Ovarian Vein Embolization for Pelvic Congestion Syndrome in Hyderabad Pelvic pain.
Treated at its source.
Image-guided closure of refluxing ovarian veins through a small puncture.
A clear answer for chronic pelvic pain from veins.
Considered when scans show pelvic vein reflux and other causes have been excluded.
Image-guided closure of refluxing ovarian and pelvic veins through a small puncture, for chronic pelvic pain caused by pelvic congestion syndrome.
About OVE
Pelvic congestion syndrome (PCS) is chronic pelvic pain, often a dull ache or heaviness that worsens on standing, late in the day, around periods and after intercourse, caused by enlarged, refluxing veins around the ovaries and uterus. It is under-recognised and is often mistaken for other pelvic problems. Ovarian vein embolization is an image-guided treatment performed by an Interventional Radiologist.
At Clinic Seven in Hyderabad, a catheter is passed through a small puncture in a vein at the neck or groin to the leaking ovarian and, where needed, pelvic veins, and they are closed with coils, plugs or a sclerosant so that blood stops pooling in the pelvis. In a randomised trial of 100 women, about 90% had clinical success at one year, and a pooled review of 25 studies with 2,038 women reported 94% technical success and an overall complication rate of 9%, mostly minor. Pelvic pain has many causes, so imaging and an examination come first, and other conditions such as endometriosis, adenomyosis and fibroids are considered before any treatment.
- Treats the refluxing veins that cause the pain, through a small puncture and without an incision.
- In a randomised trial of 100 women, about 90% had clinical success at one year.
- A review of 25 studies and 2,038 women reported 94% technical success.
- Often a day-care or short-stay procedure.
Personalized scenarios are presented during consultation. Individual results may vary.
Symptoms of Pelvic Congestion Syndrome
Pelvic congestion syndrome causes chronic pelvic pain, and the pattern is distinctive. Ovarian vein embolization is considered when these symptoms persist for six months or more:
- A dull ache or heaviness in the lower abdomen or pelvis
- Pain that worsens on standing, walking or late in the day
- Pain that eases on lying down
- Pain around periods or after intercourse
- Varicose veins of the vulva, buttocks or thighs
- Urinary urgency or pelvic pressure
- Pain that other treatments and tests have not explained
If these symptoms sound familiar, book an evaluation with Dr. Nagateja Bonala at Clinic Seven, Hyderabad.
- •Pelvic pain mainly from endometriosis, adenomyosis, fibroids or another cause
- •No venous reflux on imaging
- •Pregnancy, or serious allergy to contrast dye
- •Active pelvic infection until treated
How the OVE procedure works
Every step is planned and performed under image guidance by an Interventional Radiologist at Clinic Seven, Hyderabad.
- 01
Assessment
Pelvic Doppler, CT or MR venography and an examination confirm venous reflux and rule out other causes of pelvic pain.
- 02
Access
A catheter is passed through a small puncture in a vein at the neck or groin to the ovarian and pelvic veins under X-ray.
- 03
Embolization
Dye shows the refluxing veins, and coils, plugs or a sclerosant close them so blood stops pooling in the pelvis.
- 04
Recovery
After a short observation you go home, with a follow-up review to check how the pain is settling.
Ovarian vein embolization vs medical treatment and surgery
| Factor | OVE | Medicines / Surgery |
|---|---|---|
| Approach | Closes the leaking veins from inside, through a small puncture | Pain medicines or hormonal treatment, or surgery to tie the veins |
| Anaesthesia | Local anaesthesia with light sedation | General anaesthesia for surgery |
| Treats the source | Yes, the refluxing veins | Medicines treat symptoms, surgery ties the veins |
| Hospital stay | Same day or one night | Longer for surgery |
| Both sides | Treated in one sitting where needed | Depends on the operation |
| Evidence | Randomised trial and large pooled reviews, with limited quality | Limited for medicines, rarely used for surgery |
The right choice depends on your scans, symptoms and goals. Your Interventional Radiologist will talk you through both options at your consultation.
Recovery timeline
Most patients treated at Clinic Seven follow a predictable recovery path with a follow-up review scheduled at the first visit.
- Often home the same day, or after one night.
- Soreness in the pelvis or flank for a few days can occur.
- Return to routine in a few days, with follow-up as advised.
Risks and safety
Every procedure carries some risk. These are the ones your Interventional Radiologist will review before OVE.
- Bruising or bleeding at the puncture site.
- Temporary pelvic or flank pain after the procedure.
- Rare coil or plug movement, vein injury or reaction to contrast dye.
What affects the cost
The cost of ovarian vein embolization in Hyderabad depends on whether one or more veins need treatment, the coils, plugs or sclerosant used, and the facility. Insurance cover varies between policies and is checked before the procedure. The exact cost is explained after consultation and review of your imaging.
For a personalised estimate and insurance guidance, contact Clinic Seven with your recent reports.
- Number of veins treated, one or both sides
- Coils, plugs or sclerosant used
- Pelvic Doppler and CT or MR venography
- Day-care facility and room category
- Insurance, cashless approval and TPA processing
Get a rough idea of the cost
Choose what matters to you and we will show a guide. Nobody is committed to anything, and our team will never rush you.
Cost details
Amounts are for a shared room and are a starting point. The final cost is confirmed after consultation and review of your scans, and insurance may reduce what you pay.
| Treatment | Procedure | Cost, shared room (INR) |
|---|---|---|
| Ovarian Vein Embolization for Pelvic Congestion Syndrome | Standard procedure | ₹1,40,000 |
Room choice changes the amount: Shared room is the base amount; Single private room adds 15%; Deluxe single room adds 30%; Suite adds 50%.
Is your insurance accepted?
Cashless with major insurers, TPAs and office group policies. CGHS and Singareni on credit.
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Cover is confirmed by our team after checking your policy and treatment plan.
View all insurersDr. Nagateja Bonala
Dr. Nagateja Bonala is the Interventional Radiologist at Clinic Seven, Hyderabad, with 13+ years of image-guided practice. Every OVE case is planned personally with a review of your scans and reports.
Plan your next step
Bring your recent scans, blood tests and any prior specialist notes. Message us on the contact page for directions, timings and insurance guidance.
Questions about OVE
It is chronic pelvic pain caused by enlarged, refluxing veins around the ovaries and uterus. The pain is often a dull ache or heaviness, worse on standing, late in the day, around periods and after intercourse.
With a history, an examination and imaging, such as pelvic Doppler, CT or MR venography. Catheter venography is more sensitive and is often done at the time of treatment. Other causes of pelvic pain are considered first.
It is an image-guided procedure that closes the leaking ovarian vein, and pelvic veins where needed, with coils, plugs or a sclerosant, so blood stops pooling in the pelvis. It is done through a small puncture at the neck or groin.
In a randomised trial of 100 women, about 90% had clinical success at one year, whichever device was used. A pooled review of 25 studies with 2,038 women reported 94% technical success. The overall quality of evidence is limited, and results vary.
The pooled review reported an overall complication rate of 9%, mostly minor, such as pain, bruising or coil movement. Major complications were uncommon, and some needed a further procedure. Your doctor explains your own risk.
Yes. Pain medicines, hormonal treatment, venoactive drugs and counselling are used first in many women, and surgery is rarely needed. Embolization is considered when the cause is confirmed to be pelvic venous reflux and other treatment has not helped.
Imaging also looks for compression of the iliac or renal veins and for associated vulval or leg varicose veins, which may need separate treatment. The pelvic venous disorders classification helps plan this.
Yes. Clinic Seven, Hyderabad offers consultation for ovarian vein embolization with Dr. Nagateja Bonala. Suitability is decided after your imaging, and insurance cover is checked before the procedure.
Related treatments at Clinic Seven
Minimally invasive, image-guided options by Dr. Nagateja Bonala in Hyderabad.
