Active pelvic infection is an absolute contraindication for uterine artery embolization (UAE) due to the high risk of severe sepsis, uterine necrosis, and abscess formation in the ischemic uterus. While desire for future pregnancy (A) is a relative contraindication and requires careful patient counseling regarding potential risks to fertility and pregnancy outcomes, it is not an absolute contraindication. Asymptomatic fibroids (B) are not an indication for UAE, but their presence is not a contraindication if symptoms develop. Large fibroid size (>10 cm) (D) is not an absolute contraindication, though it might influence the success rate or require more extensive embolization.
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