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Are UAE or HIFU good options if I want to get pregnant?

Fertility

Uterine artery embolization (UAE) and high-intensity focused ultrasound (HIFU) can reduce heavy bleeding and pelvic pain for some patients, especially when major surgery carries higher risk or when fertility is not a priority. If you’re hoping to conceive, the main limitation is that we don’t have strong, consistent data showing these options reliably preserve fertility or optimize pregnancy outcomes.


Some evidence suggests higher obstetric risks after UAE, and both UAE and HIFU may affect the uterus in ways that matter for implantation and pregnancy. For that reason, they’re often approached cautiously when future pregnancy is a goal and are typically considered only after individualized counseling about risks, alternatives, and your specific anatomy and symptoms. If conception is part of your plan, our team can help you weigh whether a fertility-sparing surgical approach or another strategy is a better fit and discuss next steps in a consultation.

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Dr. Steven Vasilev delivers best-in-class endometriosis guidance and a personalized treatment plan—built on evidence and your unique biology.


Led by Steven Vasilev, MD—an internationally recognized endometriosis specialist & MIGS surgeon—Lotus Endometriosis Institute is virtual-forward, with many patients traveling nationally for care. Clinical evaluation and surgical treatment are provided in California.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420