UFE vs. Hysterectomy: Making the Right Choice

If you’re exploring treatment options for uterine fibroids, you’ve likely come across two terms: UFE (Uterine Fibroid Embolization) and hysterectomy. Choosing between the two is a significant decision. This blog will help you weigh the pros and cons, understand the differences, and ultimately make the right choice for your body and your life.

Not sure what uterine fibroids are or how they impact your health? Start here: Understanding Uterine Fibroids: Causes and Symptoms

What Is a Hysterectomy?

A hysterectomy is a surgical procedure that removes the uterus. It can be:

• Total hysterectomy: Removes the entire uterus and cervix
  
  
• Subtotal (partial) hysterectomy: Removes only the uterus
  
  
• Radical hysterectomy: Removes uterus, cervix, part of the vagina, and surrounding tissue
  

While a hysterectomy is a definitive solution for fibroids, it is a major surgery with permanent consequences, such as the inability to become pregnant and potential hormonal changes.

What Is Uterine Fibroid Embolization (UFE)?

Uterine Fibroid Embolization is a minimally invasive fibroid treatment performed by an interventional radiologist. Tiny particles are injected into the uterine arteries to block blood flow to fibroids, causing them to shrink and symptoms to improve.

UFE allows the uterus to remain intact, offers a faster recovery, and has minimal scarring.

UFE vs. Hysterectomy: A Side-by-Side Comparison

Who Is a Good Candidate for UFE?

• Women with symptomatic fibroids who want to avoid surgery
  
  
• Those wishing to preserve their uterus
  
  
• Women not planning future pregnancies
  

Who May Benefit from a Hysterectomy?

• Women with very large or multiple fibroids
  
  
• Those experiencing severe symptoms unresponsive to other treatments
  
  
• Individuals who do not wish to preserve fertility
  

Hysterectomy Alternatives

Besides UFE, other hysterectomy alternatives include:

• Myomectomy: Surgical removal of fibroids, uterus remains intact
  
  
• Hormonal therapy: May control symptoms but doesn’t remove fibroids
  
  
• Endometrial ablation: Best for small fibroids and not suitable for women wanting children
  

Benefits of Choosing UFE

• Non-surgical
  
  
• Fast recovery
  
  
• High success rate for symptom relief
  
  
• Reduced risk compared to surgery
  
  
• Covered by most insurance plans
  

Long-Term Outlook and Effectiveness

UFE is effective in reducing fibroid size and improving symptoms for over 85–90% of women. Most patients experience relief within three months. Hysterectomy is more definitive but carries greater risks and lifestyle changes.

Questions to Ask Your Doctor

• Am I a candidate for UFE?
  
  
• What are the risks and benefits of each option?
  
  
• How will this affect my hormones and fertility?
  
  
• What is the expected recovery time?
  

Empowering Your Health Decisions

Choosing the right treatment for uterine fibroids is a deeply personal decision. By understanding your options, risks, and benefits, you can make an informed choice that aligns with your health goals.