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Pelvic congestion syndrome, also known as pelvic vein incompetence, is a long-term condition believed to be due to enlarged veins in the lower abdomen. [1] [7] The condition may cause chronic pain, such as a constant dull ache, which can be worsened by standing or sex. [1] Pain in the legs or lower back may also occur. [1]
While one may expect the female to have an equal prevalence of pelvic compression syndrome due to the identical embryological origin of the valveless pampiniform plexus, this condition is thought to be underdiagnosed due to the broad differential of the pain pattern: unilateral or bilateral pain, dull to sharp, constant to intermittent pain worsening with any increase in abdominal pressure.
Pelvic congestion syndrome-- , also known as pelvic vein incompetence, is a long term condition believed to be due to enlarged veins in the lower abdomen. Polycystic ovary syndrome. , or PCOS, is the most common endocrine disorder in women of reproductive age. Ovarian cysts—the ovary produces a large, painful cyst, which may rupture.
Ovarian vein coil embolisation is an effective and safe treatment for pelvic congestion syndrome and lower limb varices of pelvic origin. Many patients with lower limb varices of pelvic origin respond to local treatment i.e. ultrasound guided sclerotherapy.
It has been additionally associated with restless legs syndrome (RLS), but only in a minority of women, [9] as well as men. In some recorded cases, the syndrome was caused by or can cause a pelvic arterial-venous malformation with arterial branches to the clitoris. [11] [13] Surgical treatment was effective in this instance. [13]
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), previously known as chronic nonbacterial prostatitis, is long-term pelvic pain and lower urinary tract symptoms (LUTS) without evidence of a bacterial infection. [3] It affects about 2–6% of men. [3] Together with IC/BPS, it makes up urologic chronic pelvic pain syndrome (UCPPS). [4]
Physical exam has specificity of 77% and sensitivity of nearly 94% when the patient is noted to be tender over adnexa during physical examination with a history of postcoital pain for differentiating pelvic congestion syndrome from other pathologies of pelvic origin. [4]
Fitz-Hugh–Curtis syndrome with perihepatic adhesions following a chlamydia infection PID can cause scarring inside the reproductive system, which can later cause serious complications, including chronic pelvic pain, infertility , ectopic pregnancy (the leading cause of pregnancy-related deaths in adult females), and other complications of ...