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Pelvic
Venous
Disorders

What is Pelvic Venous Disorders (PCD)?

Pelvic Venous Disorders is a condition that causes chronic pelvic pain. It’s thought to be caused by problems with the veins in the pelvic area. This is the lower part of your belly (abdomen).

Veins are the blood vessels that carry blood back to the heart. In some women, veins in the lower abdomen may stop working well. Blood may start to build up inside the veins. When this happens, the veins in your pelvis can enlarge and change shape, like varicose veins. This may lead to pain and other symptoms of pelvic congestion pain.

It happens mostly in women of childbearing age. It may be more common in women who have given birth to more than one child.

Symptoms of PVD

Many times, symptoms don’t appear until a woman becomes pregnant, and then they continue after the pregnancy. The main symptom of PVD is pelvic pain. The pain typically worsens as the day goes on, especially for women who sit or stand all day, and then goes away after a night of sleep. Learn more about pelvic pain.

The pain can also worsen:

  • During or following intercourse
  • Around menstrual periods
  • After certain physical activities, such as bicycling or horseback riding

Diagnosis & Treatment

To determine the correct diagnosis, a team of medical experts, including gynecologists who specialize in transvaginal ultrasound and vascular surgeons experienced in PVD, work together. If PVD is suspected, the diagnosis is confirmed using different methods such as axial, magnetic, or classical venography, depending on the specific situation. These diagnostic procedures help the healthcare team gain a better understanding of your condition.

Once it is confirmed that you have PVD, the treatment involves a procedure called embolization. This is a minimally invasive procedure that can be performed with a small puncture in your thigh or arm while you are under local or general anesthesia. During the procedure, a catheter (a thin tube) is carefully guided to your pelvic veins using special radiological imaging. Then, special embolic agents called plugs, coils and liquid embolics are inserted to block the problematic veins. The use of advanced equipment ensures clear imaging and helps to minimize radiation exposure during the embolization process. 

Find Experts

Dr. Bisdas Theodosios (Greece)

Dr. Charalambous Nikolas (Cyprus)

Dr. Hadjipolykarpou Andreas (Cyprus)

Dr. Koureas Anthos (Cyprus)

Dr. Papas Stylianos (Cyprus)

Dr. Patatas Kyriacos (Cyprus)

Dr. Poullos Nektarios (Cyprus)

Dr. Toursides Achilleas (Cyprus)

Dr. Tsitskari Maria (Cyprus)

Dr. Zambas A. Neophytos (Cyprus)

Dr. Zertalis Marios (Cyprus)

Tonia

I would like to offer my congratulations on the effort to inform about the PVD.  I would also like to give a big thank you to my vascular surgeon for the prognosis and treatment. I am 37 years old and a mother of 4 children. The symptoms started after the 3rd pregnancy. Unbearable pains during and after sexual intercourse. Abdominal bloating, period pains and lower back pain. After the surgery I saw a huge difference and relief. Good luck with your work!

Toula

Congratulations! Thank you for giving me the opportunity to tell about my personal experience. Unfortunately after 9 months of suffering with unbearable pain in my entire pelvis I had my uterus removed which maybe could have been avoided if I had known about pelvic congestion syndrome. I hope other women are given the chance for the right treatment and not to end up like me

Anna

Congratulations on this pioneering and innovative effort to inform the female audience.

Pelvic Venous Disorders was not widely known until today. It is something that can be treated with the right specialists by your side however, it was not detected and thousands of women suffered because of it.

A large percentage of women probably have PVD, but don't know exactly what it is. I had several frequent visits to doctors, who failed to report PVD to me.

I had symptoms for years, since the age of 25 some of them being excruciating pain during intercourse, bloating in the abdominal area, and pain after menstruation. But the worst thing was the fact that no one was able to inform me or even guide me to identify the problem.

Finally, after years of suffering, I have the right guidance from the right experts. Congratulations again, for this excellent initiative.

Yianna

I am 50 years old and have been suffering from pelvic pain for the past 15 years.

The pain started after my daughter was born. I have received various diagnoses from specialists in three different countries, but no one has informed me about MS, an avenue I will definitely look into.

Congratulations on your initiative! many women have it but we don't know what it is and where we can go for a valid diagnosis.

Annita

It all started in May 2017, when a sudden, sharp, constant pain in the pelvis did not allow me to stand on my feet to present at the conference I was at. The next few months were a nightmare. I had abdominal pain, dyspnea, bloating, nausea and inability to remain upright. I was not myself.

I was seen by dozens of doctors - gynecologists, pain specialists, neurologists - but no one managed to come to a conclusion. Physiotherapy, acupuncture, neurodialysis and heavy medication, not only did not help, but negatively affected my quality of life, which combined with the lack of a diagnosis, led to increased levels of anxiety.

I was told many different things by many professionals - that 'it's all in my head', that I'm 'just stressed with work', that I should 'just relax'. Many times I felt hopeless and helpless.

The pain continues to this day, with monthly flare-ups just before my period. I've learned to cope with it and manage it by doing yoga, meditation, hydrotherapy and psychotherapy. They have helped but not eliminated the problem.

Yianoulla

I am 42 years old, mother of three children.Since my first pregnancy, varicose veins began to appear on my legs. During the second and third pregnancy, they became even more visible. When I had my period I felt a lot of pain thinking that they would burst.

After 17 years, I decided to go to a vascular surgeon and the tests showed that I had varicose veins inside the uterus, resulting in pelvic congestion syndrome on both sides. After consultating with my doctor I had a successful operation and now I am much better.

I am very grateful to my doctor.

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