Hysterectomy vs Uterine Artery Embolisation

Hysterectomy is an operation that removes the uterus. It ends menstrual bleeding and pregnancy capacity, and it may be considered when fibroids or other uterine problems cause persistent symptoms. Uterine artery embolisation is a minimally invasive procedure: a clinician guides a catheter into the arteries supplying the fibroids and places particles that reduce their blood supply. The uterus remains in place. Hysterectomy removes the uterus, while uterine artery embolisation blocks blood flow to fibroids so they shrink; the right choice depends on symptoms, fertility plans and medical findings.

Hysterectomy may fit when you want a definitive treatment for uterine symptoms and do not plan a future pregnancy. It can also be discussed when the uterus is enlarged, bleeding is difficult to control, or other treatments have not provided enough relief. The surgical route—through the vagina, keyhole incisions or a larger abdominal incision—depends on uterine size, anatomy and the reason for surgery.

Uterine artery embolisation may fit when you want to keep the uterus and are seeking a non-removal option for fibroid-related bleeding, pressure or pain. It may be less suitable if the diagnosis is uncertain, the fibroids have a pattern that is unlikely to respond, or another pelvic condition needs surgery. Imaging helps clarify the anatomy before deciding.

After hysterectomy, expected issues can include pain, fatigue, bleeding, infection, blood clots and injury to nearby organs; the team explains warning signs and activity limits. Embolisation commonly causes pelvic cramping, nausea, tiredness or a low fever for a short period. Infection, premature ovarian changes, fibroid regrowth or an eventual need for further treatment are possible concerns. Your personal risks depend on health, medicines and the procedure plan.

Neither procedure may be the immediate choice if symptoms are mild, the cause of bleeding has not been established, or you are actively planning pregnancy and need fertility-focused care. Medication, an intrauterine treatment, myomectomy or observation may be discussed depending on the fibroid location and your goals. Seek urgent care for very heavy bleeding with dizziness, fainting, severe weakness or breathlessness.

A consultation weighs the source and severity of symptoms, ultrasound or MRI findings, uterine size and fibroid position, anaemia, previous procedures, general health and pregnancy wishes. Ask how each option affects bleeding, pressure symptoms, ovarian function, sexual wellbeing and time away from usual activities. Request a clear plan for pain control, follow-up imaging or examinations, and what would happen if symptoms persist.