Pelvic Congestion Pain

Causes of Pelvic Congestion Pain

Pelvic pain could be from multiple causes but pelvic venous congestion is responsible for up to 30% of pelvic pain in women. Pelvic congestion needs to be differentiated from other causes of pelvic pain like uterine fibroids, adenomyosis, endometriosis, pelvic inflammatory disease, ovarian cyst and gastrointestinal causes.

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  • Pelvic pain & discomfort, sometimes associated with generalized lethargy & depression.
  • Pain worse by sitting, prolonged standing & towards the end of the day or just before menses.
  • Dyspareunia
  • Varicose veins in the perineum, buttock, lower extremities & hemorrhoids mostly in women.
  • Most common in pre-menopausal age group.

Comparison between Endovenous Ablation & Vein Stripping

Fortunately, over last couple of years quite a few innovative, nonsurgical, minimally invasive varicose vein treatments have been approved by FDA. We use almost all of them and help our patients to pick the most effective and least painful option.

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Pelvic Congestion Syndrome Presentations

N

Pelvic pain & discomfort, sometimes associated with generalized lethargy & depression.

 

N

Pain worse by sitting, prolonged standing & towards end of the day or just before menses.

 

N

Dyspareunia

 

N

Varicose veins in perineum, buttock, lower extremities & hemorrhoids mostly in women.

 

N

Most common in pre-menopausal age group.

 

Pelvic Congestion Syndrome Treatment Options

N

Medical management included medroxyprogesterone acetate or the GnRH analogue Goserelin.

 

N

Laparoscopic ligation bilateral ovarian veins- needs general anesthesia.

 

N

Newest & non surgical treatment is percutaneous pelvic vein embolization therapy.

 

N

Significant improvement in up to 83% of women in their overall pain perception.

 

What our Patients Have to Say About Endovenous Ablation

Individual’s with alcohol use disorder (AUD) have many of the following symptoms in the past year, including, drinking more or for a longer period of time than intended, feeling incapable of cutting back on the amount of alcohol consumed, becoming sick for an extended period of time as a result of drinking too much, inability to concentrate due to cravings,

What our Patients Have to Say About Endovenous Ablation

Individual’s with alcohol use disorder (AUD) have many of the following symptoms in the past year, including, drinking more or for a longer period of time than intended, feeling incapable of cutting back on the amount of alcohol consumed, becoming sick for an extended period of time as a result of drinking too much, inability to concentrate due to cravings, inability to care for a family, hold down a job, or perform in school, continuing to drink despite problemtoms.

What our Patients Have to Say About Endovenous Ablation

Individual’s with alcohol use disorder (AUD) have many of the following symptoms in the past year, including, drinking more or for a longer period of time than intended, feeling incapable of cutting back on the amount of alcohol consumed, becoming sick for an extended period of time as a result of drinking too much, inability to concentrate due to cravings, inability to care for a family, hold down a job, or perform in school, continuing to drink despite problemtoms.

What our Patients Have to Say About Endovenous Ablation

Individual’s with alcohol use disorder (AUD) have many of the following symptoms in the past year, including, drinking more or for a longer period of time than intended, feeling incapable of cutting back on the amount of alcohol consumed, becoming sick for an extended period of time as a result of drinking too much, inability to concentrate due to cravings,

What our Patients Have to Say About Endovenous Ablation

Individual’s with alcohol use disorder (AUD) have many of the following symptoms in the past year, including, drinking more or for a longer period of time than intended, feeling incapable of cutting back on the amount of alcohol consumed, becoming sick for an extended period of time as a result of drinking too much, inability to concentrate due to cravings, inability to care for a family, hold down a job, or perform in school, continuing to drink despite problemtoms.

What our Patients Have to Say About Endovenous Ablation

Individual’s with alcohol use disorder (AUD) have many of the following symptoms in the past year, including, drinking more or for a longer period of time than intended, feeling incapable of cutting back on the amount of alcohol consumed, becoming sick for an extended period of time as a result of drinking too much, inability to concentrate due to cravings, inability to care for a family, hold down a job, or perform in school, continuing to drink despite problemtoms.

Pelvic Congestion Syndrome Treatment Options

Treatments for pelvic congestion has evolved over a couple of decades

N

Medical management included medroxyprogesterone acetate or the GnRH analogue Goserelin.

 

N

Laparoscopic ligation bilateral ovarian veins- needs general anesthesia.

 

N

Newest & non surgical treatment is percutaneous pelvic vein embolization therapy.

 

N

Significant improvement in up to 83% of women in their overall pain perception.

 

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boston vein care

Boston Vein Care is a comprehensive vein center, wound carer & vascular medicine practice offering the full spectrum of vein, wound & vascular diagnostic & treatments. We also provide health screening from offices in Wellesley, MA & Chelmsford, MA.