Pelvic congestion syndrome: Etiology of pain, diagnosis, and clinical management

Darci Phillips, Amy R. Deipolyi, Richard L. Hesketh, Mehran Midia, Rahmi Oklu

Research output: Contribution to journalReview article

41 Scopus citations

Abstract

Pelvic congestion syndrome is associated with pelvic varicosities that result in chronic pelvic pain, especially in the setting of prolonged standing, coitus, menstruation, and pregnancy. Although the underlying pathophysiology of pelvic congestion syndrome is unclear, it probably results from a combination of dysfunctional venous valves, retrograde blood flow, venous hypertension, and dilatation. Asymptomatic women may also have pelvic varicosities, making pelvic congestion syndrome difficult to diagnose. This article explores the etiologies of pain, use of imaging techniques, and clinical management of pelvic congestion syndrome. Possible explanations for the spectrum of pain among women with pelvic varicosities are also discussed.

Original languageEnglish (US)
Pages (from-to)725-733
Number of pages9
JournalJournal of Vascular and Interventional Radiology
Volume25
Issue number5
DOIs
StatePublished - May 2014
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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