Medical management may be helpful such as using anti-inflammatory medication to alleviate symptoms. These however, do not provide long-term relief. Ovarian embolization is the widely accepted, safe and effective way of treating PCS. The procedure is performed by a trained interventional radiologist in an outpatient setting. Symptomatic relief is relatively immediate with marked improvement or resolution of symptoms within weeks.
A small incision is made in the groin or neck area and a thin flexible catheter is positioned into the ovarian and or pelvic veins and closure is performed with small coils. Additional sclerotherapy may also be performed depending on whether there is associated vulvar or thigh varicosities.