Pelvic Congestion Syndrome
Pelvic congestion syndrome results from dilated, tortuous ovarian and pelvic veins causing chronic pelvic pain, heaviness, and deep dyspareunia that worsens with prolonged standing and during intercourse.
What is Pelvic Congestion Syndrome?
Pelvic congestion syndrome results from dilated, tortuous ovarian and pelvic veins causing chronic pelvic pain, heaviness, and deep dyspareunia that worsens with prolonged standing and during intercourse.
Prevalence: Affects 10-15% of women with chronic pelvic pain
Symptoms and Signs
- •Dull aching pelvic pain
- •Deep pain during and after intercourse
- •Pain worse after prolonged standing
- •Heaviness in pelvic area
- •Pain worsening during menstruation
- •Varicose veins on vulva or thighs
Causes and Risk Factors
Common Causes
- →Ovarian vein reflux and dilation
- →Incompetent pelvic vein valves
- →Hormonal influence (estrogen)
- →Multiple pregnancies
- →Anatomic variations
Risk Factors
- ⚠️Multiple pregnancies
- ⚠️Hormonal factors
- ⚠️Polycystic ovary syndrome
- ⚠️Standing occupation
Treatment Options
Expected Outcomes: 70-85% improvement with ovarian vein embolization
Available Treatments:
- ✓Ovarian vein embolization
- ✓Hormonal suppression (GnRH agonists)
- ✓Pain management
- ✓Pelvic floor physical therapy
- ✓Compression stockings
- ✓Laparoscopic vein ligation
Prevention Tips
- →Avoid prolonged standing
- →Pelvic floor exercises
- →Compression garments
- →Hormonal management
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