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  3. Success rate of Pregnancy after Uterine Embolization

Success rate of Pregnancy after Uterine Embolization

Explore the possibility of pregnancy after uterine embolization, with a focus on health outcomes and fertility preservation.

  • Gynecologyy
By Sakshi More 6th May '24 7th May '24

Pregnancy after uterine embolization is a topic of interest for many women who have undergone this procedure to treat fibroids or other benign gynecological conditions. Uterine embolization, or uterine artery embolization (UAE), is less invasive than traditional surgery. It offers hope for those trying to conceive after treatment. This article delves into what expectant mothers can expect. It covers fertility prospects and possible pregnancy risks.

Schedule a consultation with the top gynecologists in India today and take the first step towards understanding your fertility and pregnancy options post-uterine embolization.

What is Uterine Embolization?

What is Uterine Embolization?

Uterine embolization, or uterine artery embolization (UAE), is a non-surgical procedure. It is mainly used to treat uterine fibroids. Doctors inject small particles into the uterine arteries. This blocks blood flow to the fibroids. This causes them to shrink. The fibroids are benign tumors that can cause severe symptoms. These include heavy menstrual bleeding, pelvic pain, and pressure on other pelvic organs. During the procedure, a radiologist uses imaging to guide placing small particles. Someone puts them into the uterine arteries.  

Is pregnancy possible after uterine embolization?

Yes, pregnancy is possible after uterine embolization. Many women have conceived after the procedure. But, it may come with concerns about fertility and timing.

A systematic study showed that the pooled estimate of the pregnancy rate after UAE for uterine arteriovenous malformations was 23.3%. Another study reported that out of 21 females who became pregnant within four years following embolization, there were 18 live births, 4 spontaneous abortions, and 2 elective abortions. These findings suggest that while pregnancy is possible in the UAE, the rates may be lower than in the general population.

But wait, there's more to consider: Before jumping into decisions about pregnancy post-uterine embolization, it’s vital to understand it in detail.

When to get pregnant after uterine embolization?

The timing of pregnancy after uterine embolization is key. It maximizes the chance of a healthy outcome. Doctors recommend waiting at least six months after the procedure. Then, they advise attempting to conceive. This wait lets the body heal. It lets the impact of the embolization on fibroids be fully seen.

Now, you might be wondering: How exactly does uterine embolization affect your chances of conceiving? Let’s read ahead

Risks of pregnancy after uterine embolization

Risks of Pregnancy After Uterine Embolization

  • Miscarriage: There is an increased risk of spontaneous miscarriage compared to the general population.
  • Preterm Delivery: Pregnancies may have a higher likelihood of ending in preterm delivery, which means giving birth before 37 weeks of gestation.
  • Abnormal Placentation: In some cases, the placenta may grow deeper into the uterine wall, which can lead to complications during delivery.
  • Postpartum Hemorrhage: There is a risk of heavier than normal bleeding after giving birth, which can require medical intervention.
  • Intrauterine Growth Restriction (IUGR): This condition can occur if the baby does not grow to the expected size in the womb.

How does uterine embolization affect fertility?

  • Potential for Reduced Fertility: In some cases, uterine embolization can affect ovarian function temporarily or permanently, reducing fertility.
  • Preservation of the Uterus: Unlike some surgical alternatives, uterine embolization does not involve the removal of the uterus, preserving the potential for pregnancy.
  • Possible Impact on Uterine Environment: The procedure might affect the uterine lining and its ability to support embryo implantation and pregnancy.
  • Varies by Individual: The impact on fertility can vary greatly depending on individual factors such as age, the size and location of fibroids, and overall reproductive health.

Don't lose your hope. With the advancement of medical science, many couples fulfilled their dream of parenthood through assisted reproductive therapy. Talk to the best fertility experts in India today for personalised treatment. 

Can uterine embolization improve symptoms of fibroids during pregnancy?

Uterine embolization can greatly ease the symptoms of fibroids. These include heavy periods and pelvic pain. This improvement can boost the quality of life during pregnancy. However, the procedure is not recommended during pregnancy. This is because it poses risks to the fetus. It should ideally be considered as a pre-pregnancy intervention.

Success rates of pregnancy after uterine embolization

The success of pregnancy after UAE is influenced by several factors, including the woman’s age, the underlying reason for the embolization, and the presence of other fertility issues.

  • The global success rate after embolization treatment was approximately 88.4%, with a low risk of adverse outcomes (only 1.8%), even in women with later pregnancies (77% had no complications).
  • The estimate of the pregnancy rate after UFE was 23.3%.
  • Live birth rates were estimated at 88.6%.
  • Notably, studies of women with an average age of 30 or younger had a higher pregnancy rate (about 50.6%). This is compared to older groups, who had rates around 22.2%.

Want more information on managing fibroids? Book an appointment now for fibroid management and pregnancy planning!

Conclusion

Pregnancy after uterine embolization is a viable option for many women. By understanding the procedure, its impact on fertility, and the risks, women can make informed decisions about their fertility.

FAQs

What should you consider before choosing uterine embolization if you want to conceive?

Consider your age, general health, fibroid size, and location. Talk to a fertility specialist. Understand how the procedure might affect your fertility and pregnancy plans.

How long after fibroid surgery can you get pregnant?

Experts recommend waiting 6 months to a year after fibroid surgery. Then, it's safe to try to conceive. This wait lets the body heal fully and ensures a stable uterus for pregnancy.

References:
Pregnancy success and outcomes after uterine fibroid embolization: updated review of published literature (birpublications.org)

Frontiers | Pregnancy rate and outcomes after uterine artery embolization for women: a systematic review and meta-analysis with trial sequential analysis (frontiersin.org)

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Question and Answers

so let me give you some context first, she has PCOD. and get's irregular periods, but since 1-2 months she was having normal periods due to some medecines, which her doctor prescribed. But at that time, even before we "did that", her periods were late for 5-6 days already. What happened is I went to my gf's place on 7th June. and we thought of just doing kisses and cuddles. But later on we crossed our limits and i got more aggressive towards her, which she liked. So she was giving me a handjob, and told me that there's some precum on her hand. But it dried really fast due to the fan and cooler. And later on I was rubbing my dick on her vagina without any clothes, and spreaded her outer area and she was getting hurt by it. I didn't went deep inside. and stopped there and after a bit she wore clothes and went to the washroom to clean herself down there and peed too. I didn't ejaculate inside her, and I'm not sure but i guess there wasn't precum either inside her. But not sure. And it's been many days since then, and she still hasn't gotten her periods yet. Her doctor doesn't know about the thing we did, and he just said that it's normal, and she'll get periods after her medecine. Today is her last dose of medicine left. We are worried that she might get pregnant? Ofcourse we don't want that to happen. Can you please help us out and tell us something? We're still not so old and responsible in both mentally and financial ways to take care of a baby

Female | 20

If you’re worried about a possible pregnancy, don’t be. The chances of it happening from what you’ve said are very slim. If there was no ejaculation or confirmed pre-cum inside her, then there is almost no risk at all. Stress can also delay periods. Tell her to relax as much as possible. If her period still doesn’t come, take a home pregnancy test to be sure. 

Answered on 11th June '24

Dr. Himali Patel

Dr. Himali Patel

Me and my wife had sex on 10th day after her periods started we used condom and now she have bleeding for past 2 days is there anything to worry?

Female | 24

If the intercourse was rough, it could just be irritation making itself known, or possibly even a small tear in your partner’s vaginal wall. Look out for any sign that it might have been more than that, like if there’s pain at all beyond normal discomfort during sex, or weird discharge afterward. 

Answered on 11th June '24

Dr. Swapna Chekuri

Dr. Swapna Chekuri

My periods date was 10 I wanted to delay my periods till 16 so I drink apple cider vinegar 3 times yesterday now today I spotted blood

Female | 19

When you took apple cider vinegar to postpone your period, it may have had an impact on your body. If you notice any blood after that, it could be due to the vinegar interfering with your menstrual cycle. This isn’t very common but it can happen. It would be better not to do this with apple cider vinegar again. Your body will probably return to its normal state before long.

Answered on 11th June '24

Dr. Swapna Chekuri

Dr. Swapna Chekuri

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