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Somewhere
around 30 % of women experience chronic pelvic
pain, defined as pin below the belly button lasting for 6 months of
longer. One of the causes of this sort of pain can be Pelvic Congestion
Syndrome.
Pelvic
Congestion Syndrome develops when blood flow in veins in the lower abdomen stop
working correctly. In normally functioning veins, blood flows in only one
direction. When the valves are defective
or injured, blood starts to flow backwards. This causes pooling of
blood in the veins, forcing the walls out and making the veins bigger. It is
believed that these varicose veins when located near nerves cause pain.
This
condition is difficult to diagnose because these internal varicose veins are
internal. They are not visible on physical exam, or on ultra sound
examinations. To diagnose this condition your doctor may need to inject contrast
dye into the veins through a catheter - a process called a
veinogram.
Once
the varicose veins are located and the condition is diagnosed the doctor may
discuss several different treatments.
Drug
Treatments: Drug treatments have been less then
successful on most cases. There has been success with the use of
antidepressants in treating this condition because they help reduce pain and
help treat the depression and frustration which being on chronic pain can
cause. If your doctor recommends this keep and open mind. They are not saying
you are crazy or dismissing your pain. They are seriously trying to treat your
condition.
Minimally Invasive Surgical Treatment: The most common and most effective treatment for Pelvic Congestion Syndrome
is Transcatheter Pelvic Vein Embolization.
Embolization involves blocking the blood flow in the problematic vein(s),
allowing shrinkage and relief of symptoms. This procedure can be done as an
outpatient procedure or patients may be observed over night at the hospital. Either
way, recover is usually quick and patients resume normal activities within
days. Women experience high levels of pain reduction within 6 months in 50% to
80% of cases.The Abortion Pill
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