UFE vs Hysterectomy: Which Fibroid Treatment Is Right for You?

Uterine fibroids can significantly affect a woman's quality of life, leading to heavy bleeding, pelvic pressure, painful periods, and other disruptive symptoms. Fortunately, several treatment options are available. Two of the most discussed procedures are Uterine Fibroid Embolization (UFE) and Hysterectomy. Understanding the differences between UFE vs Hysterectomy can help you make an informed decision that best suits your medical needs and personal goals.

What Is Uterine Fibroid Embolization (UFE)?

UFE is a non-surgical, minimally invasive procedure that treats fibroids by cutting off their blood supply. During UFE, an interventional radiologist inserts a catheter into the uterine artery and delivers tiny particles to block blood flow to the fibroids. As a result, the fibroids shrink and symptoms gradually improve.

The biggest advantage of UFE is that it does not involve any incisions or removal of the uterus. Recovery is typically quick—most patients return to normal activities within a week or two. Since the uterus is preserved, UFE may be an option for women who want to maintain their reproductive organs or are not ready for a permanent solution like hysterectomy.

What Is a Hysterectomy?

A hysterectomy is a major surgical procedure that involves the complete removal of the uterus. It is a permanent solution for fibroids and eliminates any chance of fibroid recurrence. However, it also means that pregnancy is no longer possible. Hysterectomies can be performed through the abdomen, vagina, or with robotic/laparoscopic assistance, depending on the case.

While it may provide permanent relief from fibroid-related symptoms, hysterectomy comes with a longer recovery time—often up to 6 to 8 weeks. Like any major surgery, it also carries the risk of complications such as infection, blood clots, or damage to surrounding organs.

How to Choose Between UFE and Hysterectomy

The decision between UFE and hysterectomy depends on your symptoms, age, desire for future fertility, and overall health. UFE is ideal for women seeking a uterus-sparing, low-risk treatment with a shorter recovery time. Hysterectomy may be recommended for those with extremely large fibroids, severe symptoms, or those who are post-menopausal and do not wish to preserve fertility.

Consulting a fibroid specialist can help you understand the risks and benefits of both options and decide what’s best for your lifestyle and future plans.