title: Uterine artery embolization and its effect on fertility.
abstract: A systematic review of literature analyzing fertility following uterine artery embolization (UAE) is presented. Twenty-one studies describing pregnancy and complications of pregnancy following UAE were included. Low-level evidence from these studies suggests that pregnancy rates following UAE are comparable to the age-adjusted rates in the general population. Although pregnancy complication rates were similar to those in patients with untreated fibroid tumors, a few studies have reported higher miscarriage rates following UAE. Further randomized controlled trials comparing UAE versus other fertility-preserving treatments are necessary to confirm these findings.
authors.affiliation: Department of Diagnostic and Interventional Radiology, St. Francis Hospital, Evanston, Illinois 60202, USA. prasoonpm@gmail.com
authors.forename: Prasoon P
authors.initials: PP
authors.lastname: Mohan
authors.forename: Michael H
authors.initials: MH
authors.lastname: Hamblin
authors.forename: Robert L
authors.initials: RL
authors.lastname: Vogelzang
mesh_terms: D000328:Adult; D005260:Female; D005298:Fertility; D059247:Fertility Preservation; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000517:prevention & control*; D018873:Pregnancy Rate; D018570:Risk Assessment; D012307:Risk Factors; D055357:Uterine Artery Embolization / Q000009:adverse effects*