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?
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
- 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.
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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).
- 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%.
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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.
