Hysterectomy vs. Uterine Artery Embolization: How Do You Choose?

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When it comes to treating uterine fibroids or heavy menstrual bleeding, many women are presented with two very different options:

➡️ Hysterectomy -surgical removal of the uterus
➡️ Uterine Artery Embolization (UAE) - a less invasive, uterus-preserving procedure

But how do you know which one is right for you?

This blog breaks down the differences, pros, cons, and decision-making factors so you can make an informed, confident choice.


What Is a Hysterectomy?

A hysterectomy is a surgical procedure to remove the uterus. It can be:

  • Total: removing the uterus and cervix

  • Subtotal (partial): leaving the cervix intact

  • With or without ovaries: depending on the condition and age

✅ Pros:

  • Permanent solution for fibroids, bleeding, adenomyosis, or cancer

  • No risk of fibroid regrowth

  • Ends menstruation permanently

  • Can relieve pelvic pain, pressure, and bloating

❌ Cons:

  • Major surgery with longer recovery time (4–8 weeks)

  • Irreversible - no more pregnancy possible

  • Potential hormonal changes if ovaries are removed

  • Emotional or psychological adjustment for some women

 What Is Uterine Artery Embolization (UAE)?

UAE is a non-surgical procedure where small particles are injected into the uterine arteries to block blood flow to fibroids, causing them to shrink over time.

It’s done by an interventional radiologist, usually under light sedation or local anesthesia.

✅ Pros:

  • Minimally invasive - no cutting or stitches

  • Shorter hospital stay (often same-day or 1 night)

  • Recovery in 7–10 days

  • The uterus is preserved

  • Can significantly reduce bleeding and fibroid size

❌ Cons:

  • Not suitable for all types of fibroids

  • Small risk of recurrence or regrowth

  • Some women still need a hysterectomy later

  • May not be ideal if you want to get pregnant (though some do)


Hysterectomy vs. UAE: A Quick Comparison Table

Feature                     Hysterectomy                        Uterine Artery Embolization
Invasiveness         Major surgery Minimally invasive
Uterus removed?                 Yes No
Recovery time          4–8 weeks 7–10 days
Suitable for all fibroids?                Yes No – depends on size/location
Permanent solution                Yes Sometimes
Can I get pregnant later?                No Maybe (not guaranteed)
Risk of complications            Moderate Low to moderate


🤔 So… How Do You Choose?

✅ Choose Hysterectomy if:

  • You want a permanent solution

  • You’ve tried other treatments with no success

  • You’re done with childbearing

  • You have large, multiple, or recurring fibroids

  • Adenomyosis or uterine cancer is a concern

✅ Choose UAE if:

  • You want to avoid surgery

  • You want to preserve your uterus

  • Your fibroids are of a size and location that UAE can treat

  • You’re not ready for a hysterectomy yet

  • You want a quicker recovery


Final Thoughts

Choosing between a hysterectomy and UAE isn’t about picking the “better” option; it’s about choosing what’s right for your body, lifestyle, and future plans.

Always talk openly with your gynecologist or interventional radiologist. Ask questions. Explore second opinions. Your health journey is personal and you deserve to feel empowered every step of the way.

 Got questions or experiences to share? Drop a comment below! Let’s help each other navigate these choices with honesty and support.


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