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Pelvic Congestion Syndrome

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Pelvic Congestion Syndrome

  • Risks
  1. Multiparous women
  • Pathophysiology
  1. Pelvic vein varicosities with congested pelvic organs
  • Symptoms
  1. Pelvic Pain provocative factors
    1. Premenstrual timing
    2. Fatigue
    3. Standing
    4. Intercourse
  2. Menorrhagia
  3. Urinary Frequency
  1. Uterus Mobile
  2. Retroverted Uterus
  3. Uterus Soft, boggy, slightly enlarged
  • Diagnosis
  1. Dilated veins on venography
  • Management
  1. Intravenous Vasoconstrictor
  2. Medroxyprogesterone acetate
  3. Psychotherapy in combination with above