Pelvic Congestion Syndrome Treatment For Kansas City & Missouri

What is Pelvic Congestion Syndrome, and how does it occur?

Ovarian Vein Reflux or Pelvic Venous Disease is a medical condition that has been underdiagnosed and misunderstood. It’s quite prevalent, affecting 10-15% of all referrals to gynecologists and pain clinics.

Pelvic Congestion Syndrome is a condition in which varicose veins develop in the pelvis. These engorged veins result from faulty valve function on blood flow pathways. Vascular varicosities may be caused by multiple pregnancy, as well as anatomic abnormalities such as May-Thurner Syndrome.

The most common symptom of Pelvic Congestion Syndrome is pelvic pain that gets worse when you stand. Blood can’t flow properly when you’re upright because the faulty vein valves prevent it from doing so. As a result, continual, deep, severe and gradually increasing discomfort becomes worse as the day goes on.


  • Pain in the pelvis
  • Menstrual pain before or during your period
  • Urinating suddenly becomes urgent
  • Pain caused by intercourse
  • Buttocks, thighs, vulva (external genitals) presenting abnormal or enlarged veins.

What is the Treatment for Pelvic Congestion Syndrome?

At MIVA, we recognize that “living with the agony” for months is not an option, therefore we take a distinct approach to pelvic pain in women. All potential sources of your discomfort are investigated during our pelvic pain program, including uterine, endometrial, cervical, vascular, and neurological factors. Once we’ve discovered the true underlying cause of the problem, we can start treating it effectively with therapies that have a proven track record of working.

At MIVA, we employ ovarian vein embolization as our primary treatment approach. This is a minimally-invasive procedure known as an and the patient recovery is significantly shorter than other more invasive options.

We may perform a venogram with intervention to potentially place a coil to limit the blood supply to the ovarian artery.  This would be performed after imaging, diagnosis and consultation with our provider.  

What is Venogram with Interventions?

“Veno” refers to vein, and “Gram” refers to picture. Using ultrasound guidance, our specialists access your veins and utilize X-ray imaging to “see” the veins and evaluate their functionality in order to determine the best therapy strategy. With the help of ultrasound guidance, a hollow needle is used to access a vein in either your arm, leg or neck after determining the correct route. A wire is then pushed into the vein using X-ray assistance.

Finally, depending on your requirements, the interventionalist may consider the following actions:

  1. Balloon angioplasty is a type of minimally invasive treatment used to repair or widen veins and arteries. Specialized miniature balloons can be inflated to unclog blockages or de-compress narrowed vessels.
  2. Stent placement: If a vein cannot stay open on its own, stents, known as tubular metal scaffolds, can be used to keep it open.
  3. Embolization: If necessary, we can utilize coils or plugs to close off an inactive vein.

Intravascular ultrasound (IVUS) may also be used to look at the veins from the inside to help evaluate and guide treatment decisions in some circumstances.

MIVA offers a variety of treatments for chronic pain that are completed as outpatient procedures at its facility or in a local hospital. The surgical procedure may be done under local or general anesthesia, depending on the disease being treated. In many situations, it can be done while semi-conscious. Recovery time is short, since there are no incisions. The major restriction is that no heavy lifting (defined as > 15 lbs) for five days after the procedure is permitted. Following therapy, blood thinners may be required on a temporary basis.


What is the most effective therapy for uterine fibroids?

There are several alternatives to consider when it comes to this issue. The total hysterectomy is the most successful at alleviating uterine fibroid discomfort since the whole uterus is removed. It’s also the riskiest operation with a long recovery period and isn’t suitable for people who wish to have children.

Myomectomy is the removal of fibroids only, leaving the uterus intact. This operation is not as successful as hysterectomy in alleviating symptoms, but it has all of the risks associated with surgery (bleeding, infection, longer recovery time, and necessitates general anesthesia). Symptoms also suggest that the fibroid is in the uterus, so if the fibroid causing bleeding or discomfort isn’t entirely removed (as occasionally happens), a needless surgery was conducted. Symptoms can return if new fibroids develop.

There is a great deal of data reflecting UFE as an equally effective alternative to a surgical approach to uterine fibroids. There is also data showing that UFE is, in some cases, considered better than myomectomy. There is also less danger and a quicker recovery time than surgical procedures. It’s also great because it can be done without the need for hospitalization.

Patients must evaluate these therapy choices and select the finest treatment strategy for the treatment of their uterine fibroids. Those who are in their childbearing years should strongly consider non-surgical alternatives, and those who would rather not take the chance of surgery should seriously examine UFE as an option.

What are the most prevalent causes of uterine fibroids?

Uterine fibroids are linked to obesity, multiple births, ethnicity (whereas they are more common in African Americans than other races), and hereditary conditions. Estrogen and progesterone produce cyclical overstimulation of the uterine muscular tissues, which leads to uterine fibroids.

What are the symptoms of Uterine Fibroids?

Symptoms can range from moderate to severe. The most prevalent symptoms are constant or cyclical pelvic discomfort, heavy menstrual bleeding, and/or irregular or lengthy periods. In other circumstances, the fibroids can be found on top of the urinary bladder, preventing it from completely filling and causing frequent urination. A fibroid, in rare circumstances, may press on the ureter (tube connecting the kidney to the bladder) and obstruct urine flow into the bladder, resulting in kidney impairment. If you believe you may have uterine fibroids, look into treatment options and choose the one that interests you the most. Continue your research and see whether any additional tests are required. Consult with your primary care doctor about getting you to the right specialist. You can also call to make an appointment with one of our MIVA Medical specialists.

How is this procedure performed?

MIVA Medical’s endovascular facility does the UFE procedure. It is completed as an outpatient. This procedure does not require general anesthesia. To keep patients comfortable throughout the treatment, we employ moderate sedation. It usually takes around 1-1.5 hours, with an hour’s rest in after you are out of the procedure.

An ultrasound-guided needle is inserted into the wrist or groin artery for Uterine artery embolization treatment. Under X-ray supervision, a tiny wire is introduced through that needle into the vessel. The catheter is then moved to the pelvis. The uterine artery is identified via the use of x-ray dye that may be seen on an X-ray image. The wire is guided into the uterine artery after that. A tiny, specialized tube called a microcatheter is then placed over the wire and advanced into the vessel. Uterine artery embolization is the surgical treatment of choice for fibroids. Tiny beads are injected into the vessels feeding the fibroids to block blood flow. The beads compress in the fibroid capillaries, blocking blood flow and causing them to shrink or disappear.