Ovarian vein embolization in Hyderabad
Ovarian vein embolization treats pelvic congestion syndrome by closing the pelvic veins that have stopped draining upwards. It is done through a single vein puncture under local anaesthesia, needs no surgical incision, and is usually a day-care procedure — most women walk out the same day.
How the procedure is performed
- 1Before the procedure
Duplex ultrasound and, where needed, cross-sectional venous imaging map which veins are refluxing and how far the reflux extends. You are asked to fast for a few hours; regular medicines are usually continued, and blood thinners are reviewed individually.
- 2Access through a single vein puncture
A needle puncture is made in a vein — usually at the groin or the neck — under local anaesthesia. There is no surgical cut and no general anaesthetic in most cases, so you stay awake and comfortable throughout.
- 3Venography to confirm reflux
A fine catheter is guided into the ovarian and pelvic veins and contrast is injected. This shows the direction of flow directly, confirming on the table which veins are the source of pressure rather than relying on indirect signs.
- 4Closing the refluxing veins
The abnormal veins are sealed from inside using coils, and sometimes a sclerosant, so blood is redirected into healthy drainage channels. Normal veins are left untouched; the ovaries continue to receive their arterial blood supply.
- 5Going home the same day
The puncture site needs only pressure and a small dressing. Most patients are observed for a few hours, walk before discharge, and go home the same day.
What the weeks afterwards look like
- Cramping similar to period pain for a few days is expected as the treated veins settle; simple painkillers usually control it.
- Desk work is typically resumed within two to three days; heavy lifting and gym work after about two weeks.
- Pelvic ache often improves in stages rather than overnight, with the clearest change over the first two to three months.
- A review with duplex ultrasound checks that the treated veins have stayed closed and that symptoms are tracking as expected.
Where embolization sits among the treatment options
First-line measures that reduce venous pressure in the pelvis and are advised for every patient, whether or not a procedure follows.
- Break up long standing or seated periods with short walks every 45 to 60 minutes
- Daily calf-pump exercises and 30 minutes of brisk walking to improve venous return
- Elevate the legs and hips for 15 minutes twice daily, especially in the evening
- Graduated compression hosiery or supportive shorts for symptomatic relief during long days
- Weight optimisation, adequate hydration and management of constipation, which raises intra-abdominal pressure
Medical therapy can reduce venous congestion and pain while diagnosis is confirmed, and is useful for women who prefer to defer a procedure.
- Venoactive agents such as micronised purified flavonoid fraction to improve venous tone
- Simple analgesics and short courses of anti-inflammatory medication for flare-ups
- Hormonal suppression in selected patients, prescribed in consultation with your gynaecologist
- Treatment of coexisting conditions — anaemia, thyroid disease, constipation and pelvic floor dysfunction
The definitive minimally invasive treatment for pelvic congestion syndrome. The refluxing ovarian and pelvic veins are sealed from the inside so blood is redirected into healthy channels; the uterus and ovaries continue to drain normally.
- Performed through a pinhole vein puncture in the neck or groin under local anaesthesia with light sedation
- A fine catheter is steered into the ovarian vein; venography confirms the abnormal reflux
- Micro-coils, and sometimes a sclerosant or vascular plug, permanently close the faulty vein
- Both sides and the internal iliac branches can be treated in the same sitting when required
- Typical procedure time 45 to 90 minutes; no surgical cut, no stitches, no scar
Pelvic veins rarely exist in isolation. Where imaging shows an associated compression or leg reflux, these are addressed as part of one plan.
- Iliac vein stenting for May-Thurner compression causing pelvic and left leg symptoms
- Endovenous laser ablation or foam sclerotherapy for the leg and vulval veins fed by the pelvis
- Staged treatment so each step is judged on symptom response before the next is considered
Ovarian vein embolization is a day-care procedure. Most patients in Hyderabad are admitted in the morning and discharged the same evening.
- Two to four hours of observation after the procedure, then discharge with oral medication
- A cramping ache for 3 to 7 days as the treated veins settle — expected, and controlled with tablets
- Desk work in 2 to 3 days; light exercise in one week; gym and long travel at 2 to 4 weeks
- Symptom improvement is typically gradual over 4 to 12 weeks as pelvic congestion resolves
- Meaningful, lasting relief is reported in roughly 75 to 85 percent of correctly selected patients
- Structured review at 6 weeks and 6 months, with repeat Doppler where indicated
Suitability is decided after scanning, not from symptoms alone. Assessment and treatment run through the Pelvic Vein Clinic at Renova Century Hospital, Banjara Hills. If you have already been given a treatment plan elsewhere, a vascular second opinion can review the scans with you.
Take the next step toward healthier vessels
Book a consultation with Dr. Pritee Sharma at Renova Century Hospital, Banjara Hills.