https://www.usafibroidcenters.com/blog/uterine-artery-embolization-vs-uterine-fibroid-embolization/




Uterine Artery Embolization vs. Uterine Fibroid Embolization:
Understanding Your Treatment Options
When dealing with uterine fibroids, there are several treatment options available, and two of the
most commonly discussed procedures are uterine artery embolization (UAE) and uterine fibroid
embolization (UFE). While these terms are often used interchangeably, it’s important to
understand the subtle differences between them, how they work, and which one might be the
best option for treating your fibroids. Both procedures are non-invasive alternatives to
traditional surgery, offering a promising solution for women who wish to avoid a hysterectomy
or other more invasive treatments.
What is Uterine Artery Embolization?
Uterine artery embolization (UAE) is a minimally invasive procedure that involves blocking the
blood vessels supplying blood to the fibroids. The fibroids are highly dependent on blood flow
for growth, so by cutting off this blood supply, the fibroids shrink and eventually die off. This
procedure can be performed through a small incision in the groin or wrist, where a catheter is
inserted and threaded up to the uterine arteries. Tiny particles are then injected into these
arteries to block the blood flow to the fibroids.
UAE is particularly effective for women with multiple fibroids or those who have fibroids in
different locations within the uterus. The procedure is performed under local anesthesia and
typically takes about one to two hours. Afterward, patients may experience mild to moderate
pain, which can be managed with over-the-counter medications. Recovery time is relatively
quick, and most women can return to normal activities within a week or two.
What is Uterine Fibroid Embolization?
Uterine fibroid embolization (UFE) is essentially the same procedure as UAE but is more
specifically aimed at treating fibroids. While UAE is the broader term, UFE refers specifically
to the embolization process used to target the fibroids directly. The goal is the same: to block
the blood supply to the fibroids, causing them to shrink and alleviate symptoms like heavy
menstrual bleeding, pelvic pain, and urinary problems.
UFE also uses a catheter inserted through a small incision, but the focus is primarily on fibroid
treatment. Like UAE, it is a minimally invasive procedure with a relatively quick recovery time.
Women who undergo UFE typically experience a significant reduction in fibroid symptoms,
and the procedure can be repeated if necessary.
Key Differences Between Uterine Artery Embolization and Uterine Fibroid
Embolization
While the terms UAE and UFE are often used interchangeably, the key difference lies in the
specificity of the treatment. UAE is the more general term, referring to the embolization of the
uterine arteries to block blood flow to fibroids. On the other hand, UFE specifically targets the
fibroids themselves. In essence, UFE is a form of UAE, but it is more precisely tailored to
address fibroid issues.
Another difference lies in the diagnostic process. UFE is typically recommended when a
woman has been diagnosed with fibroids and is seeking treatment specifically for their


symptoms, whereas UAE may be more commonly used in cases where there are other uterine
conditions or vascular issues involved. Both procedures are highly effective for treating
fibroids, but UFE is usually the go-to procedure for women whose primary concern is the
fibroids themselves.
Benefits of Uterine Artery Embolization and Uterine Fibroid Embolization
Both UAE and UFE offer a variety of benefits over traditional surgery. One of the biggest
advantages is that both procedures are non-invasive, meaning they don’t require large incisions
or significant recovery time. Women who undergo either procedure typically experience less
pain, less blood loss, and a quicker return to normal activities than those who have more
invasive treatments like myomectomy or hysterectomy.
Another advantage of both UAE and UFE is that they preserve the uterus. This is a crucial
factor for women who wish to retain their fertility, as both procedures allow for the potential of
future pregnancies. However, while the procedures are effective for most women, they may not
be suitable for women with very large fibroids or those with fibroids located in certain areas of
the uterus. A thorough evaluation by a specialist is necessary to determine if either procedure is
appropriate.
Risks and Considerations
Like all medical procedures, both UAE and UFE come with some risks. The most common side
effects are pelvic pain, cramping, and possible infection. There is also a small risk of damage to
healthy tissue surrounding the fibroids, which can cause complications. In some cases, fibroids
may not shrink enough to relieve symptoms, requiring additional treatment.
Another consideration is that while the procedures are successful for many women, they do not
guarantee complete symptom relief. Fibroids may regrow over time, or the symptoms may
return. For women who experience recurring symptoms after UFE or UAE, additional treatment
options, such as a repeat embolization or surgical intervention, may be necessary.
Conclusion
Both uterine artery embolization and uterine fibroid embolization are highly effective,
minimally invasive treatments for women suffering from fibroids. While the procedures are
similar, UFE specifically targets the fibroids themselves, while UAE is the broader term for
embolization of the uterine arteries. Both options offer significant benefits over traditional
surgery, including faster recovery times, less pain, and the preservation of the uterus. However,
it’s important to speak with your healthcare provider to determine which treatment is right for
you, as individual circumstances and fibroid characteristics can influence the best approach.
If you are dealing with uterine fibroids and looking for a non-surgical option, uterine artery
embolization and uterine fibroid embolization may provide the relief you need to return to a
normal, healthy life. For more information on these procedures and to discuss your treatment
options, visit the USA Fibroid Centers blog on uterine artery embolization vs. uterine fibroid
embolization.