This will play a video. - Muslim Girl In Hijab Having Acute Abdominal Pain

Chronic pelvic pain. hidden disease in a visible place

IT'S EASY TO IDENTIFY

Woman in Bed in Pain Holding Stomach

BASIC SYMPTOMS

  • Sharp and constant pain
  • Pain that comes and goes (intermittent)
  • idle wrench
  • Severe muscle aches or spasms
  • Feeling of pressure or heaviness in the pelvic area

Additional symptoms the patients may experience:

  • Pain during intercourse
  • Pain during defecation or urination
  • Pain when sitting for long periods of time

However, it is difficult to diagnose

covered woman in pain lying on couch

There are many possible causes8

  • Genital cancers
  • Ectopic pregnancy
  • Fibromyalgia
  • Hernia
  • Bowel disorders and Irritable bowel syndrome
  • Infections or kidney stones
  • Miscarriage
  • Nerve problems
  • Ovarian cysts or ovulation
  • Painful bladder syndrome
  • Pelvic inflammatory disease
  • Psychogenic pain
  • Uterine fibroids

Pelvic venous insufficiency (PVI) is more common than any other causes of pelvic pain.1,2

Pelvic venous insufficiency explained

SO, WHAT IS PVI ?

PVI IS ESSENTIALLY VARICOSE VEINS IN THE PELVIS3

This desease is a major cause of chronic pelvic pain in up to 40% of women9

valves in the ovarian veins

How do varicose veins develop in the Pelvis?

How damaged valves in the ovarian veins look like

How is pelvic venous insufficiency treated? 1,2,3

  

  

MEDICATION

 
 
  • Analgesia
  • Anti-depressants
  • No proven efficacy
  • Often used to do something

Embolization

 
  • Safe procedure
  • Highly effective
  • Less invasive
  • Typically done as day case procedure

Surgical

  • Total hysterectomy
  • Used as a last resort
  • Radical solution sometimes used by gynaecologists
  • High morbidity
  • Limited benefit

PATIENT EXPERIENCES

Young african woman in pain on sofa

Many women have to live with pelvic pain for years1

One survey noted that, on average, respondents had 16 general practitioner appointments. Several patients waited over 20 years from presenting to their GP and receiving treatment

Read stories

Specialists that could be referred a patient with Pelvic vein insufficiency (PVI) from a GP.

Expand All

Pain specialists (2)

Gynecologists (1)

Vascular Surgeons (1)

Interventional Radiologists (5,6)

Sonographers (4)

Others (6)

1

The impact of Pelvic Congestion Syndrome-https://thewhiteleyclinic.co.uk/wp-content/uploads/The-Impact-of-Pelvic-Congestion-Syndrome-Report.pdf  

2

Chronic Pelvic Pain in Women-https://pubmed.ncbi.nlm.nih.gov/26926975/

3

https://www.bsir.org/patients/pelvic-venous-congestion-syndrome/