Pelvic pain syndrome caused by ovarian varices. Treatment by transcatheter embolization

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This study treated six women with pelvic pain syndrome caused by ovarian varices using transcatheter venous embolization, finding that all patients were symptom-free during a 1-4-year follow-up.

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Abstract

PURPOSE: The aim of this study was to evaluate the clinical effect of therapeutic embolization in the pelvic congestion syndrome caused by ovarian varices. MATERIAL AND METHODS: Six women, aged 25-40 years, with pelvic pain syndrome and marked left (n = 5) or bilateral (n = 1) ovarian varicocele were treated by transcatheter retrograde venous embolization. RESULTS: The pelvic pain syndrome disappeared in all patients within 4 weeks, and there was regression of the periodic pain in 2 women with dysmenorrhoea. The patients were free of symptoms during the 1-4-year follow-up. CONCLUSION: Marked ovarian varices may cause a pelvic pain syndrome. Percutaneous embolization improves both the chronic pain and the dysmenorrhea in these patients. Transcatheter treatment could be considered as an alternative to surgical or laparoscopic ligation in ovarian varicocele.

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Condition tags

dysmenorrhea

MeSH descriptors

Embolization, Therapeutic Embolization, Therapeutic Ovary Pelvic Pain Varicose Veins Adult Ambulatory Care Catheterization, Peripheral Dilatation, Pathologic Dilatation, Pathologic Dysmenorrhea Dysmenorrhea Female Follow-Up Studies Humans Menorrhagia Menorrhagia Ovary Pelvic Pain Phlebography

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References (9)

Cited by (9)

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openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T22:00:28.864438+00:00
License: CC0 · commercial use OK