1Abeer Faisal Aldhawi,2Maithaa Mohammed Alharfi, 3Maithaa Mohammed Alharfi, 3Abdullah Dhafer Alshehri, 1Fares Ali Garad, 3Fares Ali Garad, 3Ahmed Owaidh Almutairi, 3Ehab Wahbah, 3Hatim Saad Alobaidi
1King Fahd Medical City, 2King Khalid Hospital, 3Prince Sultan Military Medical City
Uterine artery embolization is effective management for symptomatic uterine fibroids and postpartum haemorrhage. Several studies are evaluating the effects of the UAE on late pregnancies. However, the effects on fertility are still uncertain. Uterine artery embolization has been studied as an alternative to myomectomy and hysterectomy, it has become both appropriate and famous, as a nonsurgical option used to treat these as a treatment for symptomatic uterine fibroids. The current study aims to assess the outcome of pregnancy rates following UAE in women seeking pregnancy.
Material(s) and Method(s):
A retrospective cohort study was carried out in Prince sultan military medical city among 221 married women aged 15-55 years. The questionnaire contains the socio-demographic profile of the participants, the reason for embolization, the pre and post embolization situation of the patient including previous pregnancies and their complications, contraception use, etc. The collected data were statistically analyzed using SPSS version 21. Chi-square tests and Logistic regression models were used. Associations were considered statistically significant at a P-value < 0.05.
The most common reason for embolization among the 51 patients is fibroids in 27 (52.90%) and PPH in 18 (35.20%) patients . The mean age of those 51 patients was 39+6.1 (range: 23 – 52) years.
A positive correlation was observed between those trying to conceive after the embolization and those who successfully conceived (p-value < 0.001), with 26 (51%) conceiving and 25 (49%) patients not conceiving. The age of women that conceived (32+4.6) versus those that did not (38.3+4.6) was significantly different, (p-value < 0.00001). It took less than one year to conceive for most of the subjects who successfully conceived. 99%(24patient ) conceived naturally, while one patient required assisted conception. Of those who conceived, (48%) had complications, while (52%) did not.60% of them had mischarged in previously failed pregnancies after the procedure while 30 % had bleeding in a different trimester. 10 % had placenta previa.
Our results demonstrated that most of the women successfully conceived within less than one year. Among them, primarily women conceived naturally, and less than half of the patients had complications after conceived.