For women diagnosed with fibroids who want children, whether now or in the future, the fertility question is often the most urgent one. Can I get pregnant with fibroids? Will treatment affect my ability to conceive? And where does UFE fit in?
How fibroids affect fertility. Not all fibroids impair fertility. Location matters more than size. Submucosal fibroids, those that distort the uterine cavity, have the strongest association with reduced fertility and pregnancy complications. They can interfere with embryo implantation, increase miscarriage risk, and cause preterm delivery. Intramural fibroids may also affect fertility when they’re large enough to distort the cavity. Subserosal fibroids (on the outer uterine surface) generally do not impact fertility.
UFE and fertility: what the evidence shows. The relationship between UFE and subsequent fertility is an area of active research and nuanced clinical discussion. Published case series have documented successful pregnancies after UFE, and patients have had healthy deliveries post-procedure. However, the SIR (Society of Interventional Radiology) notes that the effect of UFE on fertility is not fully established, and most guidelines recommend that women for whom fertility is the primary concern discuss myomectomy as the first-line uterus-preserving surgical option.
The key distinction: myomectomy surgically removes individual fibroids and is the treatment with the most established fertility data. UFE shrinks all fibroids simultaneously by blocking their blood supply and is ideal for symptom relief and uterine preservation, but the fertility conversation requires individualized counseling.
What we recommend. At SACMD, Dr. Chun has a transparent discussion about fertility with every UFE candidate of reproductive age. If fertility is your primary goal, we’ll discuss whether myomectomy or UFE is more appropriate based on your fibroid number, size, location, and reproductive timeline. If symptom relief is your primary goal and fertility is a secondary consideration, UFE may offer the best balance of effectiveness, recovery time, and uterine preservation.
No woman should make this decision without complete information.
Schedule a consultation: Call (240) 427-1630 or visit www.sacmd.com
Disclaimer: This article is for informational purposes only and does not constitute medical advice.
References:
- SIR. UFE and Fertility: Patient Information.
- NIH/NICHD. Fibroids and Fertility.
- ACOG. Management of Uterine Fibroids. Practice Bulletin.
- Mayo Clinic. Uterine Fibroids — Complications.
