With the introduction of microcatheter technology and accumulation of clinical experience about transcatheter arterial management of various diseases in other parts of the body, there is a significant recent progress in the endovascular management of obstetric and gynecologic diseases. The results of recent investigations say that embolotherapy can be a safe and effective alternative to surgical options in the management of uterine myomas, pregnancy-related hemorrhage, and uterine arteriovenous malformations. Ovarian vein and/or internal iliac vein embolization is a useful nonsurgical option for pelvic congestion syndrome. Intra-arterial infusion chemotherapy can be tried for uterine cervical carcinoma.