Myomectomy vs. UFE: Which Fibroid Treatment Is Best for You?

When you’re dealing with uterine fibroids, choosing the right treatment can feel overwhelming. Two commonly considered options are UFE vs Myomectomy. Both aim to relieve symptoms and preserve the uterus, but they differ significantly in how they work, risks, recovery, and long-term outcomes. Here’s what you need to know to make an informed decision.

What Are UFE and Myomectomy?

Uterine Fibroid Embolization (UFE) is a minimally invasive, non-surgical procedure. An interventional radiologist inserts a catheter through the wrist or groin, then injects tiny particles to block the blood flow to fibroids. Without a blood supply, fibroids shrink over time, and symptoms gradually improve.

Myomectomy is a surgical procedure that physically removes fibroids while preserving the uterus. There are different types: abdominal myomectomy, laparoscopic myomectomy, and hysteroscopic myomectomy. The choice depends on the number, size, and location of fibroids.

Key Differences Between UFE vs Myomectomy

  • Invasiveness: UFE is non-surgical and catheter-based, while myomectomy is a surgical procedure that may involve incisions.

  • Recovery Time: UFE usually requires one to two weeks, whereas myomectomy can take two to six weeks depending on the approach.

  • Risks: Myomectomy carries higher risks of blood loss and scarring, while UFE generally involves fewer complications.

  • Effectiveness: Both relieve symptoms, but UFE shrinks fibroids over time, while myomectomy removes them directly.

Fertility Considerations in UFE vs Myomectomy

If future pregnancy is a priority, myomectomy has traditionally been recommended because it restores the uterus by removing fibroids. However, UFE also preserves the uterus, and many women successfully conceive after the procedure. Choosing between UFE vs myomectomy for fertility depends on the fibroid’s size, location, and your doctor’s recommendations.

Which Is Right for You?

When comparing UFE vs Myomectomy, the best choice depends on your health goals. If you want faster recovery and a non-surgical solution, UFE may be ideal. If you want targeted removal for fertility purposes, myomectomy might be the preferred option. Consulting a fibroid specialist is the best way to determine which treatment suits your needs.

Conclusion

Both treatments are effective, but the comparison of UFE vs Myomectomy highlights important differences in invasiveness, recovery, risks, and fertility outcomes. The right decision depends on your symptoms, lifestyle, and long-term plans.

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