“Pelvic venous insufficiency” or “pelvic congestion syndrome” is characterized by chronic, dull pelvic pain or pressure typically with a duration greater than 6 months. Symptoms are worsened with menses, prolonged standing and activities that increase abdominal pressure.
Patients with pelvic venous insufficiency experience retrograde or backward flow of blood in the ovarian and pelvic veins which essentially creates varicose veins inside the pelvis.
Symptoms of Pelvic Venous Insufficiency
- Chronic, dull pelvic pain or pressure
- Urinary urgency
- Back pain
- Pain is worse at the end of the day
- Pain during or after intercourse
- Visible varicose (dilated veins) on gynecologic exam
- Family history of varicose veins
- Hormonal influences
- Previous pelvic surgery
- Retroverted uterus
- Multiple pregnancies
Treatment of Pelvic Venous Insufficiency
- Patients require initial evaluation from their ob/gyn provider to evaluate for alternate sources of pelvic pain or hormonal treatment options.
- Premier Vascular and vein offers minimally invasive treatment of the diseased pelvic veins utilizing a small catheter to “plug” or “occlude” the veins in a process called transcatheter embolization.