A Minimally Invasive Treatment for Pelvic Venous Congestion Syndrome
Pelvic venous congestion syndrome is a condition that causes chronic pelvic pain in women, often due to enlarged, varicose-like veins in the pelvis. These veins become dilated and congested, most commonly around the ovaries and uterus, leading to dull, aching pain—especially after prolonged standing, during or after intercourse, or around menstruation.
What is Ovarian Vein Embolisation?
Ovarian vein embolisation (OVE) is a minimally invasive, image-guided procedure used to treat pelvic venous congestion. It involves blocking the abnormal veins—usually the ovarian and pelvic veins—that are causing the congestion and pain. This stops the backward flow of blood (venous reflux), relieving pressure and improving symptoms.
The Procedure: What to Expect
- Preparation: The procedure is performed in a specialised angiography suite. Cases can be performed under local anaesthetic only however a general anesthetic or sedation can be provided if necessary.
- Access: A small catheter is inserted through a vein in the groin or neck, guided under X-ray imaging to the affected ovarian vein.
- Embolisation: Once the abnormal vein is identified, tiny coils and/or a medical adhesive are inserted through the catheter to seal the vein.
- Recovery: Most patients go home the same day. Light activity is recommended for the first 24–48 hours.
Benefits of Ovarian Vein Embolisation
- Minimally Invasive: No surgical incisions; only a tiny puncture in the skin.
- Effective Symptom Relief: Studies show significant improvement in chronic pelvic pain in most women after treatment.
- Quick Recovery: Most patients return to normal activities within a few days.
- Preservation of Fertility: OVE is a uterus- and ovary-sparing procedure, with no impact on fertility in most cases.
- Day Procedure: Usually performed as a same-day treatment under local anaesthetic and sedation.
Risks and Potential Side Effects
Ovarian vein embolisation is a low-risk procedure, but like any medical treatment, some potential risks include:
- Temporary Pain or Discomfort: Mild pelvic cramping or back pain may occur for a few days.
- Allergic Reaction: Rare reaction to contrast dye used during the procedure.
- Infection or Bleeding: Uncommon but possible at the puncture site.
- Non-Response: A small number of patients may not experience full symptom relief and may require further treatment.
Rare Complications: Such as unintended embolisation of non-target vessels, which is extremely uncommon when performed by experienced specialists.