What it is
This is a minimally invasive, image-guided procedure. Pelvic congestion syndrome happens when veins in the pelvis become enlarged and blood pools in them, causing a long-lasting, dull or aching pelvic pain. Ovarian vein embolization closes off the faulty veins so they can no longer fill with blood.
Who may be a candidate
This procedure may help:
- Women with chronic pelvic pain that is often worse after standing or at the end of the day
- Women with enlarged pelvic veins seen on imaging
- Women whose pain has not improved with other treatments
Whether it fits you is decided after a review of your history, exam and imaging.
How it works
You receive local anesthesia with mild sedation. Dr. Gibbens places a thin catheter in a vein, usually at the neck, arm or groin, and uses X-ray dye to map the veins (a venogram). Small coils or other closing agents are placed in the faulty veins.
Why choose this option
- Done through a thin catheter, with no large incision
- Guided by live X-ray imaging
- Outpatient care, and most people go home the same day
- Performed by Dr. Gibbens, board certified in Interventional Radiology and Nuclear Medicine
Recovery
Most people go home the same day. Some cramping or mild discomfort for a few days is common. Many people return to light activity within a day or two.
Who performs the procedure
Interventional radiologist, board certified in Interventional Radiology and Nuclear Medicine. Dr. Gibbens performs the embolization and other interventional radiology procedures listed on this site, at Bey Lea ASC (54 Bey Lea Road, Building 2, Toms River). Your evaluation and follow-up take place at any of our 7 GSMC offices.
Patient handout
Frequently asked questions
Is this procedure surgery?
No. It is a minimally invasive, image-guided procedure done through a thin tube (catheter) placed in a blood vessel at the wrist or groin. There is no large incision.
Who performs it?
Douglas Gibbens, MD, an interventional radiologist board certified in Interventional Radiology and Nuclear Medicine, performs this procedure at Bey Lea ASC in Toms River.
Will I go home the same day?
Most people go home the same day after a period of rest and monitoring. Plan to have an adult drive you home.
How is pelvic congestion diagnosed?
Diagnosis usually uses ultrasound, CT or MRI, and sometimes a venogram, along with a review of your symptoms.
What about my medicines?
Our team reviews your medicines before the procedure. Do not stop a blood thinner unless the doctor who prescribes it approves.
Does insurance cover it?
Coverage varies by plan and diagnosis. Our team will check your plan and talk with you about costs before anything is scheduled.
How do I find out if I am a candidate?
Request a consultation or call 732-202-3000. Your evaluation includes a review of your history and imaging, and a talk about all of your options.
More interventional radiology procedures
Request a consultation
Talk with our team about whether pelvic congestion embolization may fit your goals. This page is general education and is not medical advice.