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Can HIFU Treat Vascular Fibroids with High Blood Flow? | HIFU Treatment Challenges Explained

In this video, we dive into the question: Can High-Intensity Focused Ultrasound (HIFU) effectively treat fibroids with increased blood flow?

Vascular fibroids—fibroids with high blood supply—can make HIFU challenging, as blood flow often carries away heat, impacting the fibroid’s ability to reach the necessary temperature for cell destruction.

Why Are Vascular Fibroids Harder to Treat with HIFU?

High Blood Flow: This increased flow can cool the fibroid tissue, affecting HIFU's heat-based treatment.

Thick Abdominal Wall: For some patients, a thicker abdominal wall can limit HIFU energy from reaching the fibroid, reducing treatment success.

Testing Feasibility with the Oxytocin Test To see if HIFU is suitable, we may use an oxytocin test. This involves infusing oxytocin to stimulate uterine contractions and reduce blood flow to the fibroid, indicating whether HIFU will be effective.

Alternative Approach: PEI Treatment For vascular fibroids, Percutaneous Ethanol Injection (PEI) can be used as a first step. By injecting ethanol directly into the fibroid, we can partially kill the tissue, setting up the fibroid for a more successful HIFU session.

Watch the full video to learn about advanced techniques in treating fibroids and how HIFU could still be a viable option for you.