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PPT : Pregnancy After Uterine Fibroid Embolization (Ufe)

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What Is An Interventional Radiologist
* Are Board Certified Physicians Who Specialize In Minimally Invasive Targeted Treatments
* Using Catheters Guided By Imaging Equipament
How To Perform Ufe If Patient Wants To Get Pregnant?
* Low X-Ray Time
* Embolize The Least Possible (Only Tumor Vessels)
* Keep The Uterine Arteries Permeable
O Polyvinyl Alcohol (Pva)
O Embozene Microspheres
If I Don’T Want To Do A Surgery Proposed By Gynecologist What To Do?
* Get A 2nd Opinion With An Interventional Radiologist
* Interventional Radiologists Are Widely Available Throughout The Usa
Why To Treat Fibroids Before Pregnancy
* Uterine Fibroids:
O May Be A Cause Of Infertility
O May Induce Spontaneous Abortion
O Increase In Size During Pregnancy
* However, After Ufe, In Case Of Pregnancy, The Fibroids Continue To Decrease In Size
* After Unsuccessful Myomectomy Or In Vitro Fertilization
* Huge Or Multiple Fibroids
* Hysterectomy (Uterus Removal) The Only Offered Treatment
* Myomectomy But Eventual Histerectomy Can Not Be Ruled Out
Ufe May Be The Single Effective Treatment
Our Results Of Pregnancy After Ufe
Pregnancies – Spontaneous (Without Assisted Reproduction Techniques) In 43 Of 74 Women Who Want To Conceive (58.1%)
* 36 Finished Pregnancies (83.7%)
O 30 Successful Life Births (83.3%)
O Pre Term (36 Weeks) 2 (6.6%)
O 5 Abortions (13.8%)
+ 1 Induced
+ 4 Spontaneous (13.3%)
O 1 Stillbirth (After 5 Miomectomies, + 1 Ivf Cesarean At 36 Weeks)
* 7 Ongoing Pregnancies (16.3%)
Treatment Performed Or Offered To Our Pregnant Women
Histerectomy Could Not Be Excluded In 5 Patients
5 Pregnant Women. Whose Pregnancy Was Possible Only After Ufe
Pregnancy After Ufe – Conclusion
* Ufe Is Not A Contraindication To Patients Who Want To Conceive
* Ufe May Be The Single Effective Treatment For Successful Pregnancies In Some Patients With Uterine Fibroids
* Our Results Of Successful Pregnancies After Ufe Are Comparable To Those Of Miomectomy
* Patients Should Be Able To Choose Between Surgical Options And Ufe

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PPT : Pregnancy After Uterine Fibroid Embolization (Ufe) Category : Pregnancy
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