Varicose veins of the pelvis, as a cause of pelvic congestion in women

Zaurova Mariam Borisovna, Sereda Elizaveta Vladimirovna, Anzel Daria Anatolyevna, Lyashenko Elena Nikolaevna

Pelvic congestion syndrome is associated with varicose veins in the pelvis, which leads to chronic pelvic pain, especially with prolonged standing, intercourse, menstruation, and pregnancy. Although the underlying pathophysiology of pelvic stasis syndrome is unclear, it is likely the result of a combination of dysfunctional venous valves, retrograde blood flow, venous hypertension, and dilatation. Asymptomatic women may also have pelvic varicose veins, making it difficult to diagnose pelvic congestion syndrome. This article explores the etiology of pain, the use of imaging techniques, and the clinical management of pelvic congestion syndrome. Possible explanations for the spectrum of pain in women with pelvic varicose veins are also discussed.

Keywords:CGRP (calcitonin gene-related peptide), CPP (chronic pelvic pain), IVC (inferior vena cava), PCS (pelvic congestion syndrome).