When is a myomectomy better than a Uterine Fibroid Embolization (UFE)?

Rarely you may have a fibroid that’s either very large and hanging out of the uterus, what we call an exophytic one and they may not respond well to a uterine fibroid (embolization) and that’s about the only time I have sent somebody for a myomectomy. Most of the times it’s not being a problem to do a fibroid embolization.