Pelvic Congestion Syndrome

What is Pelvic Congestion Syndrome?

Pelvic Congestion Syndrome is a term describing symptoms related to pelvic varicose veins. These dilated veins are similar to varicose veins in the legs but occur deep in the pelvis, often due to incompetent valves higher up particularly in the ovarian veins (especially the left). The symptoms vary from a dull aching or dragging sensation which may be worse on standing for long periods or towards the end of the day to more severe discomfort, backache, painful intercourse and painful menstruation. There may be associated visible varicose veins on the vulva or associated varicose veins of the thighs and buttocks.

Pelvic Congestion Axial CT scan
Pelvic Congestion Syndrome

How common is Pelvic Congestion Syndrome?

Pelvic Congestion Syndrome (also known as pelvic venous congestion or ovarian vein syndrome) is probably a very much under-diagnosed condition and has in the past been a diagnosis made after other conditions have been excluded. It is more common in women who have had multiple pregnancies. Modern non-invasive imaging techniques such as ultrasound, MRI and CT scanning along with an increased awareness of the condition and its clinical features among gynaecologists, general practitioners and vascular surgeons means that many more women are now being diagnosed and treated.

Embolisation for Pelvic Congestion Syndrome

Dr. Crowe offers embolisation as a treatment for pelvic congestion syndrome. It will usually be necessary to arrange a scan (ultrasound and CT or MRI) to confirm the diagnosis.

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