Pelvic Congestion Syndrome

Pelvic Congestion Syndrome involves chronic non-menstrual pelvic pain and is most commonly caused by varicose veins in the lower abdomen or pelvis.  

Pelvic varicose veins are painful and may affect the uterus, ovaries and vulva.  Pelvic congestion syndrome can be a difficult diagnosis because its symptoms often mimic other conditions which must be ruled out first.  There are several minimally invasive techniques for diagnosis, including MRI and ultrasound.  

If you are diagnosed with this condition and are symptomatic, embolization, a minimally invasive procedure, is the current standard treatment.  The technique blocks the abnormal blood flow resulting in symptom relief – usually within two weeks.  Embolization does not require surgery – only a small nick in the skin that does not need stitches afterward.  

Pelvic embolization is performed by inserting a catheter (thin tube) into either the femoral vein in the groin after you are mildly sedated.  The catheter is guided to the affected vein using x-ray.  The physician inserts tiny coils through the catheter to seal the faulty, enlarged vein, closing the vein and relieving pressure.

Embolization is performed on an outpatient basis and the procedure is usually completed within an hour.  Often difficult to detect, this is a real medical condition that can be treated when properly diagnosed.