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Uterine Fibroid Embolization: Before Your Procedure

Uterine fibroids

What is uterine fibroid embolization?

Uterine fibroid embolization is a treatment to destroy or shrink uterine fibroids, which are benign (non-cancerous) tumours of the uterine wall or muscle.

During the procedure, the doctor inserts a thin, flexible tube called a catheter into blood vessels in both of your upper thighs. The doctor sends tiny particles through the catheter. These particles prevent your fibroids from getting blood. Without blood, the fibroids shrink or die.

You will be awake during the procedure. You will be given medicine to help you relax and to help with pain. The treatment usually takes 1 to 3 hours.

Most women go home 6 to 24 hours after the treatment. You will probably need about 7 to 10 days to fully recover. You may have some pain for a few hours to a few days after the treatment as the fibroids shrink.

This treatment should decrease pain and heavy bleeding caused by fibroids. It may also prevent your fibroids from growing back. After the procedure, you will have less blood flow to your uterus. Because of this, pregnancy is not recommended after uterine fibroid embolization. Talk with your doctor about birth control options.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

How do you prepare for the procedure?

Procedures can be stressful. This information will help you understand what you can expect. And it will help you safely prepare for your procedure.

Preparing for the procedure

  • Be sure you have someone to take you home. Anesthesia and pain medicine will make it unsafe for you to drive or get home on your own.
  • Understand exactly what procedure is planned, along with the risks, benefits, and other options.
  • If you take aspirin or some other blood thinner, ask your doctor if you should stop taking it before your procedure. Make sure that you understand exactly what your doctor wants you to do. These medicines increase the risk of bleeding.
  • Tell your doctor ALL the medicines and natural health products you take. Some may increase the risk of problems during your procedure. Your doctor will tell you if you should stop taking any of them before the procedure and how soon to do it.
  • Make sure your doctor and the hospital have a copy of your advance care plan. If you don't have one, you may want to prepare one. It lets others know your health care wishes. It's a good thing to have before any type of surgery or procedure.

What happens on the day of the procedure?

  • Follow the instructions exactly about when to stop eating and drinking, or your procedure may be cancelled. If your doctor has instructed you to take your medicines on the day of the procedure, please do so using only a sip of water.
  • Take a bath or shower before you come in for your procedure. Do not apply lotions, perfumes, deodorants, or nail polish.
  • Remove all jewellery, piercings, and contact lenses.
  • Leave your valuables at home.

At the hospital or surgery centre

  • Bring a picture ID.
  • A small tube (IV) may be placed in a vein, to give you fluids and medicine to help you relax.
  • You will be kept comfortable and safe by your anesthesia provider. You will get medicine to help you relax and to help with pain.
  • The procedure will take about 1 to 3 hours.
  • As you wake up in the recovery room, the nurse will check to be sure you are stable and comfortable. It is important for you to tell your doctor and nurse how you feel and ask questions about any concerns you may have.

When should you call your doctor?

  • You have questions or concerns.
  • You don't understand how to prepare for your procedure.
  • You become ill before the procedure (such as fever, flu, or a cold).
  • You need to reschedule or have changed your mind about having the procedure.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.