Pelvic congestion syndrome is a condition that causes chronic pelvic pain. It is thought to be caused by problems with the veins in the pelvic area. This is the lower part of your belly (abdomen).
It happens mostly in women of childbearing age. It may be more common in women who have given birth to more than one child.
Healthcare providers are trying to understand the possible causes of pelvic congestion syndrome. Enlarged veins in the pelvis seem to play a major role. But many women have enlarged veins and no symptoms. Pregnancy may increase the risk for pelvic congestion syndrome. This is because veins enlarge during pregnancy to support the increased blood flow. This can permanently enlarge the veins and lead to symptoms.
Hormones may also play a role in pelvic congestion syndrome. Estrogen makes veins wider (dilates). This may be why the condition is not common after menopause. Estrogen levels are lower after menopause. Other hormones may also cause veins to grow wider and cause symptoms.
You may have a higher risk for pelvic congestion syndrome if you have given birth to more than one child. You may also have a higher risk if other members of your family have it.
The main symptom of pelvic congestion syndrome is pelvic pain that lasts at least 6 months. This pain often first starts during or after a pregnancy. It may worsen after a later pregnancy. The pain may be a heavy or aching feeling. Or the pain may be sharp. Usually the pain is only on one side, usually the left side. At times you may feel it on both sides. The pain is often worse at the end of the day.
Ovarian vein embolization is a minimally invasive treatment for pelvic congestion syndrome that is used to close off faulty veins so they can no longer enlarge with blood, thus relieving the pain.
Pelvic congestion syndrome, also known as ovarian vein reflux, is a painful condition resulting from the presence of varicose veins in the pelvis. The condition is caused by valves in the veins that help return blood to the heart against gravity becoming weakened and not closing properly, allowing blood to flow backwards and pool in the vein causing pressure and bulging veins.
During this procedure, an interventional radiologist inserts a catheter through the brachial vein into the faulty veins. Catheterization requires only a small nick in the skin for insertion and under image guidance of the catheter to its target area. The catheter delivers embolization coils that clot the blood and seal the faulty vein. The use of the recently developed Sotradecol foam agent allows the interventional radiologist to block even the smallest veins not previously accessible
Ovarian vein embolization is a minimally invasive outpatient procedure that:
With ovarian vein embolization, you can expect:
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