Fibroid embolization and childbearing-age women
(NAPSA)—WOMEN with fibroids who wish to retain fertility need to think twice about uterine fibroid (or artery) embolization (UFE or UAE). UFE is performed by radiologists with a small tube inserted into the large blood vessel in the groin. The vessels that feed the fibroid are then blocked with little plastic particles. However, the long-term control of fibroids through embolization is limited, and the risks associated with pregnancy after UFE are high.
“Women need all the facts about the limitations of UFE and the long-term effects on fertility,” said Dr. Paul Mackoul, M.D. “Additional fibroids can grow, fibroids that are embolized can re-establish a blood supply, and there are controversies with embolization and fertility. Patients who want to maintain fertility and who are referred for UFE should reconsider. Embolization can affect implantation of the embryo into the lining of the uterus where the baby grows. For a successful pregnancy, the blood supply and the lining need to be preserved.”
Uptodate®, the premier evidence?based clinical decision support resource, lists out conditions where UFE should NOT be used. There is also an adverse effect on women who have become pregnant after having UFE:
“A systematic review and several case series of pregnancies following UFE or UAE have reported adverse outcomes including miscarriage, preterm delivery, placental problems, and malpresentation.”
Advancements In Minimally Invasive Fibroid Removal Proven Safer For Fertility
The LAAM (laparoscopic-assisted abdominal myomectomy) minimally invasive fibroid removal at The Center for Innovative GYN Care (CIGC) is proven to be safer than open or robotic fibroid surgeries, and more effective than UFE at preserving the uterus for fertility.
CIGC laparoscopic GYN surgeons Paul Mackoul, M.D., Natalya Danilyants, M.D. and Dr. Rupen Baxi, M.D. specialize in this hybrid surgery that combines the thoroughness of an open procedure with the faster recovery of standard laparoscopy. LAAM uses two small incisions, one 5-mm incision at the belly button and a 1.5-inch incision at the bikini line. The uterus is then able to be repaired by hand, making it possible for women who wish to maintain fertility to carry a baby to term.
“LAAM patients have a better recovery,” said Dr. Danilyants. “Surgeons can feel all of the fibroids, large or small, and by controlling the bleeding, they can all be removed safely. Recovery is two weeks or less, and many patients return to work in 10 days. With better results and so little downtime, women do not have to put off having this procedure.”
Women suffering with fibroids who want to maintain fertility can consult a CIGC minimally invasive GYN specialist for an evaluation. Book a consultation at CIGC or call (888) 787-4379.