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Pelvic Congestion Syndrome

Vascular Specialists

Vascular Surgeons located in Tinley Park, IL & Evergreen Park, IL

Pelvic congestion syndrome is one of the causes of chronic pelvic pain, a condition very common in women that can potentially lead to significant disability.  Approximately one thrid of all women will suffer from chronic pelvic pain at some point during their lifetime.

Pelvic Congestion Syndrome Q & A

What is Pelvic Congestion Syndrome?

Pelvic congestion syndrome occurs when varicose veins develop around the ovaries, similar to varicose veins that occur in the legs.  The valves in the veins no longer function normally causing blood to back up.  The veins become engorged or "congested" which can be very painful.

Symptoms

Varicose veins in the genital area or legs

Hemorrhoids

Low back pain

Vaginal discharge

Abnormal vaginal bleeding

Pelvic pain that worsens as the day goes on 

Irritable bladder that sometimes leads to stress incontinence

Evaluation

Ultrasound

CT or MRI

Pelvic Venography

Treatment Options

Ovarian vein embolization-During this procedure a catheter is placed directly into the abnormal ovarian vein and pelvic veins.  Small metal coils or plugs are placed to block flow into the ovarian vein.  Sclerosing agents can be injected into the pelvic varicose veins.  This prevents the reversal of flow in the abnormal vein, which reduces the pressure within the enlarged pelvic veins.  This procedure is typically performed as an outpatient and patients can return to normal activity in a few days.  After ovarian embolization, approximately 75 percent of patients will report improvement in their symptoms.