Exploring Uterine Artery Embolization for Fibroid Treatment in Taiwan - Obstetrics and Gynecology

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Uterine Artery Embolization (UAE) is a minimally invasive procedure that has gained recognition as an effective treatment for uterine fibroids, particularly for women who are not planning to become pregnant in the future. In Taiwan, especially in the northern region, several hospitals and specialists are known to perform UAE. While specific names of hospitals and doctors may not be readily available online, you can consider reaching out to major medical centers such as National Taiwan University Hospital, Taipei Medical University Hospital, and Chang Gung Memorial Hospital. These institutions often have departments specializing in interventional radiology and gynecology, where UAE is commonly performed.

UAE works by blocking the blood supply to the fibroids, causing them to shrink and alleviating symptoms such as heavy menstrual bleeding and pelvic pain. This method is particularly appealing for patients like yourself, who are looking for a less invasive alternative to traditional surgery or laparoscopic procedures. The procedure typically involves a catheter being inserted into the femoral artery and guided to the uterine arteries, where tiny particles are injected to occlude the blood flow to the fibroids.

While UAE is generally considered safe and effective, it is essential to discuss the potential risks and benefits with your healthcare provider. Some possible complications include post-embolization syndrome, which can cause pain and fever, and in rare cases, it may lead to tissue necrosis or the need for further surgical intervention if the fibroids do not respond adequately to the treatment. Therefore, it is crucial to have a thorough discussion with your doctor about your specific case, including the size and location of your fibroids, your overall health, and your treatment goals.

In addition to UAE, there are other treatment options available for uterine fibroids, including:
1. Myomectomy: This surgical procedure involves the removal of fibroids while preserving the uterus. It can be performed through traditional open surgery, laparoscopic surgery, or hysteroscopic surgery, depending on the size and location of the fibroids.

2. Hysterectomy: This is the complete removal of the uterus and is considered a definitive treatment for fibroids. It is usually recommended for women who have completed their childbearing and have significant symptoms.

3. Medications: Hormonal treatments, such as GnRH agonists, can help shrink fibroids temporarily and manage symptoms. However, these are not permanent solutions and may have side effects.

4. MRI-guided focused ultrasound: This is a non-invasive treatment that uses ultrasound waves to destroy fibroid tissue. It is still relatively new and may not be available in all facilities.

Given your situation, where you have a 9 cm fibroid and are not planning to conceive, UAE could be a suitable option for you. However, it is essential to consult with multiple specialists to gather different opinions and make an informed decision. Each treatment option has its own set of advantages and disadvantages, and the best choice will depend on your specific circumstances and preferences.

In conclusion, UAE is a viable and less invasive treatment for uterine fibroids, and several hospitals in northern Taiwan are equipped to perform this procedure. It is advisable to seek consultations with gynecologists and interventional radiologists to explore this option further and determine the best course of action for your health and well-being.