Uterine artery embolization as an alternative option for adenomyosis treatment

Adenomyosis is a complex clinical condition that is often diagnosed in women of reproductive age. Unfortunately, only a hysterectomy can lead to a complete cure today. At the same time, the current trend is the desire of women to preserve the organ even after the reproductive program is completed. Insufficient knowledge of the pathogenetic aspects of this disease hinders definitively resolving the treatment issues. As a result, various alternative minimally invasive techniques are developed in order to preserve the uterus and potential fertility, while avoiding extensive surgery. Currently, several organ-preserving treatment options are available, including pharmacotherapy, conservative surgical techniques, and minimally invasive techniques, each with its own risks and benefits. Uterine artery embolization (UAE) is a modern minimally invasive treatment option for uterine fibroids and has recently gained popularity as a safe and cost-effective treatment for adenomyosis with promising results. This review discusses the place of uterine artery embolization in the treatment of adenomyosis as a possible organ-preserving alternative to hysterectomy.