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Pelvic congestion syndrome (pelvic venous insufficiency)
Pelvic Venous Insufficiency (PVI) also know as Pelvic Congestion Syndrome (PCS) is chronic pain caused by damaged veins in the pelvic region. Because the veins are unable to take all the blood back to the heart, some of it pools in the pelvic region. This pooling causes the veins to enlarge and the vein's walls to stretch. The result is chronic pain. Approximately 30% of women who suffer from chronic pelvic pain have pelvic venous insufficiency.
Symptoms of PVI include an achy pain in the pelvic region, painful periods, pain during sexual intercourse, backache, bladder irritation, abnormal bleeding and vaginal discharge. Prolonged sitting, walking and lifting can increase the discomfort. Lying down usually decreases the pain significantly.
PVI is treated with a minimally invasive procedure performed in the hospital. Under sophisticated imaging, a catheter is guided to the culprit veins. The diseased veins are closed – reducing the high-pressure pooling and backward flow. Healthy veins compensate for the closed-off veins and begin sending blood from the pelvic area back to the heart.