If you have uterine fibroids, there is a range of fibroid treatments available to eliminate painful and inconvenient symptoms. Two of these options include a myomectomy and uterine fibroid embolization (UFE), which is also known as uterine artery embolization (UAE).
While discussing the advantages and disadvantages of uterine artery embolization vs. myomectomy, remember that finding the best treatment for you begins with consulting a fibroid specialist. Schedule your consultation today to receive a fibroid diagnosis and determine the most suitable treatment.
UFE vs. Myomectomy: Which Fibroid Treatment Is Best For You?
When comparing UFE vs. myomectomy, the best treatment depends on your needs and health. For many patients, especially those with multiple fibroids or who want to avoid surgery, UFE offers an effective and less invasive treatment option.
What is Uterine Fibroid Embolization (UFE)?
Uterine fibroid embolization (UFE) is a minimally invasive procedure that preserves the uterus. The procedure has a shorter recovery time and a much lower fibroid recurrence rate than a myomectomy.
What is a Myomectomy?
Myomectomy is a surgical procedure that removes fibroids. There are three types of myomectomy procedures: abdominal, laparoscopic, and hysteroscopic.
Compared with UFE, these approaches carry greater risks, including excessive bleeding, infection, and fibroid recurrence.
Comparing Uterine Fibroid Embolization (UFE) vs. Myomectomy
| Procedure | Uterine Fibroid Embolization | Abdominal Myomectomy | Laparoscopic Myomectomy | Hysteroscopic Myomectomy |
| Anesthesia | Uses only light sedation and a local anesthetic | Requires general anesthesia | Requires general anesthesia | Uses general or local anesthesia |
| Location | Can be performed in a clinical setting | Is performed in a hospital | Is performed in a hospital | Is performed in a hospital |
| Incisions | Involves one tiny incision with no stitches or scarring | An incision is made in the lower abdomen and uterus, usually horizontal, three to four inches long, and just above the pubic bone | Involves four incisions of about ½ inch each into the lower abdomen | Surgeon inserts a thin scope through your vagina and cervix into your uterus |
| Best for | Typically used for treating intramural and subserosal fibroids | Most appropriate for fibroids located within your uterine wall, outside of your uterus, or that are very large | Most appropriate for fibroids on the outside of your uterus | Most appropriate for small fibroids on the inside of your uterus |
| Fertility impact | Many women have successful pregnancies afterward | Increased risk of fertility complications from infection or scarring | Increased risk of fertility complications from infection or scarring | Increased risk of fertility complications from infection or scarring |
| Recovery | A short observation period is necessary before sending you home the same day | Most women remain in the hospital for up to three days afterward | Most women stay in the hospital for one night | Most women go home the same day |
The Differences Between the UFE vs. Myomectomy Procedures
There are many differences between a myomectomy vs. UFE in terms of the actual procedure.
Uterine fibroid embolization (UFE) is performed by an interventional radiologist using imaging to guide a small catheter into the uterine artery, with no surgical incision necessary. Embolic material is injected to block blood flow to fibroids, causing them to shrink naturally.
Since there are three different myomectomy procedures, each approach will differ:
- Abdominal myomectomy: A major surgery that requires a large incision, leaving a scar similar to a C-Section.
- Laparoscopic myomectomy: This procedure is often robot-assisted, although there are small incisions made to perform the actual removal
- Hysteroscopic myomectomy: Treats smaller fibroids and is performed through the vagina and cervix
Myomectomy may involve longer hospital stays and general anesthesia than UFE.
Recovery Timeline for UFE vs. Myomectomy
Another difference between a myomectomy vs. UFE is the recovery period.
Recovering from UFE typically takes 7–10 days, with most women returning to normal activities within two weeks. Over-the-counter medication usually manages any discomfort.
Recovery from myomectomy can range from a few days to six weeks, depending on the surgical type:
- Abdominal Myomectomy: This procedure has the longest recovery time, estimated at four to six weeks.
- Laparoscopic Myomectomy: Recovery time is typically around two to four weeks.
- Hysteroscopic Myomectomy: can take around three to five days.
No matter which procedure you choose between fibroid embolization vs. myomectomy, recovery time varies from person to person. Fibroid specialists may also advise you to avoid strenuous activities and heavy lifting for the first few weeks after UFE or myomectomy.
Which Is Better, UFE or Myomectomy?
When choosing between UFE vs. a myomectomy, both procedures can effectively relieve fibroid symptoms. However, the outcomes for these procedures depend on many factors, though, such as:
- Fibroid size
- The number of fibroids
- Their location
- Patient’s age
- Presence of other uterine conditions
There are still some downsides to consider when choosing between a myomectomy vs. UFE, especially as a myomectomy is still categorized as a major surgical procedure.
Some of the downsides of a myomectomy include:
- Myomectomies typically require anesthesia, incisions, and several weeks of recovery.
- Increased surgical risks, such as infections, excessive bleeding, or anesthesia-related complications.
- Even after getting a myomectomy, there is still the potential for fibroids to come back.
UFE provides lasting symptom relief with minimal risk of recurrence, while myomectomy removes existing fibroids but cannot prevent new ones from forming.1
If you have multiple fibroids or a higher risk of surgical complications, your doctor may recommend UFE over myomectomy. Consulting a fibroid specialist is the best way to choose between myomectomy vs. uterine artery embolization based on your case.
WHO’S A GOOD CANDIDATE FOR UFE?
Myomectomy vs. UFE and Pregnancy: What to Know
For many, fertility is a key factor when deciding between UFE vs. a myomectomy. UFE typically poses fewer risks to future pregnancies and overall fertility because it doesn’t require incisions in the uterus or general anesthesia.
Myomectomy, however, may increase the risk of pregnancy complications such as:2
- Uterine scarring and adhesions can reduce fertility
- Miscarriage or preterm labor
- Placenta accreta (when the placenta attaches to scar tissue)
- Uterine rupture during pregnancy or labor
- A C-Section may be necessary to avoid complications during labor
While pregnancy is possible after both procedures, myomectomy is considered higher-risk for future pregnancies and may require a cesarean delivery. Anyone considering pregnancy after fibroid treatment should discuss options thoroughly with a specialist.
Choosing Between a Myomectomy vs. Uterine Artery Embolization
If you’re deciding between a myomectomy vs. UFE, the right treatment will ultimately depend on numerous factors.
Generally, UFE is better for women who want a minimally invasive, low-risk treatment with a shorter recovery. However, a myomectomy may be recommended for those with large fibroids that significantly affect fertility or uterine structure. Both procedures can help relieve fibroid symptoms such as heavy menstrual bleeding, along with pain and pressure in the abdomen.
A fibroid specialist can help you decide between UFE vs. a myomectomy based on your reproductive goals and overall health.
Getting Trusted Care with USA Fibroid Centers
If you’re comparing myomectomy vs. UFE, our expert fibroid specialists at USA Fibroid Centers can guide you toward the most effective treatment for you. Our nationwide network specializes in comprehensive care, focusing on diagnostic imaging, consultations, and successful fibroid treatment with UFE.
Schedule your consultation today and take the first step toward reclaiming your health and quality of life.
FAQs about UFE vs Myomectomy
Is UFE or myomectomy covered by insurance?
Insurance covers UFE or myomectomy in most cases with symptoms such as heavy bleeding or pelvic pain. Coverage varies by plan, so your doctor may need prior authorization to confirm medical necessity. USA Fibroid Centers accepts most major insurance plans and offers self-pay and CareCredit options.
Which option is safer for someone with other health conditions?
For those with other health conditions, uterine fibroid embolization (UFE) is generally safer because it’s minimally invasive, leading to a lower risk of complications. Myomectomy, being a major surgery, carries greater risks such as heavy bleeding or infection.
Can I get a second opinion before choosing between treatments?
Getting a second opinion is highly recommended before deciding on fibroid treatment. Second opinions can confirm your diagnosis, while also allowing you to verify that you’re working with an experienced fibroid specialist.
Sources
- Hilal Aktürk et al., “Comparison of Recurrence and Quality of Life between Myoma Embolization and Myomectomy,” Cureus, June 13, 2023.
- Chellappah Gnanachandran et al., “Myomectomy Benefits, Risks, Long-Term Outcomes, and Effects on Fertility and Pregnancy Outcomes: A Literature 2Review,” Mary Ann Liebert: A Part of Sage, July 26, 2023.