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Suffering from fibroids?
Considering Non-surgical treatment?
Maybe we can help.

Uterine Fibroid Embolisation (UFE)


> Non-surgical alternative treatment for fibroids.

> Shrinks fibroids by cutting blood supply.

> Treats heavy menstrual periods, bladder symptoms and period pain.

> Alternative to surgery (myomectomy and hysterectomy). 

> Condoleezza Rice had UFE for her fibroids.

Watch this video by Channel 7 to learn more about UFE as an alternative to hysterectomy

Listen to Dr Ross Walker's radio interview with Fibroid Embolization Specialist Dr Eisen Liang on UFE (Uterine Artery Embolisation)

In Essence


Uterine Fibroid Embolisation (UFE)

> Local Anaesthetic Procedure
> Proven to be safe and effective
> 90% Patient satisfaction rate
> No surgical cuts, no general anaesthetic.
> 1-2 nights in hospital, 1 week recovery.
> Multiple fibroids treated in one go.
> Keep your uterus, avoid hysterectomy.

What are fibroids and what are the symptoms?

Fibroids are very common non-cancerous growth in the uterus. Depending on the size and location of fibroids, they may cause heavy periods and painful periods, as well as bulk related symptoms such as urinary frequency and abdominal distention. .

What are the treatment options?    

Your GP and gynaecologist might have already tried or considered simple measures like medical therapy, Mirena IUCD and ablation. These treatments might help your heavy period but do not shrink the fibroids. In the past, when these treatments failed, hysterectomy (removal of the whole uterus) or myomectomy (removal of the fibroids) may be needed. For those women who want to avoid major surgery, uterine fibroid embolisation (UFE) is a safe and effective alternative.

What is uterine fibroid embolisation? 

Uterine fibroid embolisation (UFE) is also known as uterine artery embolisation (UAE). Tiny particles are injected inside the arteries to block the blood flow, starving the fibroids, leading to shrinkage and alleviation of symptoms. This is a local anaesthetic procedure performed by an interventional radiologist. Only a tiny nick is needed to allow the insertion of a small catheter (a tube 1- 2 mm in diameter). It is advanced into the arteries of the uterus under X-ray guidance.

How effective is UFE?

Many studies have shown that UFE is as effective as surgery in alleviating fibroid symptoms and improving women’s quality of life. Our own study showed that more than 90% of women treated were happy or very happy with the outcome. Size and number of fibroids dose not usually matter for UFE.

Case Study 1

44 year old lady with severe heavy menstrual period requiring super pad change every 2 hours. She tried medications such as Cyklokapron but it was not helping. She choose to have UFE to keep her uterus. At 6 months post UFE: her fibroid shrank from 138ml to 51ml; her heavy period resolved and she is "Estatic".

Case Study 2

38 year old busy mother of 2 with severe heavy menstrual bleeding requiring Pad and Tampon change every hour heavy for 3 days of her peirod. She also suffers from bladder symptoms and severe period pain. She felt she is too young to have hysterectomy and choose to have UFE. Her fibroid shrank from 87ml to only 2ml, and her periods are now "amazingly light" and she is "extremely happy" with the UFE outcome.

UFE FAQ

Procedural related complications such as injury to artery are very rare (<1%). Delayed complications, such as shedding of dead fibroid fragments causing blockage and infection of the uterus, occur in 1- 3%. If you developed pain, fever and smelly vaginal discharge, you will need to be assessed and treated in a hospital emergency department. Most fragments can pass by themselves; rarely they need to be removed by a gynaecologist via vagina. The need for hysterectomy is highly unlikely.

Yes, but this is more likely to be age related natural menopause, rather than caused by UFE. If you were younger than 40, the chance of natural menopause is less than 3%; if you were older than 50 the chance is more than 40%. Some particles might find their way to the ovaries via shared blood supply. However, studies have shown that UFE does not affect ovarian function in treated women. 

Yes, studies have shown that successful pregnancy outcome is possible after UFE and babies are not smaller. If the uterus were not normal to start with, the rates of miscarriage, preterm delivery, caesarean section and postpartum haemorrhage could be higher. Clinical trials are being conducted in UK to see which of the two - myomectomy or UFE, has a better pregnancy outcome. 

Yes. Studies from overseas and our own experience have shown that UFE is highly effective for adenomyosis as well. Adenomyosis is abnormal migration of glandular tissue from the inner lining of the uterus into the muscle layer. Cyclic changes of these enlarged glands cause period pain and heavy periods. It is not an easy diagnosis to make by ultrasound. It is often discovered and confirmed by Pre-UFE MRI. If you wish to find out more about adenomyosis, please www.adenomyosis.com.au or see separate brochure “Adenomyosis”.

No. UFE has been performed since 1995. Overseas and local studies have proven that UFE is safe and effective in treating fibroid symptoms. UFE has been rebatable by Medicare since 2006. It is recognised as an effective treatment option by Colleges of O&G in UK, USA and Australia New Zealand.

If you were troubled by fibroids and simple measures have not been effective, then UFE could be an alternative to hysterectomy, especially if you wish to preserve your uterus, avoid major surgery and desire a quicker recovery. 

About Us

Our Mission

To raise awareness about UFE (uterine artery embolisation) as a minimally invasive procedure to treat uterine fibroids.
To empower women to choose the most suitable treatment for themselves.
To provide women’s health GPs and gynaecologists with updated information on fibroid treatment options.

Dr Eisen Liang, Uterine Embolization Specialist.

This website was developed by Dr Eisen Liang who is a dedicated healthcare professional passionate about applying minimally invasive treatments to improve the quality of life of women.

Dr Eisen Liang is an interventional radiologist with special interest in gynaecological intervention such as Uterine Fibroid Embolisation (UFE), adenomyosis embolisation and ovarian vein embolisation for pelvic congestion syndrome. He performed his first UFE in 1998 and has been performing UFE at Sydney Adventist Hospital since 2007.

He presented the result of first series of UFE on Australian women at the 2011 Annual Scientific Meeting of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists. The paper has been published in April 2012 Australian and New Zealand Journal of O & G. His paper on effectiveness of embolisation treating adenomyosis was presented in Vancouver in 2016 and pending publication in 2017.

Dr Liang graduated with First Class Honours from UNSW in 1988. After his internship and residency at Westmead Hospital, he started his radiology training in Hong Kong in 1990. He was appointed lecturer in radiology at the Chinese University of Hong Kong in the Prince of Wales Hospital in 1994. He was awarded the fellowship of the Royal College of Radiologists (London) in 1995 and the fellowship of the Royal Australian New Zealand College of Radiologists in 1997.

Dr Liang has been an interventional radiologist at Sydney Adventist Hospital since 2004. He is a Senior Clinical Lecturer for University of Sydney Medical School.

In 2013, Dr Eisen Liang (Interventional Radiologist) and Dr Bevan Brown (Obstetrician Gynaecologist) established the first Sydney Fibroid Clinic at Castle Hill. With cross-specialty collaboration, the clinic aims to offer the best and the least invasive treatment options, tailored to the needs and wishes of each individual women. A similar clinic is now run at San Clinic Sydney Adventist Hospital. Dr Liang seeks to collaborate with women’s health GPS and gynaecologists to provide the best cross-specialty care to women with fibroid disease.

Dr Liang consults at Castle Hill, Wahroonga and Chatswood. He performs procedures at Sydney Adventist Hospital, Norwest Private Hospital and Mater Hospital North Sydney.

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Phone: 02 9473 8728
Email: info@sir.net.au