Uterine fibroids are common, noncancerous tumors that develop inside or on the uterus and affect millions of women worldwide. These growths can vary greatly in size and symptoms. Large fibroids, typically those measuring 10 cm or more, can significantly impact daily life. They may cause heavy menstrual bleeding, pelvic pain, abdominal pressure, bloating, frequent urination, constipation, and fertility concerns. One of the most common questions women ask is whether UFE fibroids treatment works for large fibroids. The answer is yes. Uterine fibroid embolization, commonly known as UFE, is an effective and minimally invasive treatment option for many women with large fibroids.

What Are Large Fibroids?

Fibroids are benign tumors made of muscle and connective tissue. Small fibroids may cause little to no discomfort, but large fibroids are more likely to press against surrounding organs and tissues. This pressure often leads to noticeable symptoms and health complications.

Fibroids are commonly categorized by size:

• Small fibroids are less than 5 cm

• Medium fibroids range from 5 cm to 10 cm

• Large fibroids are 10 cm or greater

Large fibroids may cause heavy or prolonged menstrual bleeding, pelvic or lower back pain, pressure in the abdomen, frequent urination, constipation, pain during intercourse, and an enlarged or bloated stomach. Because these symptoms can worsen over time, many women with large fibroids seek treatment that provides long-term relief while preserving the uterus when possible.

What Is UFE and How Does It Work?

Uterine fibroid embolization is a nonsurgical procedure performed by an interventional radiologist. UFE treats fibroids by blocking the blood supply that allows them to grow. When fibroids no longer receive blood, they gradually shrink and die, leading to symptom relief.

During the UFE procedure, a small catheter is inserted through a tiny puncture in the wrist or groin. Using imaging guidance, the physician directs the catheter to the uterine arteries that supply blood to the fibroids. Small embolic particles are then released to block these arteries. Over time, the fibroids shrink naturally as the body absorbs the treated tissue.

Because UFE targets only the fibroids and not the entire uterus, healthy uterine tissue remains intact. This is an important benefit for women who wish to avoid surgery or preserve fertility. Most patients return home the same day, and recovery time is usually one to two weeks, which is significantly shorter than surgical recovery.

Does UFE Work on Large Fibroids?

Yes, UFE fibroids treatment is considered safe and effective for large fibroids. Studies and clinical experience show that UFE can significantly reduce the size of large fibroids and improve symptoms such as heavy bleeding, pelvic pressure, and pain. Many women notice symptom improvement within weeks, while others experience gradual relief over several months as the fibroids continue to shrink.

UFE is particularly beneficial because it treats all fibroids at once, including those that may not yet be causing symptoms. This reduces the risk of needing additional treatments in the future.

Key benefits of UFE for large fibroids include:

• A minimally invasive approach without major incisions

• High success rates in symptom reduction

• Same-day outpatient treatment

• Shorter recovery compared to surgery

• Preservation of the uterus

Results vary depending on the number, size, and location of fibroids, but most patients report significant improvement in quality of life after UFE.

UFE Compared to Surgical Options

Traditionally, large fibroids have been treated with surgery such as myomectomy or hysterectomy. While these procedures can be effective, they also involve longer recovery times and higher surgical risks.

A myomectomy removes fibroids while leaving the uterus intact, but it requires incisions and may lead to scarring or future fibroid growth. A hysterectomy removes the uterus entirely, which permanently ends fertility and requires a longer recovery period.

In comparison, UFE offers a nonsurgical alternative that avoids general anesthesia and large incisions. It allows women to keep their uterus while still achieving significant symptom relief. For many patients, UFE provides an effective balance between treatment success and minimal disruption to daily life.

Who Is a Good Candidate for UFE?

UFE may be a suitable option for women who experience symptoms from large fibroids and want to avoid surgery. It is often recommended for women who want relief from heavy bleeding or pelvic pressure, prefer a minimally invasive treatment, wish to preserve their uterus, or want a faster recovery.

A consultation with a fibroid specialist is essential to determine candidacy. Imaging tests such as MRI or ultrasound help evaluate fibroid size, location, and overall uterine health before treatment.

Conclusion

Living with large fibroids can be physically and emotionally challenging, but effective treatment options are available. UFE fibroids treatment offers a proven, minimally invasive solution that works for fibroids of all sizes, including large ones. With high success rates, shorter recovery times, and the ability to preserve the uterus, UFE has become a preferred choice for many women seeking lasting symptom relief. Consulting a fibroid specialist can help determine whether UFE is the right option based on individual health needs and treatment goals.