Uterine artery embolization (UAE) for symptomatic fibroids is RELATIVELY contraindicated in which situation?
- A Multiple intramural fibroids in a woman with completed family
- B Submucosal fibroid causing menorrhagia in a 45-year-old
- C A 30-year-old woman desiring future fertility ✓
- D Pedunculated subserous fibroid
Correct answer: C. A 30-year-old woman desiring future fertility
Explanation
UAE is relatively contraindicated in women desiring future fertility because it can compromise ovarian reserve (via inadvertent embolization of ovarian arterial supply) and endometrial vascularity. Pregnancy after UAE carries risks of abnormal placentation, preterm delivery, and malpresentation. Pedunculated subserous fibroids are also a relative contraindication as the embolized peduncle can separate and cause acute peritonitis. Myomectomy is preferred for fertility-preserving fibroid treatment.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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