Uterine artery embolization (UAE) for fibroids is contraindicated in which of the following situations?

• A Symptomatic fibroids with desire to avoid surgery
• B Multiple fibroids of varying sizes
• C Fibroid uterus with heavy menstrual bleeding
• D Desire for future pregnancy ✓

Explanation

UAE is relatively contraindicated in women who desire future pregnancy because it can impair uterine perfusion, reduce ovarian reserve by inadvertent embolization of ovarian vessels, and is associated with higher rates of miscarriage and placental complications in subsequent pregnancies. Myomectomy is preferred for women wishing to preserve fertility. UAE is appropriate for symptomatic fibroids in women who have completed childbearing.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.