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Pelvic Venous Insufficiency

Pelvic Venous Insufficiency

Pelvic venous insufficiency is a commonly overlooked condition that can cause severe, debilitating pain for the women who suffer from it. At the Vein Care Center, we use advanced diagnostic tools to diagnose this condition and provide expert treatment options for patients in Lima, Celina, Bluffton, Findlay and surrounding counties in Ohio. There is no need to suffer in silence – board-certified physician Dr. Manu B. Aggarwal, MHSA, MD, encourages anyone experiencing pelvic pain to schedule a consultation today. 

What is Pelvic Venous Insufficiency?

Pelvic venous insufficiency (PVI) is a condition caused by incompetent valves on the inside of the gonadal (ovarian) veins. Previously known as pelvic congestion syndrome, this issue occurs when blood in the gonadal veins flows backward due to gravity, instead of up and out of the pelvis, causing the pelvic veins to dilate. PVI is characterized by chronic, dull pelvic pain, pressure or heaviness in the area that persists for more than six months with no other known cause. Approximately one-third of women will experience chronic pelvic pain during their lifetime. At Vein Care Center, we urge patients against living with this pain, and strongly recommend treatment to restore comfort to the pelvic region and prevent any further health risks. 

What Causes PVI?

The causes of PVI are understood poorly by some physicians who do not have a proper understanding of vascular conditions. The condition is prevalent in women between the ages of 20 to 45, and in women who have had multiple pregnancies. During pregnancy, the ovarian vein can become compressed by the expanding womb, or enlarged due to increased blood flow. This process can subsequently affect the valves in the vein, causing them to stop functioning correctly and allowing the blood to flow backward and pool in the vein, which typically results in pressure and bulging veins. Other potential causes of PVI include polycystic ovaries or hormonal imbalances. Because estrogen contributes to vein dilation, this condition is less common in menopausal and post-menopausal women.

What are the Symptoms of PVI?

Though pain in the pelvic region is the most common symptom of PVI, the following issues can also occur: 

Women who suffer from PVI typically experience pelvic pain for over six months. Symptoms may be exacerbated by menstruation, pregnancy, prolonged standing and activities that increase abdominal pressure. Most women report symptoms being worse at the end of the day.

How is PVI Treated?

Since there are various conditions that can cause pelvic pain, PVI is often overlooked or misdiagnosed, particularly because the underlying problem veins are not externally visible. At the Vein Care Center, highly qualified physician Dr. Manu Aggarwal uses cutting-edge diagnostic tools and equipment to determine whether your pelvic pain is the result of vein disease or other venous conditions. Once your condition has been thoroughly examined and diagnosed, we will recommend the most suitable treatment plan.

What Happens if PVI is Left Untreated?

We strongly urge any woman who suspects she might suffer from PVI to come in for a screening. While the condition on its own does not usually lead to medical emergencies, it can develop into a sharp, persistent pain that can be debilitating.

PVI affects a significant number of women every day, with some suffering pelvic pain for years. Don’t let this discomfort dictate your lifestyle. Contact us today to schedule your appointment with vein specialist and family physician Dr. Manu Aggarwal at the Vein Care Center in Ohio. Learn more about how we can eliminate pelvic pain and restore comfort to your body.

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