Is an intrauterine device a contraindication for uterine artery embolization? A study of 20 patients

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A retrospective study of 20 patients found no infectious complications after uterine artery embolization in women with intrauterine devices, suggesting it may not be a contraindication.

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Abstract

The presence of an intrauterine device (IUD) has been traditionally considered a risk factor for postprocedural infection in patients undergoing uterine artery embolization (UAE). The authors retrospectively evaluated the occurrence of infectious complications following embolization in 20 women with IUDs. After a mean follow-up of 20.5 months, none of the patients developed an infectious complication. One patient required hysterectomy following embolization for persistent pain. Pathologic evaluation of the hysterectomy specimen demonstrated ischemia without evidence of inflammation. This experience suggests that the presence of an IUD might not be considered a contraindication for UAE.

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Condition tags

endometriosischronic_pelvic_pain

MeSH descriptors

Endometriosis Intrauterine Devices Leiomyoma Uterine Artery Embolization Uterine Neoplasms Adult Contraindications Endometriosis Female Humans Hysterectomy Intrauterine Devices Leiomyoma Middle Aged Pelvic Infection Pelvic Infection Pelvic Pain Pelvic Pain Pelvic Pain Retrospective Studies

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europepmc
last seen: 2026-06-13T06:22:48.782012+00:00
pubmed
last seen: 2026-05-13T22:13:53.633898+00:00
unpaywall
last seen: 2026-05-14T19:30:52.867331+00:00
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