Hemorrhoid Artery Embolization (HAE): When Persistent Hemorrhoid Symptoms May Need a Less Invasive Option

March 20, 2026 Richmond Vascular Center

Hemorrhoids are a common condition that affects millions of adults in the United States. Studies estimate that about 4.4% of U.S. adults report hemorrhoid symptoms in a given year, accounting for millions of outpatient visits annually.

Symptoms can include itching, discomfort, pressure, or bleeding. For many people, these symptoms improve with simple measures such as increasing dietary fiber, staying hydrated, and using over-the-counter treatments. When symptoms persist, minimally invasive procedures such as Hemorrhoid Artery Embolization (HAE) may be considered as part of the treatment spectrum.

When symptoms persist despite these efforts, patients often begin looking for additional options. Historically, this has sometimes led quickly to discussions about surgery, even though surgery is not needed for most people with hemorrhoids.

Clinical studies suggest that only a small portion of patients with symptomatic hemorrhoids eventually require surgical treatment, with estimates ranging from about 10% to 20%, depending on symptom severity and response to earlier therapies, according to the World Journal of Gastroenterology.

Hemorrhoid artery embolization (HAE): A less invasive option for selected patients

Hemorrhoid Artery Embolization, often called HAE, is another option. Rather than removing hemorrhoidal tissue, HAE focuses on reducing blood flow to the arteries that contribute to internal hemorrhoid swelling and bleeding.

Performed using imaging guidance, this minimally invasive treatment does not involve surgical incisions. The procedure takes about an hour under light sedation, and patients return home after a brief recovery with minimal downtime. HAE is highly effective in relieving bleeding and discomfort from internal hemorrhoids, offering patients a non-surgical solution for their symptoms. Learn more about the procedure on our Hemorrhoid Artery Embolization treatment page.

Making informed decisions

Persistent hemorrhoid symptoms can be uncomfortable and disruptive, and many people delay seeking care because they are unsure what options exist. Understanding that hemorrhoids are common and that most patients do not require surgery can help patients feel more prepared to discuss symptoms and next steps.

The most appropriate approach depends on symptom pattern, prior treatments, overall health, and personal preferences. A thoughtful consultation should focus on education and shared decision-making.

At Richmond Vascular Center, care begins with understanding a patient’s symptoms and history, then reviewing all appropriate options so individuals can make informed decisions about next steps. Schedule a consultation to see if HAE may be the best option for you.