What to Expect from Uterine Artery Embolisation for Adenomyosis

Before treatment, imaging and a consultation help confirm that embolisation is suitable. The team reviews medicines, allergies, pregnancy plans and infection risks. A radiologist usually numbs the skin and guides a catheter through an artery to the uterine arteries. Small particles are released to reduce blood flow to the areas involved. You may feel warmth or pressure during the procedure, and pain relief is available.

Adenomyosis can cause heavy bleeding, pelvic pain or an enlarged tender uterus. Embolisation is intended to reduce symptoms over time; improvement is not always immediate, and your clinician will explain other options if symptoms persist.

Follow instructions about fasting and regular medicines. Arrange transport and practical help for the first part of recovery. Rest, drink fluids as advised and take prescribed pain relief. Cramping, tiredness, nausea, a low fever or light vaginal bleeding may occur for a short period. Keep the puncture site clean and avoid strenuous activity until the team says it is suitable.

Contact your care team urgently for severe or increasing pain despite prescribed medicine, heavy bleeding, fainting, persistent vomiting, fever or chills, foul-smelling discharge, a rapidly worsening puncture site, or a cold, pale or numb limb. These symptoms need assessment because infection, bleeding or reduced circulation may require treatment.

Ask how adenomyosis was confirmed, what symptom change to expect, how fertility plans affect the choice, which medicines to pause, and how follow-up imaging or review will be arranged.