Adenomyosis Treatment: Uterine Artery Embolization
Article supervised by Dr. Antoine Hakime, last updated on 27/12/2023.
Adenomyosis is a complex condition that affects women, leading doctors to look for new treatments. Uterine Artery Embolization (UAE) is a promising solution that helps ease the symptoms of adenomyosis while keeping fertility intact. We’ll take a closer look at the benefits of UAE, how it’s done, and its potential as a different way to treat adenomyosis.
What is adenomyosis ?
Adenomyosis is a tough problem for women, causing pain, heavy bleeding, and an enlarged uterus. It’s caused by hormonal imbalances, inflammation, and genetic factors. This drives the search for specific treatments.
Traditional Treatments:
Usually, adenomyosis is treated with hormone therapy, pain relief, and sometimes, in severe cases, by removing the uterus. However, these methods might not be suitable for everyone, especially those who want to have children in the future. This has led to the exploration of other options like Uterine Artery Embolization.
Uterine Artery Embolization (UAE): A New Approach
UAE is a less invasive procedure that offers a new way to treat adenomyosis. It works by blocking the blood vessels that supply the uterus with small particles, reducing the blood flow to the abnormal tissue and thereby easing symptoms.
How it Works:
During UAE, a radiologist uses imaging techniques to guide a catheter into the uterine arteries. The catheter releases tiny particles that block the blood vessels, limiting blood flow to the adenomyotic tissue. This helps shrink the tissue and reduces symptoms.
Benefits of Uterine Artery Embolization :
- Less Invasive: UAE is a surgery that’s not as intrusive, which means you can recover faster, spend less time in the hospital, and experience less pain after the surgery, compared to the traditional kind.
- Keeps Fertility Intact: UAE allows you to keep your uterus, making it a good choice for women who want to have children later. This is different from a hysterectomy, where the uterus is removed, and fertility ends.
- Eases Symptoms: After UAE, many patients either feel a significant improvement or a complete end to symptoms like pelvic pain, heavy menstrual bleeding, and having an enlarged uterus.
- Tailored to You: The procedure can be adjusted based on the size and location of the adenomyotic lesions, your overall health, and your reproductive goals.
Things to Consider:
- Choosing the Right Patients: It’s important to select the right patients for UAE, considering the size and location of the lesions, overall health, and reproductive goals. A detailed evaluation by a team of experts ensures the best treatment plan.
- Possible Risks: Although UAE is generally safe, there are risks like infection, damage to nearby structures, or unintended embolization. However, these risks are often lower than those of traditional surgery.
Fertility and sexual benefits of Uterine Artery Embolization
Uterine Artery Embolization (UAE) is a treatment mostly for fibroids and adenomyosis in the uterus. Fibroids can cause symptoms like heavy periods, pain in the pelvis, and pressure on the bladder. While the main goal of UAE is to help with these symptoms, it can also have some positive effects on sexual health and fertility, but with some important things to think about.
Sexual Benefits
Less pain: UAE can make sex less painful for women who have discomfort because of fibroids by making the fibroids smaller.
Better libido: By reducing symptoms from fibroids, such as a lot of bleeding and pain, a woman might feel better overall. This can make her more interested in sex.
Adenomyosis and fertility : UAE Benefits
Possibility to get pregnant: Studies show that many women have gotten pregnant after having UAE. This shows that it’s possible, but it depends on many things like how severe the fibroids are, the woman’s age, and her overall health.
Keeping the uterus: UAE treats fibroids without taking out the uterus. This is important for women who want to have the option to get pregnant in the future.
Future Research
Researchers are working to make treatments for adenomyosis better in the UAE. They are studying different substances used in the treatment, figuring out which patients are the best fit, and looking at the long-term results. The goal is to make the procedure safer and work better.
Conclusion:
Uterine Artery Embolization (UAE) is a great choice for treating adenomyosis. It’s a non-invasive and effective solution with lots of advantages. It helps lessen symptoms, maintains the possibility of having babies later, and can be customized for each person. As research progresses, UAE looks promising for women dealing with adenomyosis, and healthcare experts are helping them make personalized treatment choices.
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