Ovarian Vein EmbolisationThe treatment of Pelvic Congestion Syndrome (PCOS) involves treating the ovarian veins.
The veins are usually enlarged causing backflow of blood into the pelvis, with resultant varicose veins in the pelvis. This causes all the pelvic symptoms.
The management is an operation - this involves using coils to block the ovarian veins. This is an operative procedure that involves inserting a sheath into the femoral vein in the groin or the jugular vein in the neck and doing a venogram (similar to a coronary angiogram, but the pelvic and ovarian veins).
If the ovarian veins are enlarged or prominent then they will be sealed off by inserting coils into them that cause then to thrombose or block off.
Foam will be inserted into the pelvic varices to seal them off.