Evidence map›Paper›PMID 41094296›Full record

ArticleCVIR endovascular2025

Fertility outcomes after uterine artery embolization for symptomatic leiomyomas.

Coralie Fabre, Tom Boeken, Vanille Simon, Carole Dean, Marc Sapoval, Olivier Pellerin, Anne-Sophie Bats, Henri Azaïs, Meriem Koual

Registry-linked trialAbstract read
In one paragraph

Article in CVIR endovascular, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05271981 (Uterine Artery Embolization For Uterine Pathology), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05271981 completednot on this map

Uterine Artery Embolization For Uterine Pathology: What Impact On Fertility?

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2022 to 2023Enrolled46ConditionsFertility Disorders, Fertility Issues, Myoma, UterusArmsRetrospective data collection, Phone interview
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Coralie FabreHôpital Europeen Georges-Pompidou: Hopital Europeen Georges Pompidou, Paris, France. coraliefabre97@gmail.com.ORCID http://orcid.org/0009-0009-9436-5492
Tom BoekenHôpital Europeen Georges-Pompidou: Hopital Europeen Georges Pompidou, Paris, France.
Vanille SimonHôpital Europeen Georges-Pompidou: Hopital Europeen Georges Pompidou, Paris, France.
Carole DeanHôpital Europeen Georges-Pompidou: Hopital Europeen Georges Pompidou, Paris, France.
Marc SapovalHôpital Europeen Georges-Pompidou: Hopital Europeen Georges Pompidou, Paris, France.
Olivier PellerinHôpital Europeen Georges-Pompidou: Hopital Europeen Georges Pompidou, Paris, France.
Anne-Sophie BatsHôpital Europeen Georges-Pompidou: Hopital Europeen Georges Pompidou, Paris, France.
Henri AzaïsHôpital Europeen Georges-Pompidou: Hopital Europeen Georges Pompidou, Paris, France.
Meriem KoualHôpital Europeen Georges-Pompidou: Hopital Europeen Georges Pompidou, Paris, France.

Funding

Gedeon Richter France 18000
6 · The paper itself

Abstract

backgroundUterine artery embolization (UAE) is a recognized treatment for symptomatic fibroids, but its impact on fertility remains controversial. This study aimed to assess live birth rates, pregnancy outcomes, and obstetric complications in patients attempting pregnancy after UAE. MATERIALS AND

methodsWe conducted a retrospective monocentric study including women aged 18-45 years treated by UAE for symptomatic fibroids between June 2007 and March 2021. Patients who attempted pregnancy post-procedure were identified and analyzed. The primary outcome was the live birth rate; secondary outcomes included pregnancy rate and obstetric complications. Statistical analyses were performed according to the STROBE guidelines.

resultsAmong 210 included patients, 46 attempted pregnancy (22%). The mean age of this fertility population was 40 years. Thirteen women (28%) began at least one pregnancy after UAE, resulting in 12 births overall in 9 mothers. All live births were delivered via cesarean section, and no fatal obstetric complications occurred in this cohort. The miscarriage rate (23%) and other obstetric outcomes were consistent with general population trends for similar age groups. UAE demonstrated high symptom resolution, with 70% of patients requiring no further interventions for fibroids.

conclusionFertility may be preserved in a subset of women with complex surgical histories or high-risk surgical profiles undergoing UAE for symptomatic fibroids.

trial registrationNCT05271981.

Indexed as

FertilityLeiomyomaPregnancyUterine Artery EmbolizationUterine fibroids

Identifiers

PMID41094296
PMCPMC12528642

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Registered trials

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