Pelvic Congestion

Pelvic congestion syndrome is a painful condition caused by enlarged or varicose veins in the pelvis. It can result in chronic pain, which becomes more pronounced when standing up, during/after intercourse, or just before your period. Other symptoms include cramping, back pain, abdominal bloating, vaginal discharge, depression, mood swings and fatigue.

What causes pelvic congestion syndrome?

It is thought that pelvic congestion is the result of pregnancy, and/or possibly estrogen, which can weaken the walls of the veins and cause them to become enlarged. Approximately 15% of all women have varicose veins in their abdomen.

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What are the common symptoms?

Pelvis pain that follows these patterns:

• Chronic pelvic pain that does not worsen / lessen over the month (unlike menstrual cramps)
• Dull pain or heaviness, potentially with occasional sharp pain
• Pain that worsens throughout the day
• Pain that worsens during menstruation

You may also notice varicose veins in the pelvis, or on the buttocks, thighs or vulva – although these are not typically visible because the veins typically occur around the ovaries.

What procedures treat this condition?

Ovarian vein embolization (OVE) is performed by an interventional radiologist using image guidance and a catheter to seal off the faulty veins to prevent them from becoming enlarged and causing pain. Like Uterine Fibroid Embolization (UFE), ovarian vein embolization is a safe and effective outpatient procedure that is an effective alternative to open surgery.

OVE is effective at providing relief for about 80% of those who undergo the procedure.¹

Ovarian Vein Embolization Treatment Process

1. The first step will be diagnosing pelvic congestion. This will involve a physician exam as well as imaging that may include ultrasound, MRI, CT scan or venography.
2. Embolization is an outpatient procedure, so you will not need to be admitted to a medical facility.
3. A small catheter is inserted into the femoral vein. Your physician guides this to the pelvic veins using X-ray guidance.
4. Tiny coils are placed in the enlarged veins, with an agent injected to seal the vein and prevent future blood flow.
5. You will be able to return to your normal activities right away.

If you are interested in learning whether you may be a candidate, reach out to schedule your appointment.

1. Society of Interventional Radiology