In brief
Many women living with chronic pelvic pain undergo endless exams only to be told everything is "normal." At Jerusalem Vascular, we look deeper. Often, the root cause lies within the circulatory system. Pelvic Venous Disorder (PeVD), also known as Pelvic Congestion Syndrome (PCS), is a common yet frequently overlooked condition where internal varicose veins create persistent pressure and discomfort
What is Chronic Pelvic Pain from a Vascular Origin?
Many women suffer from a persistent “heavy” or aching feeling in the pelvis for months. Often, after multiple normal gynecological exams, the real cause remains hidden beneath the surface – in the veins.
This condition is known as Pelvic Venous Disorder (or PeVD). It occurs when veins within the pelvis become enlarged and dilated (similar to varicose veins in the legs). When these veins fail to pump blood back to the heart effectively, blood pools in the pelvic area, creating painful pressure.
Could this be PeVD?
Most patients describe a specific pattern of discomfort:
- The “End-of-Day” Ache: A dull, heavy pain that worsens after standing or sitting for long periods and peaks in the evening.
- Visible Veins: The appearance of varicose veins in unusual places, such as the groin, buttocks, or upper thighs.
- Post-Activity Pain: Increased discomfort after physical exertion or intimacy.
- Position Matters: Significant relief when lying down or elevating your legs.
- Diagnosis: Finding the Source
At Jerusalem Vascular, we don’t just identify that you have pelvic congestion; we find out why. Since Pelvic Venous Disorder (PeVD) can be caused by faulty valves in the ovarian veins or structural pressure on other abdominal veins, a precise map is essential.
Using non-invasive tools like Doppler Ultrasound or specialized CT/MRI protocols, we pinpoint the exact source of the reflux to ensure your treatment is targeted and effective.
Recovery Without Surgery
The modern approach to treating pelvic veins is fast, safe, and highly effective. The primary treatment is Embolization:
This is a delicate, image-guided procedure (not a surgery) performed through a tiny nick in the skin.
How it works
A thin catheter is used to close off the weakened, painful veins using tiny medical coils or specialized sealing agents.
The result: Once the faulty veins are closed, blood naturally redirects to healthy veins, the pressure is relieved, and the chronic pain subsides.
Why Choose Embolization?
- No General Anesthesia: Performed under local numbing and mild sedation.
- Rapid Recovery: Most patients return home the same day and resume normal activities within 24-48 hours.
- Lasting Relief: Significant improvement in daily comfort and quality of life.
Pelvic pressure shouldn’t hold you back. Experience advanced, non-surgical care (PeVD) and return to the activities you love.
