General Information About Pelvic Congestion Syndrome
Disease Details and Frequently Asked Questions
It is the occurrence of varicose veins, typically seen in the legs, developing in the venous networks around a woman's uterus and ovaries. The pelvic veins fail to transport blood back to the heart, causing it to pool.
The significant increase in venous capacity during pregnancies and the relaxation of the vein walls by the estrogen hormone are the major factors. Therefore, it is very rare in women who have never been pregnant.
It is a dull, aching pain in the groin and lower abdomen lasting at least 6 months. This pain is mild in the morning but worsens with prolonged standing or towards the end of the day due to gravity. It subsides when lying down.
Yes. Due to the swollen venous networks, significant fullness and pain are felt during sexual intercourse (dyspareunia) and in the hours following intercourse.
It is often missed during standard gynecological examinations and routine ultrasounds. To clearly visualize the dilated venous network (varices), a Contrast-Enhanced MRI or Color Doppler Ultrasonography is required.
Patients often endure years on painkillers or undergo unnecessary uterine surgeries. The gold standard treatment is performed via angiography by Interventional Radiology (entering through the groin vein). The enlarged, leaking varicose veins are sealed and blocked from the inside using special plugs (coils), a procedure known as Pelvic Embolization. The patient is discharged the same day and relieved of their pain.
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