A 45-year-old woman presents with severe menorrhagia and dysmenorrhea and is found to have several large uterine fibroids. She does not want to undergo hysterectomy, so she is advised to consider uterine fibroid embolization. Embolization is a nonsurgical intervention that causes infarction of the fibroid. Fertility may be impaired by the procedure, and repeat interventions are necessary in some patients.
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Goodwin et al. (2009) studied this question.