How to Choose Between UAE and UFE Procedures?

Making an informed decision about your health often begins with understanding your options. For women dealing with uterine fibroids, the choice between Uterine artery embolization (UAE) and the UFE procedure can seem confusing. Although these two terms are often used interchangeably, subtle differences exist in their medical context, patient focus, and procedural approach. This guide breaks down what each involves, how they compare, and what you should consider before choosing.

Understanding Uterine Artery Embolization (UAE)
Uterine artery embolization is a minimally invasive treatment designed to block the blood supply to fibroids, leading to their shrinkage. It’s performed by an interventional radiologist rather than a surgeon. Using advanced imaging guidance, tiny particles are injected into the arteries supplying the uterus, cutting off the fibroid’s oxygen and nutrient flow.
Step-by-Step Overview
1. The patient receives mild sedation and local anesthesia.
2. A small catheter is inserted through the groin or wrist artery.
3. Guided by fluoroscopy (real-time X-ray imaging), the radiologist navigates to the uterine arteries.
4. Tiny embolic particles are released to block blood flow to the fibroids.
5. The catheter is removed, and a small bandage is applied.
The procedure typically takes about 60–90 minutes, and most patients return home the same day or after an overnight observation.
Benefits of UAE
• Minimally invasive (no surgical incision)
• Preserves the uterus
• Short recovery time (7–10 days)
• Effective symptom relief for most fibroid types
Risks and Considerations
While Uterine artery embolization is generally safe, potential risks include infection, temporary amenorrhea (menstrual changes), and post-embolization syndrome (mild fever, fatigue, pelvic pain). In rare cases, it may impact fertility.

 

What Is the UFE Procedure?
The UFE procedure (Uterine Fibroid Embolization) is essentially a specialized form of UAE specifically targeting fibroids rather than other uterine conditions. The key difference lies in its focused goal: treating symptomatic fibroids without removing the uterus.
Step-by-Step Overview
1. Local anesthesia is applied; sedation ensures comfort.
2. A small catheter is inserted into the femoral or radial artery.
3. Using X-ray imaging, the radiologist directs the catheter to the arteries feeding the fibroids.
4. Tiny embolic materials are injected to block these vessels.
5. The fibroids shrink over time as blood supply diminishes.
This outpatient procedure generally requires 1–2 hours. Most patients resume normal activities within 1–2 weeks.
Benefits of UFE
• Targets fibroid symptoms such as heavy bleeding and pelvic pain
• Preserves uterus and avoids general anesthesia
• Lower risk of complications than open surgery
• Effective for multiple fibroids simultaneously
Risks and Recovery
The risks of the UFE procedure near me mirror those of UAE: mild cramping, fatigue, or temporary menstrual irregularities. Most women experience symptom relief within three months. Follow-up imaging ensures fibroid shrinkage and uterine health.

UAE vs. UFE: What’s the Difference?
Uterine Artery Embolization (UAE) and Uterine Fibroid Embolization (UFE) are closely related, minimally invasive procedures that use image-guided techniques to block blood flow to targeted areas. The main difference lies in their focus UAE treats various uterine conditions such as postpartum bleeding or adenomyosis, while UFE specifically targets uterine fibroids.
During UFE, tiny particles are injected into the arteries feeding the fibroids, causing them to shrink and symptoms to improve over time. Both procedures avoid major surgery, preserve the uterus, and promote faster recovery, offering women effective, low-risk alternatives to hysterectomy or myomectomy.

Effectiveness and Success Rates
Both Uterine artery embolization and the UFE procedure near me demonstrate high success rates in treating fibroid-related symptoms.
Symptom Relief: Over 85–90% of patients experience improvement in heavy bleeding and pelvic pressure.
Fibroid Shrinkage: Fibroids typically reduce by 40–60% in size within 6 months.
Recurrence: Less than 10% of women require additional treatment.
Comparing with Surgical Alternatives
Surgical procedures like myomectomy or hysterectomy can also treat fibroids, but they carry longer recovery times and potential surgical risks. In contrast, embolization offers a balance between efficacy and minimally invasive care.

Recovery and Aftercare
After a Uterine artery embolization or UFE procedure, most women return home the same day. Post-procedure cramping and mild fever (post-embolization syndrome) may occur but typically resolve within days.
Common Recovery Tips
• Rest and hydrate well for the first few days.
• Use prescribed pain relievers as directed.
• Avoid heavy lifting for one week.
• Follow up with your radiologist to monitor healing and fibroid reduction.
Most patients report significant relief in menstrual flow, pain, and pressure after recovery.

How to Decide Which Procedure Is Right for You?
When facing the decision between Uterine artery embolization and the UFE procedure, the determining factors often include:
Primary Diagnosis: If fibroids are the only issue, UFE is typically preferred. If adenomyosis is also present, UAE may be recommended.
Fertility Goals: Women planning pregnancy should discuss fertility-preserving alternatives.
Fibroid Size and Location: Larger or submucosal fibroids may require different treatment strategies.
Personal Comfort with Minimally Invasive Procedures: Both options are non-surgical but involve radiologic intervention.
Question: How do I find the best UFE procedure near me?
Answer: Look for interventional radiology centers specializing in fibroid care. Verify board certification, patient outcomes, and reviews. Consultation with a fibroid specialist ensures a tailored approach.

Cost and Insurance Coverage in the U.S.
In the U.S., both Uterine artery embolization and UFE procedures are typically covered by major health insurance providers when medically indicated. Costs vary depending on facility, location, and insurance plan, but generally range between $8,000–$15,000 before insurance adjustments.
Patients are encouraged to confirm coverage details, including imaging, radiology fees, and post-procedure visits.

Real-World Perspective
Manywomen share similar journeys from years of discomfort to finally finding relief through embolization. One patient described how, after years of heavy bleeding and fatigue, undergoing the UFE procedure near me changed her quality of life. Within months, her symptoms eased, and she returned to daily activities with renewed energy.
Such experiences highlight how choosing the right treatment not only restores health but also emotional well-being.

When to Consult a Specialist?
If fibroid symptoms interfere with your daily life, such as heavy bleeding, pelvic pain, bloating, or frequent urination, it’s important to consult a fibroid specialist or interventional radiologist. Early consultation helps determine whether Uterine Artery Embolization (UAE) or another therapy best suits your individual health profile.
At USA Fibroid Centers, patients receive expert, compassionate care from specialists experienced in minimally invasive, uterus-sparing procedures. Both UAE and Uterine Fibroid Embolization (UFE) offer long-term relief without the need for surgery, helping women regain comfort, confidence, and control over their health while preserving fertility and overall well-being.