A paper to be published in The Obstetrician & Gynaecologist (TOG) examines the evidence on pregnancy outcomes following uterine artery embolisation (UAE), a treatment for fibroids .1 The authors underline the potential reproductive risks of UAE, and urge caution in recommending this treatment to women who wish to become pregnant in the future. Uterine artery embolisation is a relatively new method for treating uterine fibroids.2 With the prevalence of fibroids being as high as 20-40% among women of reproductive age, this is a pressing issue as many women in the treatment population may not have completed their families. The authors reviewed retrospective data and two small prospective trials of UAE versus surgical intervention (laparoscopic myomectomy). The results showed an increased risk of miscarriage, preterm birth, caesarean section, malpresentation and postpartum haemorrhage in pregnancies following UAE. Furthermore, the review found significantly higher miscarriage ra...