New Methods of Treatment of Fibroids and Infertility

via fibroidsmiracle.xyz

"...The last decade has seen increasing demand for safe and effective uterus- and “reproductive potential”-sparing treatment options for symptomatic uterine fibroids. The goal of this section is to review the important new techniques for uterus-sparing treatment of uterine fibroids and particularly their use in women with fibroids and infertility.

Newer uterus-sparing treatments include laser ablation, laparoscopic and vaginal occlusion of uterine arteries, MRGfUS (magnetic resonance-guided focused ultrasound surgery), and UAE (uterine artery emolization). However, many of these techniques have not been used on a large scale, and data on their reproductive outcomes in patients trying to conceive are insufficient to make recommendations. Here we review 2 techniques other than myomectomy, namely UAE and MRgFUS, that are currently being evaluated for patients who desire to keep their fertility.

(a) Uterine Artery Embolization (UAE):

Technique and Indications:
UAE was first introduced in 1995 for treatment of uterine fibroids. Uterine embolization has been well studied as an alternative to myomectomy and hysterectomy, mainly in women who no longer desire children, and it has progressively become one of the most widely used noninvasive conservative methods of treatment of uterine fibroids after myomectomy.

Current contraindications to UAE include pregnancy, infertility (or desire for future pregnancy), clinical findings and imaging suggestive of gynaecological malignancy, anaphylactic reaction to contrast material, renal failure, and coagulopathy..."

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