Internal Medicine and Medical Investigation Journal

ISSN: 2474-7750

Uterine Artery Embolization in The Treatment of Symptomatic Leiomyoma: Effect on Ovarian Function, Clinical Symptoms and Its Complications


Author(s): Mohammad Reza Babaei , Soheila Amini Moghaddam , Komeil Farajnejad , Alaleh Rajabzadeh

The present study evaluated the effect of uterine artery embolization on

preservation of fertility in leiomyoma and its complications.


Thirty women with leiomyoma were included in the present

study. Hormonal levels, leiomyoma size, patients’ symptoms and complications if

developed were evaluated, both before and after uterine artery embolization.


There was no significant difference between the mean follicle-stimulating

hormone, luteinizing hormone and estradiol levels, before and after uterine artery

embolization (p=0.431, p=0.672, p=0.772, respectively). Fibroids size measured before

and after 6 months of uterine artery embolization UAE were 86.47 ± 28.42 cm and

59.80 ± 20.90 cm, respectively (p<0.001). None of the patients developed complica-

tions such as embolism, wound problems or necessity for hysterectomy. After uterine

artery embolization, symptoms such as hypermenorrhea, dysmenorrhea, dyspareunia,

and dysuria decreased significantly among patients.


Spiral computed tomography has a good sensitivity and specificity for the

diagnosis of pulmonary embolism. In the majority of patients who did not have pulmo-

nary embolism, it provided important ancillary information for the final diagnosis.

Therefore, combining Spiral computed tomography scan with a D-dimer Test is more

effective in the accurate diagnosis of pulmonary embolism.

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