What are the disadvantages of embolization?

Answered by Michael Wilson

Embolization is a minimally invasive procedure used to treat various medical conditions, including uterine fibroids and certain types of tumors. While it can be an effective treatment option, there are some potential disadvantages and side effects associated with embolization.

1. Temporary side effects: Following embolization, it is common for women to experience certain temporary side effects. These may include pain or discomfort in the pelvic area, cramping, nausea, and fatigue. These side effects typically subside within a few days, but medication may be prescribed to manage any discomfort.

2. Infection risk: In approximately 3 out of 100 women who undergo embolization, there is a risk of developing an infection in the womb. This can be a concerning complication and may require additional treatment, such as antibiotics. It is important for women to closely monitor their symptoms and seek medical attention if they experience any signs of infection, such as fever, increased pain, or abnormal discharge.

3. Vascular damage: Embolization involves blocking blood flow to the targeted area by injecting tiny particles or coils into the blood vessels. While the goal is to target specific blood vessels supplying the fibroids or tumors, there is a potential risk of damaging nearby blood vessels. This can lead to complications such as bleeding or injury to surrounding tissues. However, such complications are relatively rare and are usually managed with further medical intervention if they occur.

4. Deep vein thrombosis (DVT): Another potential risk associated with embolization is the development of deep vein thrombosis in the legs. This occurs when a blood clot forms in one of the deep veins, typically in the lower extremities. Women who undergo embolization may have an increased risk of DVT due to the procedure’s impact on blood flow. Symptoms of DVT include leg pain, swelling, warmth, and redness. If these symptoms arise, it is essential to seek immediate medical attention to prevent complications such as a pulmonary embolism.

5. Menstrual changes: Embolization can affect a woman’s menstrual cycle, and in some cases, it may cause periods to stop completely. This occurs because the procedure disrupts the blood supply to the uterus, potentially leading to changes in hormonal balance and the endometrial lining. While this may be a desired outcome for women with heavy or prolonged menstrual bleeding, it is important to consider the potential impact on fertility and discuss any concerns with the healthcare provider.

It is important to remember that the occurrence of these disadvantages and side effects can vary from person to person. The decision to undergo embolization should be made after a thorough discussion with a healthcare provider, weighing the potential benefits against the possible risks. It is crucial to have a clear understanding of the procedure, its potential complications, and the appropriate steps to take in case of any adverse effects.