Embolization: closing blood vessels, fibroids, infertility

If a woman has fibroids, she may experience a lot of inconvenience. Bleeding and pain can occur outside the normal menstrual period, and it can also have a major impact on the pregnancy. It can potentially lead to miscarriage so it is essential to recognize it early. What is the influence of fibroids on the body, how can embolization provide a solution and why can it lead to infertility?


  • What are fibroids?
  • Influence of estrogen
  • What are the consequences of fibroids?
  • The procedure: embolization
  • Chances of pregnancy decrease
  • Alternative: progestins

What are fibroids?

Growths may occur on the uterine wall, which resemble root branches. Any woman can suffer from this during the fertile period. The growths can vary in size and depend on the hormone estrogen. A higher content results in an increasing size, which also increases the problems. Bleeding can lead to anemia and the adhesion can disrupt the normal functioning of the uterus. What stimulates the growth of fibroids and how can it be treated?

Influence of estrogen

Normally, estrogen ensures that the quality of the uterus is optimal for the implantation of a fertilized egg. If the woman has become pregnant, the estrogen level will rise further to create and maintain optimal conditions for the fetus. The problem is that the growth of fibroids on the uterine wall is stimulated by increased estrogen. If the woman is pregnant for the first time, extreme growth can cause a lot of inconvenience. The fibroids often disappear after the woman has successfully given birth for the first time.

What are the consequences of fibroids?

Excessive growth of fibroids can cause several complaints. The fibroids are relatively stiff and brittle, making them more likely to tear and/or break off. It causes the woman to bleed more often outside of normal menstruation. The bleeding can cause a lot of inconvenience, because the blood can flow excessively and it can occur at an unexpected time. It can also cause severe abdominal pain and can lead to anemia with all its consequences. It can cause a miscarriage because the size of the fibroids puts pressure on the fetus. The body will be forced to expel the fruit.

The procedure: embolization

Embolization can be used to limit the influence and consequences of fibroids. This is the procedure in which a catheter is inserted through the groin vein so that small beads are placed. These are placed in the blood vessels leading to the fibroids. In other words, the fibroids are therefore less or not supplied with blood and estrogen. As a result, the branches will gradually shrink and largely disappear. This procedure can be performed within an hour, after which you can return home in a few days. Because the blood supply is stopped, it can lead to pain as the branches die. Removing the fibroids can take several months.

Chances of pregnancy decrease

The procedure is only recommended if one no longer wishes to have children. The blood flow to the uterine wall is affected, which also causes it to receive less estrogen. In other words, the functioning of the uterine lining decreases, which increases the risk of infertility. If you still want to have children, you will certainly have to consider whether you should follow this procedure. Please note that it can lead to a premature menopause, because the influence of estrogen is limited.

Alternative: progestins

If one may want to have a child later, this procedure is less suitable. What are the possibilities? On the one hand, the fibroids can be surgically removed if they are of a large size. On the other hand, it is possible to combat the influence of fibroids through medication. By taking progestins, the production of estrogen is limited, so that there is no reason for further fibroid growth. Here too, menstruation can stop while taking the medication, but will often start again afterwards.

If you have abdominal pain combined with bleeding around menstruation, it may be caused by fibroids. Have yourself examined by the gynecologist so that the correct treatment process is initiated. By applying embolization, the influence of the fibroids will quickly disappear. Be informed about the consequences if you wish to apply this procedure.

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  • Kallman syndrome: delayed puberty, fertility
  • Myoma enucleation: peeling out fibroids outside the uterus