Gyn-Related Procedures
Gyn-Related Procedures
Uterine artery embolization

Many women who are experiencing pain, heavy menstrual or postpartum bleeding, or pelvic pressure have uterine fibroids, a non-cancerous growth within the uterus, often appearing during childbearing years. Uterine artery embolization is a minimally invasive treatment and uses x-ray/fluoroscopic imaging to guide a catheter into the uterine arteries, then injecting particles to partially occlude the supply of blood flow to the uterine arteries, shrinking the size of the fibroids over time. This non-surgical treatment is done without full anesthesia and with less pain than traditional surgery, allowing a quick recovery compared with surgical options.
Symptoms
Symptoms of uterine fibroids include heavy menstrual bleeding, pelvic pain, constipation, backache, frequent urination, and menstrual periods lasting longer than a week.
Risk Factors
Risk factors for these fibroids include obesity, excessive alcohol consumption, a diet higher in red meat and lower in green vegetables, family history of uterine fibroids, and race.
Before Your Exam
Before the uterine artery embolization, tell your radiologist if you are pregnant or if there is a chance you may be pregnant. Talk about any recent illnesses or medications. You may be asked to stop taking NSAIDs or blood thinners prior to the procedure and to not eat or drink anything the night before. Wear loose clothing and plan to potentially stay in the hospital overnight.
Time required for your exam
This procedure typically takes 1 to 3 hours.

Gyn-Related Procedures
Chronic pelvic congestion syndrome

For patients with chronic pelvic pain, IR can use imaging to help diagnose and treat chronic pelvic congestion syndrome. These procedures are non-invasive and are becoming the first line treatment for such conditions.
Symptoms
Chronic pelvic congestion syndrome affects women with symptoms often including a dull pelvic ache that worsens when standing for a long time, before menstruation, during sexual intercourse, and in the late stages of pregnancy. Other symptoms can include backache, fatigue, varicose veins around vulva, buttocks, and legs, tender abdomen, increased urination, and hip pain.
Risk Factors
Pregnancy is the most common risk factor of this syndrome due to structural changes in the pelvis, increased weight and fluid volume, and the rise in estrogen weakening blood vessel walls.
Before Your Exam
Before a pelvic vein embolization, let your radiologist know if you are pregnant, may be pregnant, or are breastfeeding. Discuss any medications and recent illnesses with your doctor. Wear loose-fitting clothing and leave your jewelry at home.
Time required for your exam
A pelvic vein embolization typically takes anywhere from 60 minutes to several hours depending on the complexity.
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Adventist Health Portland
10123 SE Market Street
Portland, Oregon 97216
503.251.6137
Gresham Imaging Center
831 NW Council Drive
Gresham, Oregon 97030
503.251.6137
Clackamas Medical Plaza
10151 SE Sunnyside Rd Ste 100
Clackamas, Oregon 97015
503.251.6137
Adventist Health Columbia Gorge
1700 E. 19th Street
The Dalles, Oregon 97058
541.296.7251
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