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Uterine artery embolisation: fertility, adenomyosis and size - what is the evidence?


ABSTRACT:

Background

Uterine artery embolisation is well established as a treatment for symptomatic fibroids, however, there remain some uncertainties. We have carried out a focused literature review on three particularly challenging aspects - post-procedure fertility, symptomatic adenomyosis and large volume fibroids and uteri, to enable operators to utilise evidence-based guidance in patient selection, consent, and management.

Review

Literature searches were performed of the PubMed/Medline, Google scholar, EMBASE and Cochrane databases. The outcomes of our analysis of studies which recorded fertility rates in women desiring pregnancy following UAE for symptomatic fibroids found an overall mean pregnancy rate of 39.4%, live birth rate of 69.2% and miscarriage rate of 22%. The major c

SUBMITTER: Mailli L 

PROVIDER: S-EPMC9971423 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature