Understand your symptoms
Fibroids may cause heavy or prolonged bleeding, pelvic pressure and frequent urination. These symptoms can have other causes, so an evaluation is important before choosing treatment.
Fibroid care in Manhattan and Queens
Heavy periods, pelvic pressure or a new fibroid diagnosis can leave you with several decisions. Start with the question that matters most to you.
Gynecology and interventional radiology, working together
Gynecologists Tamara Guichard, MD, and Deirdre Gundy, MD, assess symptoms and gynecologic treatment options. Interventional radiologist Yosef Golowa, MD, evaluates suitability for image-guided procedures such as UFE. Confirm your clinician, consultation location and procedure arrangements with the office; a listing does not mean every service is available at every location.
Tamara Guichard, MD
Gynecology
Yosef Golowa, MD
Interventional radiology
Deirdre Gundy, MD
Gynecology
Questions to bring to your visit
Could UFE be right for me?
Your clinicians assess symptoms, the size and location of fibroids, medical history and pregnancy plans. UFE preserves the uterus but is not suitable for everyone and does not guarantee a future pregnancy.
Can I ask about alternatives to UFE?
Yes. Ask about observation, medicines and surgical options as well as UFE. The choice should reflect your symptoms and goals; a consultation does not commit you to a procedure.
Fibroid treatment without abdominal surgery.
Uterine fibroid embolization (UFE) shrinks fibroids by blocking their blood supply. It does not surgically cut out fibroids or remove the uterus. A thin catheter enters through a small skin puncture or nick at the wrist or groin; abdominal incisions and stitches are usually not needed.
| Treatment | What happens | Access and incisions |
|---|---|---|
| UFE | Fibroids shrink; the uterus stays in place. | Small skin puncture or nick for a catheter at the wrist or groin. |
| Myomectomy | A surgeon removes fibroids while keeping the uterus. | Open, laparoscopic or robotic surgery uses abdominal incisions. Hysteroscopic myomectomy goes through the cervix and does not require abdominal incisions. |
| Hysterectomy | A surgeon removes the uterus. | The route may be abdominal, laparoscopic, robotic or vaginal; incision patterns vary. |
The best option depends on your symptoms, fibroid size and location, medical history and pregnancy plans. UFE has risks and may not be suitable for everyone; discuss benefits, recovery, fertility considerations and alternatives with your care team.
Discuss whether UFE is right for youRequest a consultation
Use the secure online request or call the office for scheduling. Your appointment is not confirmed until the office contacts you. This is a scheduling request, not medical intake or a payment service. Call for medical questions or payment assistance. For a medical emergency, call 911.
Prepare for a more useful fibroid conversation
Start with the existing consultation and symptom-record guides, then explore the full fibroid article library.
- Prepare for your first fibroid consultation
Organize your questions and available reports.
- Track symptoms at home
Keep a record to discuss with your clinician.
- Explore fibroid articles
Browse the existing library by topic.