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日本語Interventional radiology · Städtisches Klinikum Karlsruhe
Uterine fibroid embolization in Karlsruhe
A treatment option that preserves the uterus.
Heavy menstrual periods or pressure problems can be caused by Uterine fibroids. If there are appropriate findings, one Uterine fibroid embolization may be an alternative to surgery. The decision is made together with the gynecology and takes into account your personal treatment goals.
- Procedures
- Targeted vascular closure through one Catheter
- Objective
- Shrink fibroids and relieve symptoms
- Important
- Discuss plans for pregnancy and other possible causes beforehand
Who may be suitable for uterine fibroid embolization?
Uterine fibroids are benign changes to the uterine muscles. Not only a picture finding is treated: Decisive are complaints, size and location of the Uterine fibroids as well as your life situation. First of all, it must be checked gynecologically whether the complaints are actually explained by Uterine fibroids.
Ultrasound and, where appropriate, MRI help with planning. Pregnancy, infection or unclear findings may make embolization unsuitable. If you wish to become pregnant, the potential effects on fertility and pregnancy must be discussed explicitly.
How does Embolization work?
A thin catheter is passed through a small vascular access site to the arteries supplying the uterus. Under X-ray guidance, small particles are delivered to reduce blood flow to the fibroids. The aim is for the fibroids to shrink afterwards.
The Uterus remains intact. However, the reduction takes place over a longer period of time and not immediately after the procedure. Pain management and monitoring are part of the preparation, because after the Embolization more severe cramp-like pain can occur.
Alternatives and possible risks
Depending on the findings, options include observation, medication, surgical removal of individual fibroids or removal of the uterus. The choice also depends on the main symptoms and any plans for pregnancy.
In addition to pain, bruising at the access, infections, rejection of fibroid tissue and unintentional damage to other tissues are possible. Ovarian function may be impaired. In rare situations, another operation becomes necessary. Also new complaints or additional Treatments are possible.
What is important after treatment?
Before discharge, you will receive a plan for pain management, recovery, and follow-up checks. The further assessment takes into account both your complaints and the development of Uterine fibroids in the Medical imaging.
In case of increasing pain, fever or unusual discharge, you should contact the treating team. When you can return to work or play sports will be discussed based on the course.
Frequently asked questions to Uterine fibroid embolization
Does fibroid embolization avoid surgical removal?
The procedure is carried out via a Catheter instead of a surgical myoma removal. He remains an invasive treatment with its own risks and a subsequent recovery phase.
Is the method always suitable if I want to become pregnant?
No. Preserving the uterus does not guarantee a future pregnancy. Counselling must address fertility, alternatives and your individual situation.
Your next step
Personal advice in Karlsruhe
Please provide gynecological findings, existing Ultrasound and MRI examinations, as well as information on bleeding strength, previous Treatments and a possible desire to have children.
Please also bring your current medication list and tell us about any known allergies. The reception team will explain which additional documents are needed and how imaging can be transferred securely. Only change your medication after consulting a doctor.
Privately insured and self-paying patients
Head physician’s office
0721 974-1901Consultations and costs ↗Treatment location: Städtisches Klinikum Karlsruhe, Moltkestraße 90, 76133 Karlsruhe. Two beds are available for short inpatient monitoring and interventional care. The type and duration of your stay depend on the procedure and your health.
An enquiry does not guarantee that an intervention will be offered. A personal consultation considers benefits, risks and alternatives. In an acute medical emergency, call 112.
Medical references & additional information
Editorially responsible: PD Dr. med. Jonathan Nadjiri · Editorial update: 26 September 2026. These texts were prepared with AI assistance using the linked medical references. They do not replace individual medical counselling.