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Pelvic Pain Overview

Pelvic Pain: Beyond Discomfort, Finding Solutions
Pelvic pain is a frustrating and often debilitating issue affecting millions of women. It can manifest in different ways, including:
- Dysuria: Painful urination
- Frequent urinationÂ
- Dyspareunia: Painful intercourse
- Bloating and abdominal pressure
- Cramping and sharp pains in the abdomen, pelvis or legs
- Pelvic heaviness and a feeling of fullness
- Heaviness and discomfort in the lower extremitiesÂ
These symptoms can significantly impact your quality of life, including hampering daily activities and preventing intimacy. While the causes of pelvic pain are diverse, two major contributors often go overlooked: pelvic venous congestion and fibroid disease.
Pelvic Venous Congestion: When Veins Cause Pain
Pelvic venous congestion occurs when the pelvic veins, typically the ovarian veins, fail to effectively send blood back to the heart. This is most frequently caused by damage to valves within the veins, which can occur as a result of anatomical variants, hormonal changes, genetics, pregnancies, or another concurrent pelvic disorder like fibroid disease. This ineffective circulation can lead to pressure and inflammation in the pelvis in general. This can be a significant cause of chronic pelvic pain. Pelvic venous congestion is often associated with lower extremity chronic venous insufficiency, or venous disease in the legs.Â
Diagnosis:
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- A simple, non-invasive ultrasound examination can diagnose pelvic venous congestion quickly and effectively.
Treatment:
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- The good news is minimally invasive treatments like pelvic vein stenting offer a long-lasting solution for many patients. Stenting opens up congested veins, restoring proper blood flow and alleviating pain. Stenting can be done on an outpatient basis; you can go back to work the same day.        Â
Fibroid Disease: A Common Cause of Pelvic Pain
Fibroids are benign muscular tumors growing within the uterus. They can range in size, with some causing no symptoms, while others lead to pelvic pain, heavy periods, and fertility issues. Fibroids can be very small in size, or extremely large to the point where they are palpable through the surface of the abdomen.Â
Causes:
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- The exact cause of fibroids is unknown, but hormonal factors likely play a role.In addition, certain ethnicities are at much higher risk. If a family member has fibroids, you are much more likely to suffer from fibroids, so there is most likely a genetic component.Â
Minimally Invasive Treatments:
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- In the past, surgery was the only treatment option. But now, thankfully, various minimally invasive treatments like uterine fibroid embolization (UFE) can significantly shrink or eliminate fibroids without extensive surgery. Â
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Vein Specialists
Pelvic Pain Treatments

Finding the Right Path: Workup for Pelvic Pain
At the Vein Treatment Clinic, we understand the complexities of pelvic pain. Our comprehensive approach involves understanding your symptoms, and medical history, and conducting thorough examinations. Through advanced diagnostic tools like pelvic ultrasounds, we can determine if a vascular disorder treatable by our specialists causes your pelvic pain.
Beyond Vascular Causes: Exploring Other Sources of Pelvic Pain
While fibroids and pelvic venous congestion are significant contributors, other non-vascular conditions like endometriosis and sexually transmitted infections (STIs) can also cause pelvic pain. If you suspect these concerns, seeking a gynecologist’s expertise is crucial.
Our team of highly experienced experts is dedicated to helping you find the source of your pain and navigate towards effective, minimally invasive treatment options.
Don’t let pelvic pain rule your life. Schedule an appointment at Vein Treatment Clinic today.
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Give us a call at (844) 690-1788