Am I at Risk of Ovarian Vein Embolization?

By Dr. Jose Almeida

December 14, 2015


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Ovarian vein embolization is a minimally invasive treatment used to treat a condition called pelvic congestion syndrome.

In ovarian vein embolization, an incision is made in the groin, and a catheter is advanced into the circulatory system.

Dyes are injected to identify varicose veins near the ovaries. Once the varicose veins have been located, a chemical agent is injected into the veins or a heating coil is used to damage the vein walls.

These treatments cause the veins to collapse, relieving the symptoms of pelvic congestion syndrome.

To request a consultation click here or call 305-854-1555.

Pelvic Congestion Syndrome

Pelvic congestion syndrome refers to pain in the pelvic area that is caused by varicose veins in and around the ovaries.

These varicose veins are similar to those that commonly form in the legs; defective or damaged valves in the veins allow blood to pool and distend the veins, causing pain.

Symptoms of pelvic congestion syndrome include chronic pelvic pain that is worse when sitting or standing and is relieved by lying down.

It can be difficult to diagnose because most standard pelvic examinations are performed while the patient is lying flat, which relieves the pain and drains out the blood pooled in the varicose veins.

The preliminary diagnosis is usually based on clinical symptoms after ruling out other possible causes of pelvic pain, and it is confirmed during the ovarian vein embolization procedure.

Risk Factors

Women who have not been pregnant almost never develop pelvic congestion syndrome. It most commonly affects women in their mid-40s who have had at least two children.

Affected women often have visible varicose veins in their legs, thighs, and vulva.

The development of varicose veins in any part of the body appears to be at least partially due to an inherited predisposition.

A woman with a mother, aunt, or sisters who developed varicose veins, either in the legs or the pelvis, is at high risk of developing them as well.

Individuals who stand for long periods of time most days, such as teachers and nurses, are at greater risk of developing varicose veins in any part of the body.

Being overweight and taking birth control pills or hormonal replacement therapy may also increase the risk of varicose veins.

Regular exercise, which improves circulation, can help reduce the risk of developing varicose veins.

Incidence

Pelvic congestion syndrome is quite common. An estimated one-third of women will develop chronic pelvic pain at some point during their lifespan, and of these, around 30% have pelvic congestion syndrome.

If you are dealing with pelvic congestion syndrome, contact Miami Vein Center today to talk to our board certified vascular surgeon, Dr. Jose Almeida.

To request a consultation click here or call 305-854-1555.

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