Uterine Issues

Uterine issues are only one of the many gender specific medical conditions that women have to worry about.  One of the most common uterine issues are uterine fibroids.  Fibroids are large, benign tumors that develop on, around, or in the uterus.  They develop at various points in a woman's life, but primarily after the age of 35.  These tumors can be as small as a pea, or they can easily get larger than a baseball.  Once these fibroids have developed, they can become very problematic, causing severe issues for most women.

Once they have grown to a certain size, they can cause menstrual complications, including very heavy and painful periods, and potential pregnancy complications, including an increased change of miscarriage along with additional pain and discomfort from the additional mass in the area.  Many women with them will need to have treatment in order to alleviate their symptoms. 

Usually, the only real course of action for this medical condition is either a partial hysterectomy or open surgery, depending on the type and size of the fibroids present.  Because of these types of treatments, women would no longer be able to have children is they had the fibroids removed, or they could remain fertile and deal with the complications from the tumors.  New treatment options and pain management procedures have made it so women do not have to undergo complicated surgeries to receive treatment for their uterine fibroids. 

Uterine fibroid embolization, or uterine arterial embolization, is a minimally invasive medical procedure that is designed to reduce the size of the tumors to a point where they are no longer causing problematic symptoms.  This procedure effectively reduces the size of the fibroids without causing the woman to become infertile.  This procedure can be performed on multiple fibroids and symptoms are normally resolved in under a week's time. 

How The Procedure Is Performed

Uterine fibroid emboliziation is a consideration after you've been diagnosed with problematic fibroids.  This is normally done through a pelvic exam, followed by either a MRI or an ultrasound to confirm and located the individual fibroids.  Many women will develop more than one at a time.  Once it has been established that these fibroids are causing the issues, treatment can be scheduled.

Unlike many other pain management and minimally invasive medical procedures, uterine fibroid embolization does require some degree of sedation, and like many other, will need localized anesthesia.  Once the patient is properly sedated, a small incision is made near the groin, and a catheter is inserted into the artery leading the the uterus.  Guide with help from a fluoroscope or ultrasound, the catheter is led to the smaller capillaries that are feeding the fibroids with blood.  Small pellets are then fed into these small blood vessels, stopping the flow of blood to the fibroid.  The flowing blood ensures that these particles go directly where the doctor intends for them to go.  Once the capillaries are blocked, the catheter is removed and the procedure is complete.

Following the procedure, most patients will have to stay in the hospital for around 24 hours, which is still a much shorter hospital stay than other medical procedures.  Following the procedure, certain guidelines need to be followed; you are not allowed to lift more than 10 pounds for the first week following the treatment, you should stay off your feet for the first day, and then slowly increase your activity.  Most patients return to work within the week.  For the first few days following the procedure, a fever may develop along with flu-like symptoms.  This is not due to an infection or because of any complications, but rather a result of the blood flow being cut off from the fibroid.  Essentially, the fibroids are dying by being denied blood, and with it oxygen and nutrients.  Following this initial period, they will dramatically shrink in size, taking with them the symptoms.  Patients tend to start noticing results in the first week.

Women who have had this procedure performed claim an almost complete elimination of symptoms, and they are still capable of having children.  This medical procedure has a success rate of around 90 percent.

If you suffer from this uterine issue, you need to discuss your options with your doctor.  Many insurance companies are currently covering UFE with as an alternative to traditional treatments.

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