Pelvic Congestion Syndrome Treatment: Minimally Invasive Pelvic Vein Embolization

Dr. Adam Farkas specialize in advanced, minimally invasive solutions that target the root cause of the problem - helping relieve pain and restore quality of life without surgery.

Adenomyosis may cause heavy menstrual bleeding, pelvic pain, and discomfort that can affect quality of life.

In brief

Pelvic Venous Disorder (PeVD), also known as Pelvic Congestion Syndrome (PCS), is a common yet often underdiagnosed cause of chronic pelvic pain in women. It is caused by enlarged, dysfunctional pelvic veins that lead to increased pressure and discomfort.

What is Pelvic Congestion Syndrome?

Pelvic Congestion Syndrome is a condition in which pelvic veins become dilated and fail to properly return blood to the heart. This results in blood pooling in the pelvis, leading to chronic pain and discomfort.

Common Symptoms

  • Dull, aching pelvic pain lasting more than 6 months
  • Pain that worsens after standing or sitting for long periods
  • Increased pain before or during menstruation
  • Pain during or after intercourse
  • Lower back pain
  • Visible varicose veins in the thighs, buttocks, or genital area
תסמונת גודש אגני (Pelvic Congestion Syndrome) גורם אפשרי לכאבי אגן כרוניים אצל נשים
 

Causes and Risk Factors

  • Multiple pregnancies
  • Hormonal influences (especially estrogen)
  • Weak or damaged vein valves
  • Family history of varicose veins
  • Anatomical variations in pelvic veins

How is PCS Diagnosed?

Diagnosis involves a combination of:

  • Clinical evaluation
  • Ultrasound
  • CT or MRI imaging
  • Venography (gold standard for confirming the diagnosis)

Minimally Invasive Treatment: Pelvic Vein Embolization

Pelvic vein embolization is a highly effective, catheter-based procedure performed under local anesthesia. A small catheter is inserted into the vein, and the affected veins are sealed using tiny coils or a medical agent.

Benefits:

  • No surgery required
  • Performed under local anesthesia
  • Minimal downtime
  • High success rate in reducing pain
  • Quick return to daily activities

Suffering from chronic pelvic pain?
Discover a minimally invasive solution that treats the root cause – without surgery.

Dr. Adam Farkas
Dr. Adam FarkasDirector, Vascular Interventional Radiology Unit and Vascular Anomalies Clinic, Shaare Zedek Medical Center, Jerusalem, Israel. Chair, Israel Society of Interventional Radiology. Updated October 15, 2026.Medically reviewed by Dr. Adam Farkas, MD, October 15, 2026.

Book a consultation

At the consultation Dr. Farkas goes over your imaging and records with you, explains which options exist and checks whether a catheter-based treatment suits your condition.

Consultation hours
Mondays, 15:00 to 20:00
Private consultation
Elite Medical, 21 HaMelachot St., Building B, 5th floor, Modiin
The procedure itself
In the angiography suite at Shaare Zedek Medical Center, Jerusalem
What to bring
Referral letter, imaging discs, blood tests and medical records
Remote
A video or phone consultation can also be arranged

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