Treating Fibroids Without Surgery
Study Shows Embolization Is an Alternative to Surgery
What About Fertility?
The big unanswered question about uterine embolization is whether it is an
appropriate treatment option for women who want to preserve their fertility,
Currently, surgical fibroid removal without removing the uterus is
considered the treatment of choice for women with symptomatic fibroids who wish
But Montreal gynecologist and reproductive endocrinologist Togas Tulandi,
MD, says uterine embolization may prove to be a better approach for women who
are not good candidates for this surgery, known as myomectomy.
In an editorial accompanying the study, Tulandi wrote that concerns that
uterine embolization leads to early menopause have not been borne out by the
But he tells WebMD that the clinical picture is less clear regarding other
concerns related to fertility and childbirth.
Only about 150 pregnancies have been reported among women who have had
uterine embolization procedures.
Tulandi is the associate director of the McGill Reproductive Center at
Quebec’s McGill University.
“There are suggestions that miscarriage and premature delivery rates are
higher among these women, and that postpartum bleeding may be a problem,” he
says. “At this point, I think it is still premature to say that embolization is
a reasonable treatment for women who want to preserve their fertility.”