Each of the following clinical scenarios below relate to percentages of woman undergoing uterine artery embolisation in fibroid uterus . For each patient select the single most appropriate option from the list above. Each option may be used once, more than once or not at all.
1. 36 year old nulliparous woman has come with menorrhagia, dysmenorrhoea, has been evaluated diets MRI which shows fundal intramural fibroid. After discussing options, she chose uterine artery embolisation as she is Jehovah witness. She is asking you further treatment for recurrent symptoms. What is the risk for recurrent symptoms for her?
2. 45year old who underwent UAE for fibroid uterus 3months back, presented with hot flushes, night sweats. Suggestive of ovarian failure. What is the
prevalence of this complication? Early ovarian failure may occur in 1–2%, although this is largely confined to women over 45 or those approaching the menopause. Complications usually occur late (>30 days post-procedure), and may occur >1 year post-procedure.
3. 40year old woman from Ghana, has intramural fibroid measuring 8x5x6cm. She is anaemic because of menorrhagia and she has severe dysmenorrhoea. She is here to discuss management options, she wants to know what maximum percentage of her fibroid volume gets reduced with UAE
4. Percentage of woman who becomes asymptomatic after UAE in first year
5. 50 year old woman who underwent UAE for multiple fibroid 5months back, is type 1 diabetes mellitus on insulin. She came back with high fever, with chills and rigors and excessive bleeding p/v. When all conservative measures failed she had to undergo urgent Total abdominal hysterectomy due to sepsis. What percentage of woman can have such a complication