Common developments after uterine fibroid embolization

The article was professionally consulted by Doctor Nguyen Chi Quang, Department of Obstetrics and Gynecology - Department of Obstetrics and Gynecology - Vinmec Central Park International General Hospital.

After the treatment of uterine fibroids embolization, patients often feel a dull pain in their portal or abdomen, and a feeling of intestinal cramping, especially at the incision area in the first few days.

1.1. Abdominal pain After the 2 uterine arteries are completely occluded, the patient will experience increasing pain in the pelvic area. The level of pain varies from patient to patient.
Usually, patients after embolization of uterine fibroids have the most abdominal pain within the first 24 - 48 hours after the procedure, then gradually decrease and only a dull feeling of heaviness lasts 5-7 days.
1.2. Fever, vomiting In addition, patients after embolization of uterine fibroids may have a mild fever (about 20%) vomiting (about 30%) and fatigue for 2 to 3 days. Patients are usually discharged from the hospital in 1 to 2 days, and can return to work in 4 to 5 days.
1.3. Menstruation Most patients have a normal cycle within the first month or may appear after 2-3 months if the disorder is severe. Some people experience amenorrhea for the first few months. About 2-3% of uterine fibroids have amenorrhea completely due to ovarian failure or endometrial necrosis. In some cases, the amount of menstruation is reduced.
1.4. Tumor After embolization of uterine fibroids, the tumor gradually decreased in size, reaching its maximum extent after 9-12 months. When the ultrasound checked, there was still a small tumor, but in fact it was just a scar. Color ultrasonography is needed to determine whether the tumor is still vascular or not and to evaluate the vascularity of the healthy uterine muscle. In a few cases, the fibroids are necrotic, fall into the uterine cavity and are pushed out in a natural way.

After embolizing uterine fibroids, the patient should pay attention to the following factors to help prevent recurrence of the disease:
2.1 Eating and living scientifically Should add more green vegetables, cereals, fruits , foods containing a lot of hydrocarbons, vitamin A, vitamin C, cellulose, drink lots of water to quickly get healthy.
2.2 Mobility After fibroid embolization, the patient should be able to walk gently for the first week. After surgery, on the first day, the patient should practice turning around in bed, trying to sit up with the help of family members, to help limit the stagnation of blood and fluid in the uterus and avoid the inflammation of the intestines.
2.3 Abstain from sex The risk of getting an infection after embolization of the fibroids is slightly increased. Therefore, the patient should avoid sexual intercourse during the first week. You should only have sex after the patient's health has stabilized.
2.4 Pain medication can be used if necessary. It is recommended to talk to a doctor for appropriate advice and adhere to the use of pain relievers as prescribed.
2.5 Good personal hygiene Be careful not to soak in the tub for the first two weeks after the fibroid embolization.
Periodic re-examination 3-6-12 months after treatment: early detection of fibroid recurrence if any.

The ability to conceive and give birth after embolization for uterine fibroids depends on the individual patient.
Usually, after embolization, to be able to get pregnant again, a woman needs to wait until the uterus returns to normal. The normal recovery time will also depend on each person's location, and it is best that after at least 6-8 months after surgery, women should get pregnant again to ensure safety for their health. of both mother and baby.
However, in many cases, the doctor will specify the time when a woman can get pregnant again, which can be 1 year or it can be longer. On the other hand, those who want to get pregnant after treatment need to be examined and examined by color ultrasound more closely and meticulously.

Currently, Vinmec International Hospital has applied the method of digital background scan and embolization to treat uterine fibroids. This method has a treatment efficiency of over 95% and is considered an advanced, modern and safe method for patients. After the procedure, the patient recovered quickly and left no sequelae.
Besides, Vinmec International General Hospital is equipped with the most modern equipment in Vietnam to bring optimal treatment efficiency. Under the supervision of a team of experienced doctors, the procedures are carried out seriously, regularly checked by someone, and always updated with the latest procedures and regulations in the world. .
Before becoming a Doctor of Obstetrics and Gynecology at Vinmec Central Park International General Hospital, Dr. Nguyen Chi Quang used to work at Tu Du Hospital and University Hospital of Medicine and Pharmacy in Ho Chi Minh City. Dr. Quang has many years of deep professional experience and strength in the treatment of obstetric and gynecological diseases such as:
Laparoscopic surgery Uterine fibroids Laparoscopic surgery for ovarian tumors Laparoscopic surgery for genital prolapse