Pregnancy After Uterine Artery Embolization

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Pregnancy After Uterine Artery Embolization

A recent study published in the Journal of Roentgenology reported on pregnancies and their outcome after uterine artery embolization for symptomatic uterine fibroids.

From 2001 to 2004, 102 patients (mean age, 35.7 years; range, 20–48 years) with symptomatic uterine fibroids underwent uterine artery embolization.

A recent study published in the Journal of Roentgenology reported on pregnancies and their outcome after uterine artery embolization for symptomatic uterine fibroids.  

From 2001 to 2004, 102 patients (mean age, 35.7 years; range, 20–48 years) with symptomatic uterine fibroids underwent uterine artery embolization.

Results:     Among 102 women who underwent bilateral uterine artery embolization, 23 (22.5%) were seeking to become pregnant, and 14 of the 23 (61%) became pregnant. Fourteen pregnancies were spontaneous, and one was achieved by zygote intrafallopian transfer. Two miscarriages occurred, one in the 12th and one in the 16th week of gestation. The other 13 pregnancies went to term, were uncomplicated, and ended in elective cesarean delivery. All of the neonates were healthy with Apgar scores greater than 8.

Conclusion:     Uterine artery embolization can serve as a substitute for invasive operations such as hysterectomy and myomectomy. Additional studies, including prospective, randomized comparisons with myomectomy, should be performed.

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