What are the lifting and sexual activity restrictions after uterine artery embolization (UAE) for fibroid treatment?

Post-Uterine Fibroid Embolization Restrictions for Lifting and Sexual Activity

After uterine artery embolization (UAE) for fibroids, patients should avoid heavy lifting and sexual activity for at least 1-2 weeks to allow for proper healing and minimize complications.

Recovery Timeline After UAE

• UAE is a minimally invasive procedure with shorter recovery times compared to surgical options like hysterectomy or myomectomy 1
• The average recovery time after UAE is approximately 13.1 days (median 10 days), during which patients should limit strenuous activities 2
• Most patients can return to normal activities within 2 weeks following the procedure 2

Specific Post-Procedure Restrictions

Lifting Restrictions

• Avoid heavy lifting (>10 pounds) for at least 7-10 days after the procedure 1
• Gradually resume normal activities as tolerated after the initial recovery period 2
• Return to full physical activities including heavy lifting should be guided by the resolution of post-procedural pain and discomfort 2

Sexual Activity Restrictions

• Sexual intercourse should be avoided for 1-2 weeks following UAE 1, 3
• Resume sexual activity only after post-procedural bleeding and discharge have resolved 3
• Patients should be informed that premature resumption of sexual activity may increase the risk of infection or bleeding 3

Post-Procedure Complications to Monitor

• Post-embolization syndrome (fever, pain, nausea) is common and typically resolves within the first week 1
• Pain is the most significant factor affecting recovery time and activity restrictions 2
  • 92% of patients report post-procedural pain (mean pain rating 7.0 on a 10-point scale) 2
  • Pain is the primary reason for extended hospital stays and delayed return to normal activities 2
• Less common but more severe complications that may require activity restrictions include:
  • Fibroid expulsion (may occur weeks after the procedure) 4, 3
  • Infection 3
  • Vessel injury 1

Follow-Up Care

• Patients should be closely monitored for the first 24-48 hours after discharge for pain control and potential complications 1
• A follow-up evaluation at 3-6 months is recommended to assess treatment efficacy 1
• Imaging may be performed to determine fibroid volume reduction and assess for incomplete fibroid infarction 1

Special Considerations

• The size of fibroids does not significantly impact recovery time or activity restrictions 5
• Patients with larger fibroids (>10cm) can expect similar recovery timelines and restrictions as those with smaller fibroids 5
• Individual pain tolerance varies considerably and may affect the timeline for resuming normal activities 2