Objective: To describe the outcomes after uterine artery embolization treatment of leiomyoma. Design: Case report. Setting: Department of Gynecology - Federal University of Sao Paulo. Patient: a 34-year-old woman with a diagnosis of leiomyoma for two years. Intervention: embolization of uterine arteries with 500 to 700-μ diameter polyvinyl alcohol particles. Main outcome measure: pregnancy and delivery. Results: After embolization, the follow-up revealed a good clinical response with significant reduction in uterus and leiomyoma volume. Also, the patient became spontaneously pregnant, but the delivery was cesarean section due to placenta accreta. Conclusion: Regardless of arterial embolization results for controlling uterine bleeding, this procedure might have some consequences on pregnancy outcome.