Back متلازمة احتقان الحوض Arabic Beckenvenensyndrom German سندرم احتقان لگن Persian Syndrome de congestion pelvienne French גודש ורידי האגן HE Varicocele pelvico Italian പെൽവിക് കൺജഷൻ സിൻഡ്രോം Malayalam Síndrome de congestão pélvica Portuguese Pelvik konjesyon sendromu Turkish
| Pelvic venous disease | |
|---|---|
| Other names | Pelvic congestion syndrome |
 | |
| A very large (9 cm) fibroid of the uterus which is causing pelvic congestion syndrome as seen on X-ray computed tomography | |
| Specialty | [Interventional Radiology], gynecology |
| Symptoms | Chronic pelvic pain[1] |
| Diagnostic method | Ultrasound, CT scan, MRI, laparoscopy[1] |
| Medication | Medroxyprogesterone, nonsteroidal anti-inflammatory drugs (NSAIDs)[1] |
| Frequency | 30% of women[2] |
Pelvic congestion syndrome, also known as pelvic vein incompetence, is a long-term condition believed to be due to enlarged veins in the lower abdomen.[1][3] The condition may cause chronic pain, such as a constant dull ache, which can be worsened by standing or sex.[1] Pain in the legs or lower back may also occur.[1]
While the condition is believed to be due to blood flowing back into pelvic veins as a result of faulty valves in the veins, this hypothesis is not certain.[3] The condition may occur or worsen during pregnancy.[1] The presence of estrogen is believed to be involved in the mechanism.[1] Diagnosis may be supported by ultrasound, CT scan, MRI, or laparoscopy.[1]
Early treatment options include medroxyprogesterone or nonsteroidal anti-inflammatory drugs (NSAIDs).[1] Surgery to block the varicose veins may also be done.[1] About 30% of women of reproductive age are affected.[2] It is believed to be the cause of about a third of chronic pelvic pain cases.[4] While pelvic venous insufficiency was identified in the 1850s it was only linked with pelvic pain in the 1940s.[4]
- ^ a b c d e f g h i j k "Pelvic Congestion Syndrome - Women's Health Issues". Merck Manuals Consumer Version. Retrieved 27 September 2019.
- ^ a b Cheema, Omer Saadat; Singh, Pramvir (2020). "Pelvic Congeston Syndrome". Statpearls. PMID 32809625.
Text was copied from this source, which is available under a Creative Commons Attribution 4.0 International License.
- ^ a b Champaneria, R; Shah, L; Moss, J; Gupta, JK; Birch, J; Middleton, LJ; Daniels, JP (January 2016). "The relationship between pelvic vein incompetence and chronic pelvic pain in women: systematic reviews of diagnosis and treatment effectiveness". Health Technology Assessment. 20 (5): 1–108. doi:10.3310/hta20050. PMC 4781546. PMID 26789334.
- ^ a b Brown, CL; Rizer, M; Alexander, R; Sharpe EE, 3rd; Rochon, PJ (March 2018). "Pelvic Congestion Syndrome: Systematic Review of Treatment Success". Seminars in Interventional Radiology. 35 (1): 35–40. doi:10.1055/s-0038-1636519. PMC 5886772. PMID 29628614.
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