Pelvic Venous Disease Treatments

Woman resting comfortably with eyes closed, representing personalized pelvic venous disease treatment and symptom relief

Personalized Treatment for Pelvic
Venous Disease

Pelvic venous disease can affect patients in different ways, which is why treatment is never one-size-fits-all. While the underlying conditions may vary, the goal of treatment remains the same: to improve blood flow, reduce abnormal pressure within the pelvic veins, and help relieve symptoms that may be affecting daily life.

At California Pelvic Pain Institute, we specialize in minimally invasive, image-guided procedures designed to address the underlying vascular causes of pelvic pain. These treatments are performed on an outpatient basis and are tailored to each patient’s unique anatomy and imaging findings.

Our approach focuses on treating the source of venous congestion while minimizing disruption to surrounding healthy tissue and supporting a comfortable recovery.

How Pelvic Venous Disease Is Treated

The treatment approach depends on which veins are involved and how blood flow is being affected. In many cases, treatment may involve one or more minimally invasive procedures designed to improve circulation and reduce pressure within the pelvic veins.

Because every patient is different, treatment recommendations are based on advanced imaging, symptom history, and individual goals.

Over time, these changes in circulation may contribute to pelvic discomfort or other related symptoms.

Vein Embolization

Vein embolization is one of the most commonly performed treatments for pelvic venous diseases, such as Gonadal Vein Reflux/Pelvic Venous Congestion.

This minimally invasive procedure is designed to close or reduce blood flow through veins that are contributing to venous congestion and increased pressure within the pelvis.

During embolization:

A small catheter is inserted through a tiny access point, typically in the wrist or groin

Advanced imaging is used to guide the catheter to the 
targeted vein

Specialized embolic materials are placed within the vein to redirect blood flow

By reducing abnormal blood flow through affected veins, embolization can help relieve pressure and improve circulation throughout the pelvis.

Benefits of Embolization

Minimally invasive procedure

No large surgical incisions

Outpatient treatment

Shorter recovery compared to traditional surgery

Targeted treatment focused on the affected veins

Before and after venogram showing a narrowed vein reopened following venous stenting

Venous Stenting

In cases such as Nutracker Syndrome and May-Thurner Syndrome (Illiac Vein Compression), symptoms may be related to a vein that has become narrowed or compressed. When this occurs, a stent may be used to help restore and maintain healthy blood flow.

A venous stent is a small mesh tube that is placed within the vein to keep it open and improve circulation.

During the procedure:

A catheter is guided to the area of narrowing

Imaging is used to precisely position the stent

The stent expands within the vein to support blood flow

Venous stenting is commonly used when improving circulation through a compressed vein is an important part of treatment.

Benefits of Venous Stenting

Restores blood flow through narrowed veins

Improves circulation within the pelvis

Performed through a minimally invasive approach

Outpatient procedure in many cases

Designed for long-term support of the affected vein

Combination Treatment Approaches

Some patients may benefit from more than one treatment during their care journey.

Because pelvic venous disease can involve multiple veins and different patterns of blood flow, treatment plans are often customized to address all contributing factors. In certain situations, embolization and venous stenting may be used together to optimize circulation and symptom relief.

Our physicians carefully review imaging findings and discuss treatment recommendations with each patient to ensure the most appropriate approach is selected.

Physician examining a seated patient during a combination pelvic venous disease treatment consultation
Woman resting on the edge of a bed at home while recovering after a minimally invasive procedure

What to Expect During Recovery

One of the advantages of minimally invasive treatment is that recovery is often shorter and more manageable compared to traditional surgery.
Many patients are able to:

Return home the same day

Resume light activities shortly after treatment

Gradually return to normal routines

Recover comfortably in a familiar environment

Recovery experiences vary, but most patients appreciate the convenience and reduced downtime associated with outpatient procedures.

A Collaborative Approach to Care

Pelvic pain can be influenced by several factors, which is why treatment often benefits from
a multidisciplinary perspective.
At California Pelvic Pain Institute, we work closely with:
OB-GYN physicians
Pelvic floor therapists
Primary care providers
Other specialists such as POTS specialists, MCAS specialists, SMAS specialists, Cardiology, and Gastroenterology.
This collaborative approach helps ensure that patients receive comprehensive care that addresses both vascular
concerns and overall pelvic health.

Explore Your Treatment Options

Living with chronic pelvic pain can be physically and emotionally challenging, especially when symptoms persist without clear answers. Fortunately, advances in minimally invasive vascular treatment have created new options for addressing the underlying causes of pelvic venous disease.

At California Pelvic Pain Institute, our goal is to help patients understand their options, feel supported throughout the process, and move toward greater comfort and quality of life.

Schedule a consultation today to learn more about the treatment options that may be right for you.