Overview

Uterine Fibroid Embolization (UFE) is an advanced, image-guided procedure used to treat symptomatic uterine fibroids.

Rather than surgically removing fibroids or the uterus, UFE/UAE works by reducing blood flow to the fibroids, causing them to shrink naturally over time.

The result: meaningful symptom relief with less downtime and no major surgery.

How UFE Works

Using advanced imaging guidance:

1. A small catheter is inserted through a small access site, typically in the wrist or groin
2. The catheter is guided to the uterine arteries supplying the fibroids
3. Tiny particles are delivered to reduce blood flow to the fibroids
4. The fibroids gradually shrink, helping relieve bleeding, pressure, and pain symptoms

The procedure is precise, targeted, and performed without open surgery.

Benefits of UFE

Compared to traditional surgical treatments, UFE offers:

• Minimally invasive treatment with no large incision
• Uterus-sparing approach
• Shorter recovery than hysterectomy or myomectomy
• Ability to treat multiple fibroids at once
• Outpatient or short-stay procedure in many cases

For many patients, UFE provides meaningful symptom improvement while avoiding major surgery.

What to Expect

Before the procedure:

• Imaging and evaluation to confirm candidacy
• Review of symptoms, fibroid anatomy, and treatment goals
• Coordination with referring physician
• Pre-procedure instructions

During the procedure:

• Typically performed with moderate sedation
• Catheter-based treatment through a small access site
• Advanced imaging used throughout the procedure
• Minimal to moderate discomfort during treatment

After the procedure:

• Same-day discharge or short observation in many cases
• Cramping, pelvic discomfort, fatigue, or nausea may occur temporarily
• Symptoms improve gradually as fibroids shrink

Recovery Timeline

• Rest is typically needed for several days
• Many patients return to light activity within about a week
• Bleeding and pressure symptoms often improve over weeks to months
• Follow-up is used to monitor symptom improvement and recovery

Who is a Good Candidate

UFE may be appropriate for patients who:

• Have symptomatic uterine fibroids
• Experience heavy bleeding, pelvic pressure, or pain
• Want to avoid surgery such as hysterectomy or myomectomy 
• Prefer a uterus-sparing option
• Have fibroid anatomy suitable for embolization

A consultation and imaging review are required to confirm eligibility.

Clinical Considerations

UFE is performed by interventional radiologists with specialized training in image-guided embolization procedures.

Not all fibroids are best treated with embolization, and treatment decisions depend on symptoms, imaging findings, reproductive goals, and overall health. ELMNT IR works closely with referring providers to ensure appropriate patient selection and coordinated care. 

Patients interested in future pregnancy should discuss reproductive goals during treatment planning.

How UFE Compares to Surgery

Traditional procedures such as hysterectomy or myomectomy involve surgical removal of the uterus or fibroids and may require longer recovery.

UFE offers a different approach: