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There was a time when almost all women with symptomatic leiomyomas were amenable to hysterectomy or myomectomy when medical therapy failed to relieve their pelvic pressure and pain, menorrhagia, and, in many cases, anemia.
Today, that has changed.
An increasing number of women don't want myomectomies or hysterectomies, regardless of whether they are performed abdominally or laparoscopically or--in the case of hysterectomies--vaginally. They go to the Internet and easily click on the names of 1,000 radiologists who promise a nonsurgical alternative that will "melt away" their fibroids.
Uterine artery embolization (UAE) involves making an ...