Objective: This paper reports on a rare case of pregnancy after uterine artery embolization (UAE) for uterine arteriovenous (AV) malformation (AVM) following septic abortion. Traditionally, Pelvic AVMs were surgically treated with hysterectomy, abolishing the opportunity for future pregnancies endovascular treatments like UAE are the only fertility-preserving procedure for such life-threatening conditions in young women. There are many concerns about fertility issues after UAE. Embolization after symptomatic AVM not only resolves the symptoms but also gives the possibility to carry a pregnancy. Persistent amenorrhea and reduced ovarian reserve can occur due to this technique. However, the pathogenesis of such adverse effects that occur after the UAE is still not well explored. Case description: A 31-year-old young woman was admitted to our department after being unwell and with heavy bleeding following an elective termination of pregnancy by suction and evacuation. Transvaginal ultrasound and Doppler studies detected uterine AVM at the posterior wall and fundus. Conclusion: The peculiarity of this case was that spontaneous pregnancy occurred within a few years of follow-up after UAE and she gave birth to a live healthy baby at term with normal vaginal delivery with no complications.