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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]
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.
Cervix with a bluish-violet discolouration. Chadwick sign is a medical clinical sign characterised by the bluish-violet discolouration of the mucous membranes of the vulva, vagina (particularly on the anterior vaginal wall), and the cervix, resulting from venous congestion due to increased blood flow as part of the maternal physiological changes in pregnancy.
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.
625.4 Premenstrual tension syndrome; 625.5 Pelvic congestion syndrome; 625.6 Incontinence, stress, female; 625.7 Vulvodynia; 626 Disorders of menstruation and other abnormal bleeding from female 626.0 Absence of menstruation. Amenorrhea; 626.1 Scanty or infrequent menstruation. Oligomenorrhea; 626.2 Excessive or frequent menstruation; 626.6 ...
Ovarian vein syndrome is a rare (possibly not uncommon, certainly under-diagnosed) condition in which dilation of the ovarian vein compresses the ureter (the tube that brings the urine from the kidney to the bladder). This causes chronic or colicky abdominal pain, back pain and/or pelvic pain.
In addition, early pregnancy bleeding has sometimes been included as gynecologic hemorrhage, namely bleeding from a miscarriage or an ectopic pregnancy, while it actually represents obstetrical bleeding. However, from a practical view, early pregnancy bleeding is usually handled like a gynecological hemorrhage.
A sensitive serum pregnancy test is typically obtained to rule out ectopic pregnancy. Culdocentesis will differentiate hemoperitoneum (ruptured ectopic pregnancy or hemorrhagic cyst) from pelvic sepsis (salpingitis, ruptured pelvic abscess, or ruptured appendix). [28] Pelvic and vaginal ultrasounds are helpful in the diagnosis of PID.
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