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Hôpital Cochin – Port-Royal · AP-HP · Université Paris Cité
Interventional Radiology Hôpital Cochin ri.cch@aphp.fr EN
Interventional Radiology Cochin
Cochin Hospital AP-HP AP-HP
Uterine Fibroid Embolization (UFE)

Interventional Radiology · Cochin Hospital AP-HP · Paris

Embolisation

Fibroid embolization and fertility · Paris, Cochin AP-HP

Uterine fibroid embolization: uterus preservation and pregnancy

Is fibroid embolization compatible with pregnancy?

Uterine artery embolization is a minimally invasive treatment for uterine fibroids that naturally raises the question of fertility and future pregnancies. Current scientific literature indicates that embolization does not increase the risk of infertility compared with surgical myomectomy.

Pregnancies carried to term have been reported after uterine fibroid embolization. The pregnancy rate after embolization is comparable to that seen after myomectomy in the available comparative studies. A delay of 6 to 12 months is generally recommended before pregnancy to allow the uterus to recover.

🌱 Fertility-sparing embolization

Our team performs fertility-sparing embolization — an approach adapted for patients who wish to preserve their fertility. Before the procedure, precise angiographic mapping identifies and preserves the arterial connections that could compromise ovarian blood supply. This is discussed at a prior consultation with our partner gynaecologist.

Frequently asked questions

Yes. Pregnancies have been reported after uterine fibroid embolization. The rate of pregnancy carried to term is comparable to that after myomectomy. A delay of 6 to 12 months after embolization is recommended before planning a pregnancy.
The risk of early menopause after embolization is low (< 1% in women under 40) and is linked to accidental embolization of the ovarian arteries. Current techniques with calibrated microspheres minimise this risk.
For women planning an immediate pregnancy with an accessible fibroid, myomectomy is often still preferred. For multiple, large or surgically inaccessible fibroids, embolization is a valid alternative. The decision is discussed individually at the consultation.
Non. Contactez directement : ri.cch@aphp.fr · 01 58 41 46 12.

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