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August 11, 2021minimally invasive
Pelvic Venous Insufficiency: Nishant Patel, MD
This syndrome arises because of the absence of or faulty valves within the gonadal veins. This leads to reflux of blood down the gonadal veins into the pelvis, which causes these veins to dilate and can even lead to new vein formation in the pelvis. Patients present with cyclical pelvic pain that is often worse in the premenstrual period and is exacerbated by standing. Pain with intercourse or using the bathroom are also common. In addition, patients may begin to see painful varicose veins in the vulva region or upper thigh.