Treatment for Chronic Pelvic Pain: Pelvic Congestion Syndrome

Do you have chronic pelvic pain, or have heard the term "pelvic congestion syndrome" ? Our physicians are experts at diagnosing and treating pelvic congestion syndrome or pelvic venous varcies, caused by enlarged veins in the pelvis that cause many symptoms including pelvic pain, fullness and pain with intercourse (dyspareunia). Pelvic congestion syndrome is sometimes a ‘wastebasket’ term given to women who have chronic pelvic pain without a definitive diagnosis. However, many women who have this syndrome may actually have an easily treatable condition, called pelvic venous varices. These enlarged, dilated veins in the pelvis that have lost valve function and have become incompetent (very similar to varicose veins in the legs). Pain related to this conditions is usually described as an achy, pressure-type of pain that gets worse after standing or at the end of the day. Patients also describe painful intercourse (dyspareunia).

The abnormal veins and the symptoms associated with them can usually be treated by our IR doctors on an outpatient basis with light sedation and minimal discomfort or recovery time. The procedure is called pelvic vein or pelvic variceal embolization, and is safe and effective. The uterus and ovaries are preserved.

Video link: http://www.youtube.com/watch?v=9qylsWs2vdM&feature=related

Patient Testimonial: "I had terrible pelvic pain, especially after standing for long periods of time. It really limited my ability to work and exercise. The only way I could get relief was to lie down or elevate my legs. I was told repeatedly that there was nothing that could be done, except possibly a hysterectomy, which would be high-risk and might not work. I then read about a procedure called pevic vein embolization. I asked for a referral to an Interventional Radiologist, and immediately was able to see one of the SDI physicians. He ordered an MRI, which showed enlarged veins in my pelvis (pelvic vein varices). Based on the MRI and my symptoms, he said I was a candidate for the procedure. The procedure was easy. I didn't feel much at all during the procedure, and went home the next morning. I was back to normal in a few days, and completely pain-free in a week. Five years later, I have no pain and have my uterus and ovaries intact."
--DS