gynecology and obstetrics
Pelvic Congestion Syndrome
Key Points
Pelvic congestion syndrome is the result of dilated pelvic vessels. Symptoms develop only in some women with pelvic varicosities. Pain is usually unilateral and worsened by standing and by sexual intercourse; other symptoms include low back pain, leg pain, and sometimes abnormal menstrual bleeding. Imaging alone is nondiagnostic; do not treat an isolated finding of dilated pelvic veins. Try treating with NSAIDs withmedroxyprogesteroneacetate or GnRH agonists If pain persists and is severe, consider endovascular embolization or sclerotherapy. 