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Patient Name: Age: DOB: Today's Date: Evaluating Physician: Referring MD: OB×GUN MD: Uterine Fibroid Embolization Patient Questionnaire How did you hear about UFE? What are your goals or expectations

How to fill out uterine fibroid embolization

How to fill out uterine fibroid embolization:

1. Consultation with a healthcare provider: The first step in the process of filling out uterine fibroid embolization is to schedule a consultation with a healthcare provider who specializes in this procedure. During this consultation, the healthcare provider will evaluate your medical history, conduct a physical examination, and may order additional tests to determine if uterine fibroid embolization is the right treatment option for you.
2. Pre-procedure instructions: Once it is determined that you are a candidate for uterine fibroid embolization, your healthcare provider will provide you with specific pre-procedure instructions. This may include information about dietary restrictions, medications to avoid, and guidelines on how to prepare for the procedure. It is important to follow these instructions carefully to ensure the success and safety of the procedure.
3. Day of the procedure: On the day of the uterine fibroid embolization procedure, you will be asked to arrive at the designated healthcare facility. You may be required to fast for a certain period of time before the procedure. Make sure to wear loose, comfortable clothing and avoid wearing any jewelry or accessories. It is advisable to arrange for someone to drive you home after the procedure, as you may feel tired or groggy due to anesthesia or sedation.
4. The procedure: Uterine fibroid embolization is typically performed by an interventional radiologist. You will be given local anesthesia to numb the area being treated. A small incision will be made near the groin, and a thin tube called a catheter will be inserted into the blood vessels that supply the fibroids. Through this catheter, tiny particles will be injected to block the blood flow to the fibroids, causing them to shrink over time.
5. Recovery: After the procedure, you will be taken to a recovery area where healthcare professionals will monitor your vital signs and provide necessary medications for pain management. You may experience mild to moderate cramping, pelvic pain, and vaginal bleeding for a few days after the procedure. Your healthcare provider will provide you with specific instructions on how to manage post-procedure symptoms, when to resume normal activities, and when to schedule a follow-up appointment.

Who needs uterine fibroid embolization:

1. Women with symptomatic uterine fibroids: Uterine fibroid embolization is typically recommended for women who have symptomatic uterine fibroids. Symptoms may include heavy or prolonged menstrual bleeding, pelvic pressure or pain, frequent urination, constipation, backache, and reproductive issues.
2. Women who desire to preserve their uterus: Unlike surgical procedures such as hysterectomy (removal of the uterus) or myomectomy (removal of fibroids), uterine fibroid embolization allows women to preserve their uterus and maintain their potential for future childbearing, if desired.
3. Women who are not suitable candidates for surgery: Uterine fibroid embolization can be an alternative treatment option for women who are not suitable candidates for surgery, such as those with multiple or large fibroids, or those with certain medical conditions that may make surgery risky. However, individual eligibility for the procedure should be determined through a thorough evaluation by a healthcare provider.

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What is uterine fibroid embolization?

Uterine fibroid embolization is a minimally invasive procedure to treat fibroids in the uterus.

Who is required to file uterine fibroid embolization?

Patients who undergo uterine fibroid embolization are required to have the procedure documented in their medical records.

How to fill out uterine fibroid embolization?

Fill out the required forms with accurate information regarding the procedure and patient.

What is the purpose of uterine fibroid embolization?

The purpose of uterine fibroid embolization is to shrink or eliminate fibroids in the uterus.

What information must be reported on uterine fibroid embolization?

Information such as patient demographics, procedure details, and any complications must be reported on uterine fibroid embolization.