Doctor insights on:
Pelvic Congestion Syndrome And Risk To Pregnancy
My doctor believes I have pelvic congestion syndrome. What is this? Is this rare, or common. Want some advice on this?
Not so simple: Dilated ovarian/uterine veins become engorged with blood causing pain. Female, usually have had multiple pregnancies. Ultrasound/mri findings supporting the diagnosis. It is not a diagnosis of exclusion. It is real. Likely under diagnosed and under treated. The gold standard is mri/mrv, if present the veins are treated much like varicose veins can be. Ask to see an interventional radiologist. ...Read moreSee 1 more doctor answer
If you're pregnant or planning to get pregnant, there are many things you can do to give your baby a healthy start: Regular prenatal visits along with laboratory testing, ultrasounds, prenatal vitamins and immunizations (like the flu shot and whopping cough booster). Now's the time to eat healthy, stay hydrated, and ...Read more
Depends: That depends on how the diagnosis has been made. Chronic pelvic pain can have many causes. If the patient has a confident diagnosis of ovarian vein insufficiency the best treatment currently available is embolization. This is performed by an interventional radiologist, and a consultation with an ir who is experienced with this disease would be helpful. ...Read moreSee 2 more doctor answers
Depends on severity: Women with pelvic congestion syndrome tend to experience chronic pain in the pelvis & lower back. The pain is related to the presence of dilated varicose veins surrounding the uterus and ovaries. Treatment depends on severity of symptoms & may include catheter directed embolization to seal the pelvic varicosities & relieve the pressure being abnormally transmitted via these veins to pelvic organs. ...Read moreSee 2 more doctor answers
How do they test for pelvic congestion syndrome? Did an internal exam and based on my symptoms is how he diagnosed me. Should I go for other tests?
No good definitive: There is no good, standard, accepted test for pelvic congestion syndrome. It is basically diagnosed by excluding other possible causes of pelvic pain. Some doctors believe an MRI or CT scan can show dilation of the pelvic vessels but the data proving this is kind of weak. Mirena IUDs and birth control pills can usually improve symptoms. ...Read more
How does pcs cause back pain? I have been diagnosed with pelvic congestion syndrome but i don't understand how that can be the cause of my recurrent back pain that is similar to (but not exactly) sciatica and sacral iliitis. Can you explain what's going
See Specialist: Consider imaging studies for your spine if you believe your pain is sciatica or sacra-iliac in origin. Pelvic congestion syndrome can mimic sciatica occasionally but it is typically a diagnosis of exclusion, meaning everything else has been ruled out first. ...Read moreSee 1 more doctor answer
Short answer: Yes: If your symptoms began within days to weeks following ligation, and no other findings exist on regular workup, you may have a variant of Post-Tubal Ligation Syndrome. You should seek out an expert on Chronic Pelvic Pain. Reversal of the ligation is sometimes possible and your symptoms may subside. Go to Facebook: The New PTLS private Support Group ...Read more
My gynecologist is recommending a hysterectomy for what he believes is Pelvic Congestion Syndrome (varicose vein). I get pain down my legs and numbness during every menstrual cycle. He believes there's a 70% chance that the pain will go away. I've done pe
Yes indicated but: other non surgical options options are also available. Annoying disabling condition you gave correct description speak to your doctor if possible to try first ,vein abolition by embolization of pelvic veins ( ovarian ) which is non surgical and less invasive out patient procedure . . ...Read more
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