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Pelvic Congestions Syndrome

Pelvic congestion syndrome occurs when women develop symptomatic varicose veins in their pelvis. Too much blood gathers in these veins, causing them to abnormally grow.

Pelvic congestion syndrome is a common cause of chronic pelvic pain. It often develops during pregnancy when blood flow in the pelvis is increased and may worsen with each subsequent pregnancy. Some women will experience a constant, dull, aching sensation. Symptoms tend to be worse at the end of the day, with prolonged standing, during or after sexual intercourse or while menstruating. Symptom relief often comes in the form of rest and lying down. 

At University of Miami Health System, our interventional radiologists offer minimally invasive solutions to treat pelvic congestion syndrome. These procedures safely reduce blood flow in the pelvis and help to ease pain, thus improving your quality of life. 

Why Choose UHealth?

Expert care from highly trained interventional radiologists. Our interventional radiologists and radiology specialists are experts in a variety of minimally invasive procedures — everything from treatments to clear blocked blood vessels to advanced cancer therapies like NanoKnife®.

Leading-edge imaging care in South Florida. Our doctors are also researchers discovering new ways to improve diagnosis and treatment. That means you can get some of today’s most promising advancements through clinical trials. You benefit from the latest developments that are fast-tracked from the lab to the bedside.

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Treatments


Some women may be able to conservatively manage their pain with Tylenol or non-steroidal anti-inflammatory medicines (NSAIDs), such as ibuprofen. However, if symptoms persist despite conservative management, you may benefit from a minimally invasive procedure: called pelvic venous embolization and or sclerotherapy.

During this procedure, an interventional radiologist will make a small incision in the femoral vein in your thigh. Then, utilizing image guidance, they place a thin tube or (catheter) through the abnormal veins in the pelvis. 

Once the catheter is in place, they close off the abnormal veins by using a special solution that collapses them in addition to tiny coils, plugs or glue-like substances. 

Altogether, the procedure may take up to two hours depending on how many veins are treated. Most patients go home the same day and return to normal activities shortly after.

Over time, blood flow to the pelvis will be reduced resulting in a significant improvement or resolution of symptoms.

 

Tests 

  • History and Physical Exam 

    Your doctor will ask about your symptoms and evaluate you for other potential causes of pelvic pain. 

  • Imaging

    A computed tomography (CT) angiogram or magnetic resonance (MR) angiogram of the pelvis creates images of the blood vessels in the pelvis using contrast dye. 

Accepted Insurances

Note: Health plans that are currently contracted with UHealth are listed below. However, please check with your insurance provider to verify that UHealth is part of your provider network.