what is ovarian vein embolization? | FERTILITY FORTUNE

ovarian vein embolization

Ovarian vein embolization (OVE) is a minimally invasive procedure that is used to treat varicose veins in the pelvis, specifically the ovarian veins. Varicose veins in the pelvis can cause pelvic pain and discomfort, as well as other symptoms such as heavy menstrual bleeding, painful intercourse, and infertility. In this article, we will discuss ovarian vein embolization, including its benefits, risks, and the procedure itself.

What is ovarian vein embolization?

OVE is a minimally invasive procedure that is used to treat varicose veins in the pelvis. The procedure involves the placement of a small catheter into the affected vein, typically through a small incision in the groin area. The catheter is guided through the vein to the affected area using X-ray or ultrasound guidance. Once the catheter is in place, a special material, such as a coil or foam, is injected into the vein to block it off. This prevents blood from flowing through the vein, which causes the vein to shrink and eventually be absorbed by the body.

Why is ovarian vein embolization performed?

Ovarian vein embolization is performed to treat varicose veins in the pelvis that are causing symptoms such as pelvic pain and discomfort, heavy menstrual bleeding, painful intercourse, and infertility. Varicose veins in the pelvis are more common in women who have had multiple pregnancies or who have a family history of varicose veins. These veins can cause discomfort and pain, and in some cases, they can cause more serious complications, such as blood clots.

Is ovarian vein embolization safe?

(OVE) is generally considered a safe and effective procedure for the treatment of pelvic congestion syndrome (PCS) and varicoceles. However, as with any medical procedure, there are potential risks and complications associated with ovarian vein embolization.

The most common risks and complications associated with OVE include pain, bleeding, infection, and allergic reaction to contrast dye or medications. More serious complications, such as pulmonary embolism or stroke, are rare but possible.

What are the benefits of ovarian vein embolization?

(OVE) has several benefits over traditional surgery for varicose veins in the pelvis. The procedure is minimally invasive, which means that it can be performed with a small incision and with less pain and discomfort than traditional surgery. Additionally, the recovery time is shorter, and patients can typically return to normal activities within a few days. Ovarian vein embolization also has a lower risk of complications than traditional surgery, such as infection and bleeding.

How is ovarian vein embolization performed?

(OVE) is typically performed as an outpatient procedure and takes approximately one hour to complete. Before the procedure, the patient is given local anesthesia to numb the area where the catheter will be inserted. The patient may also be given sedation to help them relax during the procedure.

Once the patient is comfortable, a small incision is made in the groin area, and a catheter is inserted into the femoral vein. The catheter is guided through the vein to the affected ovarian vein using X-ray or ultrasound guidance. Once the catheter is in place, a special material, such as a coil or foam, is injected into the vein to block it off. This prevents blood from flowing through the vein, which causes the vein to shrink and eventually be absorbed by the body.

After the procedure, the patient is monitored for a few hours to ensure that there are no complications. Patients can typically return to normal activities within a few days, although heavy lifting and strenuous exercise should be avoided for a few weeks.

How should I prepare for the ovarian vein embolization?

(OVE) is a minimally invasive procedure performed to treat pelvic congestion syndrome, a condition that causes chronic pelvic pain in women. Here are some general tips on how to prepare for this procedure:

Consult with your doctor: Before undergoing any medical procedure, it is always important to speak with your doctor. Ask any questions you have about the procedure, including what you can expect before, during, and after the procedure.

Stop taking certain medications: Your doctor will likely give you specific instructions on which medications to stop taking before the procedure. Some medications, such as blood thinners, may need to be stopped to reduce the risk of bleeding.

Fast: Your doctor may ask you to avoid eating or drinking for a certain period of time before the procedure.

Arrange for transportation: You may not be able to drive yourself home after the procedure, so make sure to arrange for someone to drive you home.

Wear comfortable clothing: It is recommended to wear comfortable, loose-fitting clothing on the day of the procedure.

Plan for recovery: Your doctor will give you instructions on how to care for yourself after the procedure. Plan to take it easy for a few days after the procedure, and arrange for any necessary time off work or other responsibilities.

Follow all instructions: Be sure to follow all instructions given to you by your doctor or medical team to ensure a successful procedure and recovery.

Remember, every individual is unique, and your doctor may have specific instructions or recommendations for you based on your medical history and individual circumstances.

How long is recovery from ovarian vein embolization?


The recovery time from (OVE) can vary from person to person, but most women can return to normal activities within a few days to a week after the procedure. However, it is important to follow your doctor’s instructions carefully and to avoid heavy lifting, strenuous exercise, and sexual intercourse for a period of time after the procedure to allow the area to heal.

Immediately after the procedure, you may experience some discomfort or pain in the treated area. The doctor may prescribe painkillers to help alleviate any discomfort. You may also have some bruising or swelling around the puncture site, which should go away in a few days.

In some cases, women may experience mild to moderate pelvic pain or cramping for a few days after the procedure, which is normal and can be managed with over-the-counter pain relievers. It is vital for you to consume plenty of fluids and to rest in the time of recovery to assist the body in healing.
Your doctor will likely schedule a follow-up appointment to monitor your progress and ensure that there are no complications. In most cases, you will be able to resume normal activities within a week, but it is important to follow your doctor’s instructions and avoid heavy lifting or strenuous exercise for a longer period of time, as advised by your doctor.

It is also important to keep in mind that while ovarian vein embolization is a minimally invasive procedure, it is still a medical procedure that carries some risks. It is important to discuss the potential risks and benefits of the procedure with your healthcare provider to determine if it is the right treatment option for you.

How much activity should I do after the ovarian vein embolization procedure?

(OVE) procedure, it is generally recommended to take it easy for the first 24 to 48 hours. During this time, it is important to rest and avoid any strenuous activity, such as heavy lifting, exercise, or sexual activity. You may experience some pain or discomfort during this time, which can be managed with pain medication prescribed by your doctor.

After the initial 24 to 48 hours, you can gradually return to your normal daily activities, but you should still avoid strenuous exercise or heavy lifting for several days to a week after the procedure. Your doctor will provide specific instructions on when you can resume normal activities, as well as any activity restrictions you should follow.

It is important to follow your doctor’s instructions closely to ensure a smooth recovery and to avoid any complications or setbacks. If you have any concerns or questions about post-procedure activity, be sure to discuss them with your doctor.

Ovarian vein embolization cost

(OVE) can vary depending on several factors, such as the location of the healthcare facility, the healthcare provider performing the procedure, the patient’s health insurance coverage, and the complexity of the case.

In the United States, the average cost of ovarian vein embolization can range from $10,000 to $20,000, including the cost of the procedure itself, as well as any associated fees for the radiologist, anesthesia, and hospital stay.

However, it’s important to note that the actual cost of the procedure can vary widely depending on the specific circumstances of the patient and the healthcare provider. It’s recommended that patients check with their insurance providers and healthcare providers to determine the specific cost of ovarian vein embolization for their individual cases.

What are the success rates of ovarian vein embolization?

(OVE) is generally considered a highly effective treatment for pelvic congestion syndrome (PCS) and varicoceles, with success rates of 80% to 90% reported in clinical studies. However, the success of OVE can depend on several factors, including the underlying cause of the condition, the severity of symptoms, and the patient’s individual medical history.

In general, OVE is most effective for patients with PCS or varicoceles who have experienced significant pain or discomfort, as well as other related symptoms, such as bloating, menstrual irregularities, and urinary problems. The procedure is designed to block blood flow to the affected veins, which can reduce or eliminate symptoms and improve quality of life for many patients.

As with any medical procedure, there are potential risks and complications associated with OVE, and the success of the procedure can depend on several individual factors. It is important to discuss the potential risks and benefits of OVE with your doctor, and to ensure that you receive the procedure from a qualified and experienced interventional radiologist. Your doctor can help you determine whether OVE is an appropriate treatment option for your specific condition and individual medical history.

Does insurance cover pelvic vein embolization?

Insurance coverage for (OVE) can vary depending on several factors, such as the specific insurance plan, the reason for the procedure, and the healthcare provider performing the procedure. In general, insurance plans may cover pelvic vein embolization if it is considered medically necessary to treat a condition such as chronic pelvic pain, pelvic congestion syndrome, or varicocele.

Before undergoing (OVE), it’s recommended that patients check with their insurance provider to determine their coverage and any out-of-pocket costs they may be responsible for. Additionally, patients may need to obtain prior authorization from their insurance provider before undergoing the procedure to ensure that it is covered under their plan. It’s also important to note that even if insurance does cover the procedure, there may still be additional fees associated with the procedure, such as copays or deductibles.

Ovarian vein embolization side effects?

This procedure is generally safe and well-tolerated. Like any medical procedure, there could be adverse effects and risks to be taken into consideration. Some possible side effects of ovarian vein embolization may include the following:

Pain or discomfort: Patients may experience pain or discomfort at the site of the procedure, which is typically located in the groin area.

Nausea or vomiting: Some patients may experience nausea or vomiting after the procedure, which is usually mild and resolves on its own.

Bruising or bleeding: Patients may experience some bruising or bleeding at the site of the procedure, which is usually minor and resolves on its own.

Infection: There is a small risk of infection associated with any medical procedure, including ovarian vein embolization.

Allergic reaction: Some patients may have an allergic reaction to the contrast dye used during the procedure.

Blood clots: Although rare, there is a small risk of developing blood clots in the legs or lungs after the procedure.

It’s important to discuss any potential risks and side effects with your healthcare provider before undergoing ovarian vein embolization. In general, most patients experience only minor side effects that resolve on their own within a few days to a week after the procedure.

Conclusion


In conclusion, ovarian vein embolization is a minimally invasive procedure that is used to treat varicose veins in the pelvis, specifically the ovarian veins. This procedure has several benefits over traditional surgery, including a shorter recovery time and a lower risk of complications. Ovarian vein embolization can be an effective treatment option for women who are experiencing pelvic pain and discomfort, heavy menstrual bleeding, painful intercourse, and infertility caused by varicose veins in the pelvis. However, as with any medical procedure, there are risks associated with ovarian vein embolization, and patients should discuss these risks with their healthcare provider before undergoing the procedure. Overall, ovarian vein embolization can be a safe and effective treatment option for women with varicose veins in the pelvis.

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FAQS


Is ovarian vein embolization painful?

It is typically performed under local anesthesia, which numbs the area around the groin where the catheter is inserted, and sedation may also be provided to help you relax. The procedure itself is generally not painful, although you may feel some discomfort or pressure as the catheter is inserted and moved into place.
 
After the procedure, you may experience some cramping or mild pain in the pelvic area for a few days, which can be managed with over-the-counter pain medications. You may also experience some bruising or swelling at the site where the catheter was inserted.

What happens to veins after embolization?

After the embolization procedure, the affected vein may become inflamed and irritated, leading to swelling, redness, and discomfort. Over time, the vein may begin to shrink and close off as the body absorbs the embolization material. Eventually, the vein may be completely absorbed and replaced with scar tissue, effectively removing it from the circulatory system.

Does ovarian vein embolization affect fertility?

However, the risk of fertility complications from ovarian vein embolization is relatively low. Studies have shown that the majority of women who undergo the procedure maintain normal ovarian function and have no fertility problems. In some cases, fertility may be temporarily affected, but it typically returns to normal within a few months.

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