Pelvic Congestion Syndrome (PCS) is a condition caused by varicose veins in the pelvic region. It commonly affects women who have had multiple pregnancies. The increased blood flow and physical changes during pregnancy can weaken vein walls, leading to chronic pelvic pain, discomfort during or after standing, painful menstruation, and swelling in the pelvic area.
Ovarian Vein Embolization (OVE) is a minimally invasive, outpatient procedure designed to treat PCS by closing off abnormal veins that contribute to pelvic pain. This technique is performed by interventional radiologists using advanced imaging to precisely target and block faulty veins, relieving symptoms without the need for major surgery.
Before undergoing ovarian vein embolization (OVE), the process begins with diagnostic imaging—such as ultrasound, CT, or MRI—to confirm that pelvic congestion syndrome (PCS) is the source of your symptoms. Once PCS is diagnosed, the procedure is performed under local anesthesia and mild sedation. A thin catheter is inserted through a small skin nick, typically in the thigh or neck, and guided by X-ray imaging to the affected ovarian veins. Through this catheter, tiny coils or a special solution are delivered to block the abnormal veins, which redirects blood flow to healthy veins and relieves congestion. Most patients are able to return home the same day. While mild discomfort may occur after the procedure, full recovery usually takes just a few days.
Interventional radiology is a medical specialty that uses imaging guidance to perform precise, targeted treatments through tiny incisions. For PCS, interventional radiology offers:
Superior precision: Only the abnormal veins are treated, preserving healthy tissue.
Outpatient convenience: Procedures are performed in a comfortable, outpatient setting, often with same-day discharge.
First-line therapy: Due to its safety, effectiveness, and minimal downtime, OVE is increasingly recommended as a first-line treatment for PCS, often before considering surgical options.
OVE relieves pelvic pain in 80–95% of women with PCS, with long-lasting results.
No, OVE is performed with local anesthesia and mild sedation, allowing for a quicker recovery.
Most patients resume daily activities within a few days after the procedure.
No, the procedure requires only a tiny skin nick, leaving minimal to no visible scarring.