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Uterine Fibroid Embolization in California

Fibroid treatment option · Van Nuys + Tarzana + Fountain Valley

Uterine Fibroid Embolization (UFE) in Los Angeles & Orange County

UFE is a uterus-preserving, image-guided treatment for selected people with fibroid-related bleeding, pressure, pain, or bulk symptoms. It can improve quality of life, but recovery, fertility questions, and the possibility of later treatment deserve an honest conversation.

In short: Uterine fibroid embolization (UFE) is a non-surgical, uterus-preserving treatment for heavy bleeding, pelvic pressure and pain caused by fibroids. An interventional radiologist blocks the fibroids’ blood supply through a small catheter; most patients go home within a day and return to desk work within one to two weeks. At SoCal Interventional, Dr. Nathanael Sabbah offers UFE consultations in Van Nuys and Tarzana for Los Angeles patients and in Fountain Valley for Orange County. Confirm the separate procedure facility with the care team.

Request a UFE evaluationCompare options
No abdominal incisionOutpatient in many casesIndividual results vary
On this pageLos Angeles officesSymptomsHow UFE worksStepsEvaluationCompare optionsRecovery + risksEvidenceCost & insurancePlan your visit
Los Angeles consultation planning

Where can I discuss UFE in Los Angeles?

Dr. Nathanael Sabbah sees patients for UFE consultations at SoCal Interventional in Van Nuys and Tarzana, serving Los Angeles and the San Fernando Valley. The consultation office and procedure facility may differ; confirm the exact location for each appointment.

Van Nuys consultation office

15211 Vanowen St, Suite 305
Van Nuys, CA 91405

Van Nuys office details and current directions

Tarzana consultation office

18370 Burbank Blvd, Suite 514
Tarzana, CA 91356

Tarzana office details and current directions

Call (310) 929-0026 or request a UFE consultation. Tell the scheduling team your preferred office and ask which existing records it needs and how to send them securely. An appointment request is not a confirmed procedure booking.

About your UFE consultation physician

Dr. Nathanael Sabbah offers UFE consultations at SoCal Interventional. His Cedars-Sinai physician profile lists board certification in Interventional Radiology and Diagnostic Radiology through the American Board of Radiology, and Nuclear Medicine through the American Board of Nuclear Medicine.

Review Dr. Sabbah’s training and practice information and use the SoCal office details above to arrange your consultation.

For Orange County, see our UFE consultation information for Fountain Valley.

Fibroid symptoms

Which fibroid symptoms can UFE treat?

UFE is considered for the three symptom groups fibroids cause: heavy or prolonged periods with clots and anemia; pressure or bulk symptoms such as pelvic fullness, urinary frequency and constipation; and pelvic pain or cramping that disrupts sleep, work or intercourse. A gynecologic evaluation first confirms that fibroids, not another condition, explain the symptoms.

Fibroids are noncancerous uterine growths. Their size and location—not simply their presence—help determine whether they plausibly explain symptoms and which treatment options deserve consideration.

Bleeding-related symptoms

Heavy or prolonged periods, clots, and anemia-related fatigue or shortness of breath can occur. Abnormal bleeding still needs appropriate gynecologic evaluation.

Pressure and bulk symptoms

Pelvic fullness, abdominal enlargement, urinary frequency, constipation, or discomfort may relate to fibroid size and position.

Pain and quality of life

Pelvic pain, cramping, painful intercourse, sleep disruption, and missed work can affect treatment priorities. Symptoms are individual.
Seek urgent care for bleeding with fainting, chest pain, severe shortness of breath, pregnancy-related bleeding, severe sudden pelvic pain, fever with pelvic pain, or another emergency symptom.
The procedure in plain language

How does UFE work?

An interventional radiologist guides a small catheter through an artery—commonly from the wrist or groin—to the uterine arteries. Embolic particles reduce blood flow to fibroids. Treated fibroids may shrink over time, and related symptoms may improve.

  • The uterus is not removed and there is no abdominal surgical incision.
  • Multiple fibroids can often be treated in the same procedure.
  • Cramping and post-embolization symptoms can be significant, especially in the first days.
  • Shrinkage and symptom response occur over time and are not guaranteed.
Terminology

UFE and UAE

“Uterine fibroid embolization” describes embolization performed for fibroids. “Uterine artery embolization” is a broader technical term. You may see both abbreviations in professional and patient resources.
The UFE procedure, step by step

What happens during UFE: step by step

During UFE, the interventional radiologist numbs the skin, places a thin catheter into an artery at the wrist or groin and guides it to each uterine artery under X-ray, then injects tiny particles that block blood flow to the fibroids. The embolization itself takes about one to two hours under sedation rather than general anesthesia.

Uterine fibroid embolization is an outpatient, image-guided procedure. Here is what the process looks like from the first consultation to follow-up imaging, so you know what to expect at each stage.

Consultation and imaging review. A UFE evaluation starts with your symptoms, gynecologic history and pregnancy goals, plus pelvic imaging. Contrast-enhanced pelvic MRI is commonly used to map the number, size and location of fibroids and to look for findings that change the plan, such as adenomyosis or a fibroid on a stalk.
Coordination with your gynecologist. Recent cervical screening, endometrial evaluation when indicated, a pregnancy test, lab work and a medication review (blood thinners, hormonal therapy) are confirmed before the procedure is scheduled. Insurance authorization is requested at this stage.
The day of the procedure. UFE is performed in an angiography suite, usually under conscious sedation or monitored anesthesia care rather than general anesthesia. The interventional radiologist numbs the skin and places a thin catheter into an artery at the wrist or the groin.
Embolization of both uterine arteries. Using X-ray guidance, the catheter is advanced to each uterine artery in turn and tiny embolic particles are injected to slow blood flow to the fibroids while the uterus keeps its other blood supply. The embolization itself usually takes about one to two hours.
Recovery room and the first night. Cramping after embolization is expected and is managed with a planned pain-control regimen that starts before you leave the suite. Many patients go home the same day or after one night, depending on symptoms and medical needs.
The first weeks and follow-up. Cramping, fatigue, low-grade fever and reduced appetite usually ease over the first week, and many people return to desk work within one to two weeks. A follow-up visit and imaging, often MRI at about three to six months, check fibroid shrinkage and symptom response.
Preparing for a UFE consultation? Bring recent pelvic ultrasound or MRI reports, your gynecologist’s notes and a list of current medications. Read who is a candidate for UFE and the UFE recovery timeline before your visit.
A coordinated evaluation

Who is a candidate for UFE?

UFE may be considered when symptoms are meaningfully affecting health or daily life, imaging supports fibroids as the cause, and the person wants to compare uterus-preserving procedural options.

Gynecologic review

Confirm the bleeding or pain evaluation is appropriate and identify concerns that need biopsy, hysteroscopy, cervical screening, or another workup.

Imaging review

Ultrasound and often MRI help characterize fibroid number, size, location, blood supply, and alternative diagnoses such as adenomyosis.

Goals and alternatives

Discuss bleeding control, bulk symptoms, uterine preservation, fertility priorities, recovery, recurrence or reintervention, and procedural or surgical alternatives.
Fertility goals change the conversation. Pregnancy after UFE is possible, but comparative fertility and pregnancy evidence remains limited. People who desire future pregnancy should have individualized gynecology—and when appropriate reproductive-endocrinology—counseling before choosing treatment.
Treatment trade-offs

How does UFE compare with myomectomy, hysterectomy and medication?

UFE treats all fibroids supplied by the uterine arteries in one outpatient procedure and keeps the uterus, with a recovery of one to two weeks. Myomectomy removes fibroids surgically and is usually discussed first when future pregnancy is the priority; hysterectomy is definitive but ends fertility; medication can control bleeding but rarely resolves bulk symptoms.

There is no universally “best” fibroid treatment. The right choice depends on symptoms, anatomy, age, medical history, pregnancy goals, recovery priorities, and how strongly you want to avoid future procedures.

Option Potential role Important limitation
Medication May reduce bleeding or pain; some therapies temporarily reduce fibroid size. Bulk symptoms may persist; effects and side effects vary, and symptoms may return after stopping.
UFE Treats fibroid blood supply without removing the uterus; many fibroids may be addressed together. Post-embolization symptoms, ovarian effects, fertility uncertainty, and later treatment are possible.
Myomectomy Surgically removes fibroids while preserving the uterus; often central to fertility-focused discussions. Operative recovery and risks vary; new or recurrent fibroids can occur.
Hysterectomy Definitive treatment for uterine fibroids and eliminates fibroid recurrence. Removes the uterus, ends uterine fertility, and involves surgical recovery.
Focused ultrasound / other options May be suitable in selected settings based on fibroid anatomy and local expertise. Availability, candidacy, durability, and insurance coverage vary.
Recovery and safety

What are recovery and the risks like after UFE?

Expect cramping, fatigue, low-grade fever and reduced appetite for the first several days (post-embolization syndrome), managed with a planned pain regimen; most patients go home the same day or after one night and return to desk work within one to two weeks. Serious complications such as infection or lasting ovarian changes are uncommon but possible.

After UFE

Many patients are discharged the same day or after an overnight stay, depending on symptoms and medical needs. Cramping, pelvic pain, nausea, fatigue, low-grade fever, and reduced appetite can occur as part of post-embolization syndrome. Driving, work, exercise, medication, and wound-care timing should follow the treating team’s instructions. Vaginal discharge or passage of fibroid tissue may occur and should be discussed in advance.

Potential risks

  • Bleeding, bruising, or artery injury at the access site
  • Infection, which rarely can require urgent surgery
  • Contrast reaction, kidney injury, and radiation exposure
  • Temporary or permanent changes in ovarian function, including earlier menopause
  • Fibroid passage, prolonged discharge, or unplanned gynecologic procedures
  • Rare uterine injury or non-target embolization
  • Limited improvement, recurrence, or later reintervention
Contact the care team urgently for uncontrolled pain or vomiting, heavy bleeding, high or persistent fever, foul-smelling discharge, fainting, chest pain, shortness of breath, or another concerning symptom.
Evidence update

What comparative studies add to the decision

UFE has substantial evidence for symptom and quality-of-life improvement, but head-to-head research shows meaningful trade-offs with myomectomy and confirms that some patients later need another procedure.

ACOG patient guidance

The American College of Obstetricians and Gynecologists describes UFE as an option for symptomatic fibroids, usually performed without a large incision. Its patient guidance notes that about one in five people later needs another fibroid procedure or surgery. Read ACOG’s patient FAQ

FEMME randomized trial

Among 254 women, myomectomy produced greater fibroid-related quality-of-life improvement at two years. The difference was smaller and not statistically significant at four years, while bleeding scores improved similarly. The trial was not large enough for firm pregnancy conclusions. Read the trial report (PubMed)

Device oversight

The FDA classifies vascular embolization devices used for peripheral and neurovascular applications and publishes special-controls guidance. A device’s regulatory status is not the same as a guarantee that a procedure is appropriate for a particular patient. Review the FDA classification

UFE results: what long-term studies report

People researching “uterine fibroid embolization reviews” or UFE success rates usually want two numbers: how many patients get lasting relief, and how many need another procedure later. The registry and randomized trials below are the most-cited sources for both. Evidence section updated October 11, 2026.

Study Design and follow-up What it found
FIBROID Registry (Goodwin et al., Obstetrics & Gynecology 2008) 2,112 women treated with UFE at 27 U.S. centers; 3-year follow-up Mean symptom score fell from 58.6 to 16.5 and quality-of-life score rose from 47.0 to 89.6 (0–100 scales). 85% reported substantial improvement in symptoms and quality of life, and about 90% had avoided a hysterectomy at three years.
REST trial (Moss et al., BJOG 2011) UK randomized trial of UAE versus surgery (hysterectomy or myomectomy); 5-year follow-up with 91% of participants retained Quality-of-life gains were equal in both groups at five years and about 90% of patients in each group were satisfied. 32% of the embolization group needed a further procedure within five years, compared with a lower rate after surgery.
EMMY trial (de Bruijn et al., American Journal of Obstetrics & Gynecology 2016) Dutch randomized trial of UAE versus hysterectomy; 177 women randomized; 10-year follow-up 28 of 81 women treated with UAE (35%) had a hysterectomy within 10 years, so about two-thirds avoided it. Health-related quality of life was comparable and stable in both groups; 78% (UAE) and 87% (hysterectomy) were very satisfied.
FEMME trial (Manyonda et al., New England Journal of Medicine 2020; Daniels et al. 2022) UK randomized trial of UAE versus myomectomy; 254 women randomized; 2- and 4-year follow-up At two years, fibroid-related quality of life was higher after myomectomy (84.6 vs 80.0 out of 100). By four years the difference was no longer statistically significant (90.2 vs 86.6). Repeat procedures by four years: 24% after UAE vs 13% after myomectomy. Median hospital stay was 2 days after UAE vs 4 after myomectomy.
How to read these numbers Most people treated with UFE report meaningful, durable improvement in bleeding, pressure and quality of life, and the large majority keep their uterus. The trade-off is that roughly one in five to one in three patients has another fibroid procedure within five years, a rate that is higher than after hysterectomy and somewhat higher than after myomectomy. Myomectomy may deliver slightly higher fibroid-specific quality of life in the first two years; by four years the two approaches look similar.
What this means for your decision If avoiding major surgery, keeping your uterus and a short recovery matter most, UFE is a well-studied option. If you want the lowest chance of ever needing another fibroid treatment and are done with childbearing, hysterectomy is the definitive choice. If future pregnancy is a priority, myomectomy is usually discussed first, because pregnancy data after UFE remain limited. See our UFE vs hysterectomy recovery comparison for a closer look.

Selected references

  1. American College of Obstetricians and Gynecologists. Uterine artery embolization patient FAQ. ACOG
  2. Daniels J, et al. UFE versus myomectomy: FEMME randomized trial. PubMed
  3. FEMME four-year bleeding and pregnancy outcomes. PubMed
  4. U.S. Food and Drug Administration. Vascular embolization device classification and special controls. FDA
  5. Goodwin SC, et al. Uterine artery embolization for treatment of leiomyomata: long-term outcomes from the FIBROID Registry. Obstet Gynecol 2008. PubMed
  6. Moss JG, et al. Randomised comparison of uterine artery embolisation (UAE) with surgical treatment in patients with symptomatic uterine fibroids (REST trial): 5-year results. BJOG 2011. BJOG
  7. de Bruijn AM, et al. Uterine artery embolization vs hysterectomy in the treatment of symptomatic uterine fibroids: 10-year outcomes from the randomized EMMY trial. Am J Obstet Gynecol 2016. PubMed
  8. Manyonda I, et al. Uterine-artery embolization or myomectomy for uterine fibroids (FEMME). N Engl J Med 2020. NEJM
  9. Daniels J, et al. Uterine artery embolization or myomectomy for women with uterine fibroids: four-year follow-up of a randomised controlled trial. 2022. PubMed

Individual outcomes vary. Educational information only.

Prepare for your consultation

Plan your UFE consultation in Los Angeles or Orange County

Use the Van Nuys and Tarzana office details above to plan a Los Angeles visit. Our Fountain Valley office serves Orange County. Confirm the appointment location, purpose and record-transfer instructions with the office before traveling.

  • Ask which existing pelvic imaging reports and gynecology records to send before the visit.
  • Write down your questions about symptoms, treatment alternatives, pregnancy goals, recovery and follow-up.
  • Bring your insurance information and ask who will check benefits, network participation and any referral or authorization requirements.
  • Before leaving, record the next step, who will arrange it, and the number to call with follow-up questions.

Explore the UFE Los Angeles patient guide or UFE in Fountain Valley for local consultation information.

UFE cost and insurance questions

Ask your insurer and the office to check the proposed procedure for your individual plan, physician and facility. Request an explanation of referral or authorization requirements, what the estimate includes, and any deductible, copay or coinsurance. Insurance acceptance alone does not establish procedure coverage.

Read our UFE cost and insurance guide. Medicare’s outpatient coverage guidance recommends asking what a proposed service will cost and what Medicare will actually cover; it is not a procedure-specific coverage determination.

Office and visit-planning information editorially updated October 26, 2026.

Common questions

UFE FAQ

Where can I book a UFE consultation in Los Angeles?Dr. Nathanael Sabbah offers UFE consultations at SoCal Interventional in Van Nuys, 15211 Vanowen St, Suite 305, and Tarzana, 18370 Burbank Blvd, Suite 514. Confirm the office when scheduling. A consultation office may differ from the facility used for a procedure.
Will UFE make all fibroids disappear?Not necessarily. Fibroids usually shrink rather than vanish, and the clinical goal is meaningful symptom improvement. The amount of shrinkage and symptom response vary.
Can fibroids come back after UFE?Treated fibroids may remain smaller, but persistent symptoms, new fibroids, or incomplete response can lead to later medication, repeat embolization, myomectomy, or hysterectomy.
Is UFE the same as a hysterectomy?No. UFE reduces fibroid blood flow while leaving the uterus in place. Hysterectomy surgically removes the uterus and is definitive for uterine fibroids.
Can I become pregnant after UFE?Pregnancy can occur after UFE, but evidence comparing fertility and pregnancy outcomes with myomectomy remains limited. Future pregnancy goals require individualized specialist counseling.
What is the success rate of UFE?In the FIBROID Registry, 85% of 2,112 women reported substantial symptom and quality-of-life improvement, and about 90% had avoided a hysterectomy three years after UFE. Randomized trials report that roughly one in five to one in three patients has a further fibroid procedure within five years. Individual results depend on fibroid type, size and location.
How long does the UFE procedure take, and how long is recovery?The embolization itself usually takes about one to two hours. Most patients go home the same day or after one night, and many return to desk work within one to two weeks. Cramping and fatigue are most noticeable in the first several days.
UFE vs hysterectomy: which gives longer-lasting results?Hysterectomy is definitive because the uterus is removed. UFE preserves the uterus; in the 10-year EMMY trial about two-thirds of women treated with embolization never needed a hysterectomy, and quality of life was comparable between the two groups. The choice depends on how strongly you want to keep your uterus and avoid major surgery versus avoiding any chance of a later procedure.
Does UFE work for large or multiple fibroids?UFE treats the fibroids supplied by the uterine arteries in one session, which is one reason it is considered for people with multiple fibroids. A very large uterus, fibroids on a stalk outside the uterus and adenomyosis can change the expected result, so MRI review before deciding is standard.
Plan your decision

UFE guides for your next questions

Am I a candidate for UFE?

Review uterine fibroid embolization candidacy

What is recovery like?

See the UFE recovery timeline

How does UFE compare with hysterectomy?

Compare UFE vs hysterectomy

Compare your fibroid treatment options clearly.

Bring your symptom history, gynecology records, imaging, and fertility priorities for an individualized conversation.
Request a UFE consultation
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Contact Information

  • 15211 Vanowen St, Suite 305, Van Nuys, CA 91405
  • 18370 Burbank Blvd, Suite 514, Tarzana, CA 91356
  • 10900 Warner Ave, Suite 101A Fountain Valley, CA 92708
  • (310) 929-0026
  • [email protected]
  • Monday - Friday: 8:00 AM - 5:00 PM

Insurance Information

We accept most PPO plans, Medicare, self-pay, and some IPA plans.

Please contact our office to verify coverage.

Call (310) 929-0026 Request consult

Medical content reviewed by Nathanael Sabbah, MD, interventional radiologist. Last reviewed: October 2026.

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  • 15211 Vanowen St, Suite 305
    Van Nuys, CA 91405
  • 18370 Burbank Blvd, Suite 514
    Tarzana, CA 91356
  • 10900 Warner Ave, Suite 101A
    Fountain Valley, CA 92708
  • [email protected]
  • (310) 929-0026

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