Pelvic vein care · Houston, TX

Pelvic Congestion Syndrome Treatment in Houston, TX

Long-lasting pelvic pain can come from enlarged, leaking veins around the ovaries. Pelvic vein embolization closes them through a tiny catheter.1

  • Same-week appointmentsGet seen this week
  • No referral neededBook directly with Dr. Malik
  • On-site duplex ultrasoundAnswers at your first visit
  • 3 Houston-area clinicsSugar Land, Houston, Tomball
Dr. Rema Malik talking with a patient in the clinic
Same dayIf you are well, you can usually go home the same day.1
Day procedureUsually home the same day1
Up to 1–2 hoursTypical procedure time1
Local anestheticSometimes with sedation1
About 6 weeksNo straining exercise1
The basics

What is Pelvic Congestion Syndrome?

In pelvic congestion syndrome, blood backs up in the veins around the ovaries and pelvis. The veins enlarge, much like varicose veins in the legs, and can cause ongoing pelvic pain.1

Pelvic vein embolization closes the leaking veins from inside, using coils, foam or both, placed through a thin tube.

Common symptoms

  • Pelvic pain, often on one side, worse with standing or walking and better lying down1
  • Pain during or after sex1
  • Painful periods1
  • Frequent urination, or discomfort in the rectum1

Not sure if this is right for you? A visit with Dr. Malik, with an on-site ultrasound, gives you a clear answer.

Step by step

How the procedure works

  1. Consultation and imagingYour symptoms and scans are reviewed. Other causes of pelvic pain should be checked.
  2. AccessA thin tube enters a vein in the groin or neck, guided by ultrasound, with local anesthetic.1
  3. Map the veinsContrast dye shows which veins are leaking.1
  4. Close the veinsCoils, foam or liquid are placed to block the leaking veins. They stay permanently.1
  5. RecoveryPressure on the access site, then monitoring for several hours.1
Recovery

What to expect after

Recovery depends on your health and what was treated. Dr. Malik gives you written instructions for your own procedure.

  1. Same dayHome with a companionYou can usually go home the same day. Do not drive, and have someone stay with you for 24 hours.1
  2. 2–3 daysKeep the plaster dryKeep the small dressing dry.1
  3. About 6 weeksAvoid strainingAvoid heavy lifting, squats and other straining exercise.1
  4. Any timeWarning signBreathing problems after the procedure: go to the emergency department.1

Benefits

  • Research has shown embolization to be the best treatment for reducing pelvic vein pain compared with alternatives1
  • Done through a tiny catheter, not open surgery1
  • Usually home the same day1

Possible risks

  • Bruising or infection at the access site1
  • Pain, usually eased with simple painkillers1
  • Reaction to contrast dye, or reduced kidney function1
  • Rarely, coil or foam moving to the heart or lungs1
  • Symptoms return in 10 to 40% of cases; a repeat procedure may be needed1
Compare options

How it compares

Dr. Malik recommends the option that fits your condition after an exam and ultrasound.1

OptionHow it worksNotes
Pelvic vein embolizationCoils or foam close leaking veins through a catheterUsually same-day, no incisions
Embolization proceduresThe same technique used for other conditionsLearn how embolization works
SurgeryTying off the veins, or removing the uterus and ovariesA much bigger operation

What patients say about Dr. Malik

102
five-star Google reviews, out of 110 (as of Oct 27, 2026)

I have been seeing Dr Rema Malik for about 2 years now. She is amazing and all of her staff is amazing. I wish that all my doctors and there staff could be at least half of what this team is just so incredible and can’t thank her and her staff enough for always making my legs good again.

Gary BennettGoogle review
Google review

Dr. Malik was very kind and thorough. She looks out for your best interest and explained the process of the diagnostic and treatment plan. Her staff was very kind and made me feel comfortable with their evaluation.

Richard Lopez
Google review

I love love love Dr. Malik. She has taken very good care of me. She listens and answers all my questions and concerns. She is compassionate and caring.

Juana Reeves
Google review

Dr. Malik and her team are wonderful! Very friendly, easy to understand my questions and the process with my procedure. I never have to wait for the team to get back to me when I have called.

John Hawley
Your surgeon

Treated by Dr. Rema Malik

Dr. Rema Malik, MD, FACS, RPVI, is board certified in Vascular Surgery, General Surgery and Surgical Critical Care. She sees patients in English and Urdu. No referral is needed.

Treatment is often covered by insurance when it is medically necessary. Our team checks your plan before your visit.

Dr. Rema Malik, vascular surgeon in Houston
  • Sugarland ClinicMon to Fri, 8 AM to 5 PM
  • Houston ClinicThursday, 8 AM to 12 PM
  • Tomball ClinicWednesday, 8 AM to 5 PM
FAQ

Common questions

Short answers. For your own situation, talk to Dr. Malik.

What is pelvic congestion syndrome?

Blood backs up in the veins around the ovaries and pelvis, so the veins enlarge and can cause ongoing pelvic pain.

What are the symptoms?

Pelvic pain that is often one-sided and worse when standing, pain during or after sex, painful periods, frequent urination and rectal discomfort.

How is it treated?

Pelvic vein embolization closes the leaking veins with coils, foam or both, placed through a thin catheter in the groin or neck.

How long is recovery?

You can usually go home the same day. Avoid straining exercise for about six weeks.

Can symptoms come back?

Yes. Symptoms return in 10 to 40% of cases, and some people need a repeat procedure.

Do I need a referral?

No. You can book a consultation directly with Dr. Malik.

Sources

References

  1. British Society of Interventional Radiology. Pelvic congestion syndrome and pelvic vein embolisation: patient information. bsir.org/patients-1/patient-information-leaflets/adult-procedures/pelvic-congestion-syndrome-and-pelvic-vein-embolisation

This page is general education, not medical advice or a diagnosis. Unnumbered statements describe Dr. Malik’s usual practice. In an emergency, call 911. Last updated October 30, 2026.

Find out if your veins need treatment

Same-week appointments, no referral needed, three Houston-area clinics.

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