Condition

Uterine Fibroids

Expert Uterine Fibroid Care in Buffalo, NY

Overview

If you're living with heavy menstrual bleeding, painful periods, pelvic pressure, uterine fibroids, or adenomyosis, you may have less invasive treatment options than surgery alone. Buffalo Vascular Care offers Uterine Artery Embolization (UAE), a minimally invasive, FDA-approved outpatient procedure that treats fibroids and adenomyosis without removing the uterus. We work closely with your gynecologist before, during, and after treatment to provide coordinated care and the best possible outcomes.

Uterine Fibroids

By the numbers

Fibroid improvement
90–95%

Significant symptom relief

Adenomyosis improvement
75–80%
Complication rate
<1%
Years of IR experience
25+

Symptoms

Common symptoms

  • Heavy menstrual bleeding
  • Periods lasting longer than 7 days
  • Painful menstrual cramps
  • Passing large blood clots
  • Pelvic pain or pressure
  • Frequent urination
  • Constipation
  • Back pain
  • Fatigue from anemia

What Are Uterine Fibroids?

What Are Uterine Fibroids?

Fibroids are non-cancerous growths that develop in the muscular wall of the uterus. Fibroids are common and can vary greatly in size from very small growths to large masses that can enlarge the uterus significantly and can cause heavy bleeding, pelvic pain, pressure, urinary symptoms, constipation, back pain, and anemia.

What Is Adenomyosis?

What Is Adenomyosis?

Adenomyosis occurs when the tissue lining the uterus grows into the muscular wall of the uterus, often causing heavy bleeding, severe cramping, pelvic pain, and an enlarged uterus.

What Is Uterine Artery Embolization (UAE)?

What Is Uterine Artery Embolization (UAE)?

Uterine artery embolization is a safe, minimally invasive, image guided procedure used to treat both uterine fibroids and adenomyosis. During the procedure a small catheter is inserted through a tiny puncture in the wrist or the groin and guided to the uterine arteries using advanced imaging technology. Tiny embolic particles are injected to block blood flow to fibroids and adenomyosis, allowing them to shrink while preserving the uterus.

Unlike hysterectomy, UAE preserves the uterus and does not require large surgical incision.

Uterine artery embolization procedure

Benefits of UAE

Benefits of UAE

  • No hysterectomy
  • No large incision
  • Same-day discharge
  • Minimal blood loss
  • Preserves the uterus
  • Recovery in about one week
  • Patients with fibroids: 90–95% symptom improvement
  • Patients with adenomyosis: 75–80% symptom improvement
  • Covered by most insurance plans

Am I a Candidate?

Am I a Candidate?

Candidates typically have symptomatic fibroids or adenomyosis causing heavy bleeding, pelvic pain, pressure, urinary symptoms, constipation, or back pain. A pelvic MRI and gynecologic evaluation are completed before treatment.

Why Choose Buffalo Vascular Care?

Why Choose Buffalo Vascular Care?

  • More than 25 years of Interventional Radiology experience
  • Board-Certified Interventional Radiologist
  • Outpatient, minimally invasive treatment
  • State-of-the-art imaging
  • Personalized care
  • Close collaboration with your OB/GYN
  • Comprehensive follow-up until symptoms improve

What to expect

Procedure, recovery & beyond

  • The Procedure

    The procedure typically takes 60–90 minutes and is performed using conscious (twilight) sedation. Most patients go home 2–4 hours later.

  • Recovery

    Cramping, fatigue, mild nausea, and low-grade fever are common for several days. Most women return to work within 5–10 days.

  • Results

    Many women notice lighter periods with their first menstrual cycle after UAE. Fibroids continue shrinking over 6–12 months, leading to ongoing symptom improvement.

  • Risks

    Complications are uncommon (<1%) but may include infection, temporary pain, nausea, or rarely hysterectomy if severe infection develops.

  • Insurance

    UAE is covered by most major insurance plans. Our office verifies benefits and obtains prior authorization.

Comparison

How Does UAE Compare to Surgery?

Treatment Type

Uterine Artery Embolization (UAE)
Minimally invasive, image-guided procedure
Myomectomy
Surgical removal of fibroids
Hysterectomy
Surgical removal of the uterus

Performed By

Uterine Artery Embolization (UAE)
Interventional Radiologist
Myomectomy
Gynecologic Surgeon
Hysterectomy
Gynecologic Surgeon

Anesthesia

Uterine Artery Embolization (UAE)
Conscious (twilight) sedation in most patients
Myomectomy
General anesthesia
Hysterectomy
General anesthesia

Incision

Uterine Artery Embolization (UAE)
Tiny puncture in the wrist or groin
Myomectomy
Abdominal, laparoscopic, or hysteroscopic incision
Hysterectomy
Abdominal, laparoscopic, or vaginal incision

Hospital Stay

Uterine Artery Embolization (UAE)
Same-day outpatient procedure
Myomectomy
Usually 1–2 days
Hysterectomy
Usually 1–3 days

Recovery Time

Uterine Artery Embolization (UAE)
5–10 days
Myomectomy
4–6 weeks
Hysterectomy
6–8 weeks

Uterus Preserved

Uterine Artery Embolization (UAE)
Yes
Myomectomy
Yes
Hysterectomy
No

Treats Multiple Fibroids at Once

Uterine Artery Embolization (UAE)
Yes
Myomectomy
Depends on size, number, and location
Hysterectomy
Yes (uterus removed)

Blood Loss

Uterine Artery Embolization (UAE)
Minimal
Myomectomy
Moderate
Hysterectomy
Moderate to significant

Scarring

Uterine Artery Embolization (UAE)
Minimal (tiny puncture)
Myomectomy
Surgical scars
Hysterectomy
Surgical scars

Fibroid Recurrence

Uterine Artery Embolization (UAE)
Treated fibroids do not regrow, although new fibroids may develop over time
Myomectomy
New or remaining fibroids may develop
Hysterectomy
No recurrence because the uterus is removed

Return to Normal Activities

Uterine Artery Embolization (UAE)
Approximately 1 week
Myomectomy
4–6 weeks
Hysterectomy
6–8 weeks

Typical Patient Satisfaction

Uterine Artery Embolization (UAE)
Very High
Myomectomy
High
Hysterectomy
High

From the Medical Director

A Message from Dr. Azher Iqbal

Dr. Azher Iqbal, Medical Director

Choosing treatment for fibroids or adenomyosis is an important decision. As a board-certified Interventional Radiologist with more than 25 years of experience, I have dedicated my career to helping women avoid unnecessary surgery whenever possible. We work closely with your gynecologist throughout your evaluation, treatment, and recovery so you receive coordinated, comprehensive care. Our team is committed to compassionate, personalized care from consultation through recovery.

Dr. Azher Iqbal, Medical Director

Common Questions

Frequently asked questions

How Effective Is Uterine Artery Embolization (UAE)?

Uterine Artery Embolization is one of the most well-studied minimally invasive treatments for uterine fibroids and adenomyosis, with excellent long-term outcomes.

Clinical studies have shown:

  • 90–95% of women experience significant improvement in their symptoms. Heavy menstrual bleeding often improves with the first menstrual cycle after treatment. Fibroids gradually shrink over 6–12 months, relieving pelvic pressure, urinary frequency, constipation, bloating, and pelvic pain.
  • 75–80% of women with adenomyosis experience significant improvement in their symptoms.
  • Most women avoid hysterectomy and return to their normal activities within 5–10 days.
  • UAE has a complication rate of less than 1%, which is lower than many traditional surgical procedures.

Our goal is to provide long-lasting symptom relief while preserving the uterus and minimizing recovery time.

Will I need general anesthesia?

No. Most patients receive conscious (twilight) sedation.

Will I stay overnight?

No. UAE is an outpatient procedure, and most patients go home the same day.

How long does recovery take?

Most women return to work in 5–10 days.

What should I expect after the procedure?

Cramping, fatigue, low-grade fever, and mild nausea are expected and improve over several days.

When will I notice improvement?

Many women notice progressively lighter bleeding starting with their first menstrual cycle. Fibroids continue shrinking over 6–12 months.

Will I have a scar?

Only a tiny wrist or groin puncture that heals with little or no visible scar.

Is UAE painful?

Cramping is expected but is managed with medications during and after the procedure.

What happens to the fibroids?

They lose their blood supply, shrink over 6–12 months, and become scar tissue.

Can UAE treat adenomyosis?

Yes. UAE is effective for many women with adenomyosis as well as fibroids.

What happens to the particles used for embolization?

During UAE, tiny medical-grade particles are injected into the arteries that supply blood to the fibroids or adenomyosis. These particles become permanently lodged within the small blood vessels feeding the treated tissue, blocking its blood supply.

The particles remain safely in place and do not travel throughout the body. Over time, the fibroids shrink and become scar tissue because they no longer receive oxygen and nutrients. The surrounding healthy uterine tissue continues to receive blood flow through other normal blood vessels.

The embolic particles have been used safely in Interventional Radiology procedures for many years and are made from biocompatible materials designed to remain in the treated blood vessels without causing harm to the rest of the body.

Am I a good candidate?

A consultation, MRI review, and collaboration with your gynecologist determine candidacy.

Do I need to prepare?

Yes. A pelvic MRI, gynecologic evaluation, and consultation are completed before treatment.

Will UAE affect fertility?

Discuss future pregnancy plans with your gynecologist and our team so treatment can be individualized.

Will I still need my gynecologist?

Yes. We work closely with your gynecologist before, during, and after treatment.

Can my gynecologist perform UAE?

UAE is performed by specially trained Interventional Radiologists.

Will I still get my period after UAE?

Yes. Most women continue to have menstrual periods after UAE. The goal is to reduce heavy bleeding and improve symptoms—not to stop normal menstrual cycles. Women nearing natural menopause may experience changes in their menstrual cycle.

How long does the procedure take?

The procedure generally takes 60–90 minutes, with most patients going home within a few hours.

Is Uterine Artery Embolization Covered by Insurance?

Yes. Uterine Artery Embolization (UAE) is a well-established, FDA-approved procedure and is covered by most major commercial insurance plans, as well as Medicare, for patients who meet medical necessity criteria.

Do you treat Canadian Patients?

Buffalo Vascular Care proudly welcomes patients from Canada seeking advanced, minimally invasive treatment for uterine fibroids and adenomyosis.

Located just minutes from the Canadian border, our accredited outpatient center provides convenient access to Uterine Artery Embolization (UAE) for women looking for a non-surgical alternative to hysterectomy or myomectomy. For more information you can reach us at manager@buffalovascularcare.com.

Talk to Dr. Azher Iqbal about Uterine Fibroids

Request a consultation to discuss your symptoms and treatment options.

Most insurance accepted