Understanding Uterine Fibroid Treatment Options

Not All Fibroid Procedures Are the Same — Here’s How to Decide

If you’ve been diagnosed with fibroids, you may be weighing two common treatment options: Uterine Fibroid Embolization (UFE) or myomectomy. Both aim to relieve symptoms like heavy bleeding, pelvic pain, or pressure — but they work differently.

This guide breaks down what you need to know about UFE vs myomectomy so you can make an informed choice.

UFE vs Myomectomy: A Side-by-Side Comparison

UFEMyomectomy
What it isImage-guided procedure that blocks blood flow to fibroids, causing them to shrinkSurgical removal of fibroids through an incision (abdominal, laparoscopic, or robotic)
InvasivenessMinimally invasive (small puncture, no stitches)Surgical (requires incisions)
AnesthesiaLocal + sedationGeneral anesthesia
Recovery Time1 week (light activity)4–6 weeks (depends on approach)
Fertility ImpactPreserves uterus; future pregnancy possible but less studiedPreferred if planning pregnancy soon
Hospital StayOutpatient or 1 night1–3 nights depending on method
Fibroid RecurrenceLow (fibroids shrink)May regrow if not all removed

Who Might Choose UFE?

UFE may be a better option if you:

  • Want to avoid major surgery
  • Prefer a faster recovery
  • Don’t plan on pregnancy in the near future
  • Have multiple or hard-to-reach fibroids
  • Want a non-hormonal, uterus-preserving option

Who Might Choose Myomectomy?

Myomectomy may be preferred if you:

  • Are actively trying to conceive
  • Have fibroids that are deforming the uterine cavity
  • Want fibroids removed rather than shrunk
  • Are planning IVF or fertility treatment soon

What to Expect from UFE

  • Small puncture in the wrist or groin
  • Catheter guides particles to fibroid blood vessels
  • Fibroids shrink over weeks to months
  • Symptoms improve gradually
  • No incisions, stitches, or hospital recovery

Learn how UFE works — Mayo Clinic overview

What to Ask Your Doctor

When deciding between UFE vs myomectomy, ask:

  • What’s the size and location of my fibroids?
  • Am I planning a pregnancy soon?
  • What are the risks of each procedure in my case?
  • Can I be evaluated by an interventional radiologist?

A multidisciplinary review can help ensure you’re getting the best recommendation for your goals.

Explore more patient-first insights on our blog.

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