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This study aimed to assess live birth rates, pregnancy outcomes, and obstetric complications in patients attempting pregnancy after UAE.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Materials and methods<\/jats:title>\n            <jats:p>We conducted a retrospective monocentric study including women aged 18\u201345\u00a0years treated by UAE for symptomatic fibroids between June 2007 and March 2021. Patients who attempted pregnancy post-procedure were identified and analyzed. The primary outcome was the live birth rate; secondary outcomes included pregnancy rate and obstetric complications. Statistical analyses were performed according to the STROBE guidelines.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Among 210 included patients, 46 attempted pregnancy (22%). The mean age of this fertility population was 40\u00a0years. Thirteen women (28%) began at least one pregnancy after UAE, resulting in 12 births overall in 9 mothers. All live births were delivered via cesarean section, and no fatal obstetric complications occurred in this cohort. The miscarriage rate (23%) and other obstetric outcomes were consistent with general population trends for similar age groups. UAE demonstrated high symptom resolution, with 70% of patients requiring no further interventions for fibroids.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Fertility may be preserved in a subset of women with complex surgical histories or high-risk surgical profiles undergoing UAE for symptomatic fibroids.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Trial registration<\/jats:title>\n            <jats:p>NCT05271981<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s42155-025-00604-4","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T01:43:07Z","timestamp":1760578987000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Fertility outcomes after uterine artery embolization for symptomatic leiomyomas"],"prefix":"10.1186","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9436-5492","authenticated-orcid":false,"given":"Coralie","family":"Fabre","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Boeken","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanille","family":"Simon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carole","family":"Dean","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Sapoval","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Pellerin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne-Sophie","family":"Bats","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henri","family":"Aza\u00efs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meriem","family":"Koual","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"issue":"10","key":"604_CR1","doi-asserted-by":"publisher","first-page":"1501","DOI":"10.1111\/1471-0528.14640","volume":"124","author":"EA Stewart","year":"2017","unstructured":"Stewart EA, Cookson CL, Gandolfo RA, Schulze-Rath R. 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This study obtained IRB approval (IDRCB 2021-A01868-33) and the need for informed consent was waived.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethic approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests. Carole Dean, Marc Sapoval, and Ollivier Pellerin report consultancies for Merit Medical.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"83"}}