Ovarian Vein Embolization

Ovarian vein embolization is a minimally invasive treatment for pelvic congestion syndrome (PCS) — a condition caused by enlarged, malfunctioning veins in the pelvis that lead to chronic pelvic pain. This procedure significantly reduces pelvic pain and pressure, improves quality of life, and avoids the need for major surgery. Most patients return to normal activities within a few days.

Preparation: Ovarian vein embolization is typically performed as an outpatient procedure under local anesthesia. The skin where the catheter will be inserted is sterilized and numbed before the procedure begins.

Catheter Insertion: Using real-time X-ray imaging (fluoroscopy) for precision, a tiny puncture is created where a thin, flexible catheter is inserted into the blood vessel. The catheter is then gently guided through the venous system to the ovarian veins.

Venogram and Mapping: A small amount of contrast dye is injected through the catheter to perform a venogram — a detailed map of the pelvic veins. This enhanced visibility makes it possible to precisely identify the enlarged or refluxing veins responsible for pelvic congestion.

Embolization (Blocking the Abnormal Veins): Once the abnormal veins are located, tiny coils, plugs, or sclerosing agents are delivered through the catheter to seal them off. This reroutes blood flow through healthy veins and eliminates the backward flow that causes pain and pressure.

Completion and Recovery: After the embolization is complete, the catheter is removed, and a small bandage is applied. No stitches are required, and most patients go home the same day.

Recovery and Results: Recovery from ovarian vein embolization is typically fast and well-tolerated. Most patients return to normal activities within 24–48 hours, with noticeable symptom improvement often occurring within a few days to weeks. Full benefits, including significant reduction in pelvic pain, pressure, and heaviness, are usually achieved within 1–3 months as blood flow normalizes and the treated veins shrink.

Pelvic congestion syndrome (PCS) is a common yet often overlooked cause of chronic pelvic pain in women — and the good news is, it’s treatable. If you’re experiencing ongoing pelvic discomfort that hasn’t been explained by other conditions, our expert team at Vascular Interventional Specialists can provide thorough vascular evaluations and personalized treatment plans designed to relieve your symptoms and improve your quality of life.