolization is an established treatment for fibroids, offering a viable alternative to hysterectomy.
- Further research is crucial to define its comparative effectiveness, particularly for fertility-sparing management.
- UAE represents a significant advancement in minimally invasive gynecological care.

