Uterine Artery Embolization (UAE) for Adenomyosis: A Minimally Invasive Alternative to Hysterectomy
At ARVC, we understand that living with the debilitating symptoms of adenomyosis can significantly impact your quality of life. If you're seeking an effective treatment option that doesn't involve major surgery or a lengthy recovery, Uterine Artery Embolization (UAE) might be the answer you've been looking for.
What is Adenomyosis?
Adenomyosis is a condition where the tissue that normally lines the uterus (endometrium) grows into the muscular wall of the uterus (myometrium).
The adenomyosis tissue continues to function as it normally would by thickening, breaking down, and bleeding with each menstrual cycle, but now inside the muscle layer of the uterus causing more severe symptoms.
This results in an enlarged uterus and can cause painful and heavy periods. It is considered a benign condition, meaning it is not cancerous.
Adenomyosis can cause a range of symptoms, and some women may experience no symptoms at all. Common symptoms include:
- Heavy or prolonged menstrual bleeding (menorrhagia): This can lead to anemia, causing fatigue, dizziness, and weakness.
- Severe menstrual cramps (dysmenorrhea): Pain can be sharp, knife-like, or a dull ache in the pelvic area.
- Chronic pelvic pain: Pain may be present even outside of menstruation.
- Painful intercourse (dyspareunia): Deep penetration during sex can cause discomfort.
- Enlarged uterus: The uterus may feel tender or enlarged during a pelvic exam.
- Feelings of abdominal bloating, fullness or heaviness.
What is UAE?
- UAE is a minimally invasive, in-office procedure performed by a Vascular & Interventional Radiologist. The procedure involves restricting the blood supply to the adenomyosis, causing the abnormal growth of endometrial tissue to shrink and significantly reduces or eliminates your symptoms. UAE has been FDA-Approved for 25+ years and has been proven to be an effective long term non-surgical treatment solution for adenomyosis.
During the Procedure
- Moderate Sedation & Local Anesthesia: You’ll be given medication to help you relax (twilight anesthesia) and feel comfortable. Local anesthesia will numb the area where the catheter is inserted through a vessel in your upper thigh.
- Catheter Insertion: A thin catheter will be inserted through a small puncture in your groin and guided to the uterine arteries using X-ray imaging.
- Embolization: Tiny particles will be injected through the catheter to block the blood flow to the fibroids or adenomyosis.
- Monitoring: You’ll be closely monitored throughout the procedure to ensure your safety and comfort.
After the Procedure
- Recovery Room: You’ll be moved to a recovery room for observation for a few hours.
- Pain Management: You may experience some cramping or discomfort for a few days, which can be managed with pain medication.
- Discharge: Most patients go home the same day or the next day after the procedure.
- Follow-up: You’ll have a follow-up appointment with your doctor to monitor your progress and recovery.
Advantages of UAE over Hysterectomy:
- Preserves your uterus: Unlike hysterectomy, which involves the complete removal of the uterus, UAE allows you to keep your uterus intact. This is particularly important for women who desire future fertility or wish to avoid the emotional and physical impact of a hysterectomy.
- Minimally invasive: UAE is performed through a tiny incision in the groin, (instead of the abdomen or female parts) resulting in no scarring, reduced pain, and a faster recovery compared to traditional open surgery.
- No hospital stay: Patients recover at home.
- Quicker recovery: You can typically resume your normal activities within 2-5 days compared to a 6–8-week recovery period associated with a hysterectomy.
- High Success Rate: UAE is an FDA-Approved, safe and effective non-surgical treatment option for women suffering from heavy menstrual bleeding, pelvic pain and painful intercourse due to adenomyosis.
Why Choose ARVC for Treatment of Adenomyosis?
Expert Team of Vascular & Interventional Radiologists:
Our team of experienced interventional radiologists specializes in performing UAE with precision and expertise.
Personalized Treatment Plans
We tailor treatment plans to your individual needs and condition, ensuring the most effective approach for your symptom relief.
Focus on Your Well-Being
We prioritize your comfort and well-being, offering compassionate care and personalized attention throughout your treatment journey.
State-of-the-Art Facilities
Our clinics are equipped with the latest technology to ensure a safe and comfortable experience.
Take the first step towards a better quality of life.
Remember, you have options beyond hysterectomy. Choose UAE and reclaim your life.
