How effective is uterine artery embolisation for adenomyosis?

A specialist blocks selected blood vessels supplying the uterus, aiming to reduce the blood flow that supports adenomyosis. Improvement may show as lighter periods, less cramping, reduced pelvic pressure, or less reliance on pain medicine. It may take time for symptoms to settle, and some people have persistent or returning symptoms. The procedure does not remove adenomyosis, so your clinician will discuss how its aims fit with your symptoms, fertility plans, uterine findings, and other options.

Ask whether imaging supports adenomyosis as the main cause of your symptoms and whether another condition could also be present. Discuss medicines, the recovery period, menstrual changes, and how follow-up will assess bleeding and pain. Keep a simple record of periods, pain, pressure, and daily activities before and after treatment. Follow the discharge instructions, attend review appointments, and report symptoms that are worsening rather than gradually settling.

Contact your treatment team promptly for heavy bleeding that is not settling, increasing pelvic pain, fever, faintness, unusual discharge, or a groin puncture site that becomes increasingly painful, swollen, or red. Seek urgent help for severe pain, collapse, breathing difficulty, or bleeding that makes you feel weak or unwell.

Which symptoms are you hoping to improve? What findings support adenomyosis in my case? How will we judge whether the procedure has helped? What alternatives suit my goals, especially if I may want a future pregnancy? Which changes after the procedure should trigger a call?