About Pelvic Congestion
Pelvic congestion syndrome is a chronic pain syndrome in women caused by reflux of the ovarian vein, resulting in congested and dilated veins in the pelvis. Typically the pain is worse after being in upright positions like standing and sitting, or after exercise like walking, running and weightlifting.
Pelvic Congestion Syndrome Treatments
Ovarian Vein Embolisation
Ovarian vein embolisation is the treatment of choice for pelvic congestion syndrome. The treatment targets the cause of the pelvic venous congestion-ovarian vein reflux. The embolisation procedure blocks the refluxing ovarian vein to stop unnecessary venous backflow down the pelvis, thereby relieving symptoms caused by congestion.
Laparoscopic ligation is a surgical procedure in which a woman’s ovarian veins are tied off. It is a more difficult and invasive procedure than ovarian vein embolisation.
Hysterectomy may be offered to treat pelvic pain. However, if the diagnosis is pelvic congestion syndrome, it does not make sense to remove the uterus, as it is not the cause of the pain. Ovarian vein embolisation is a much more effective and less invasive treatment which targets the refluxing ovarian vein – the root cause of pelvic congestion syndrome.