Pregnancy after UAE
The official UK guidelines from the Royal College of Radiologists and Royal College of Obstetricians and Gynaecologists Joint Working Party (November 2000) recommended that women undergoing uterine fibroid embolisation should be advised not to try and conceive due to theoretical adverse effects on the embryo. These early recommendations were perhaps over-cautious and it is recognised that many women choose embolisation as an alternative to hysterectomy in order to preserve fertility and keep their options open. It is not, however, advisable to become pregnant within 12 months of the procedure as the fibroids are still breaking down.
Most of the major centres around the world performing UAE now have patients who have had normal pregnancies following embolisation although there is probably a higher risk of requiring a caesarean delivery. There is still much ongoing research and data collection in this area and if fertility is a particular concern Dr. Crowe will discuss the latest findings with you at the time of your initial consultation.