Ask the OB-GYN or surgeon

Hysterectomy removes the uterus and is often discussed as a definitive option. Ask why it is being considered, what route is planned, what alternatives are reasonable to discuss, and how ovaries, cervix, recovery, pathology, and follow-up will be handled.

Questions to ask

  • Why is hysterectomy being discussed instead of monitoring, medication, myomectomy, UFE/UAE, ablation, or another option?
  • Which surgical route is planned, and what tradeoffs should I understand?
  • What should I ask about ovaries, cervix, pathology, recovery, and long-term follow-up?

Ask the interventional radiologist

UFE/UAE is an image-guided embolization procedure that some patients discuss when comparing fibroid treatment options. It still requires clinician evaluation and is not right for everyone.

Questions to ask

  • What symptoms, imaging findings, fertility goals, medical history, or safety concerns would make UFE/UAE worth discussing or not worth discussing?
  • What imaging and labs are needed before an IR can have a meaningful conversation with me?
  • What should I understand about pain plan, recovery, follow-up imaging, symptom timeline, and possible later procedures?

Ask about fertility and pregnancy explicitly

If future pregnancy matters, say so early. Hysterectomy ends the ability to carry a pregnancy, and UFE/UAE fertility and pregnancy questions should be discussed carefully with clinicians.

Questions to ask

  • How does each option affect future pregnancy or fertility planning?
  • Should a fertility specialist or maternal-fetal medicine clinician be part of the conversation?
  • What uncertainties should I understand before deciding?

Sources

ACOG uterine fibroids FAQ · ACOG uterine artery embolization FAQ · RadiologyInfo UFE and MRgFUS