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Pelvic Congestion Syndrome

Pelvic Congestion Syndrome Treatment in Oklahoma

Pelvic congestion syndrome, aka pelvic venous insufficiency, is a condition that effects approximately 15-40% of women aged 20-50yo. This problem causes chronic pelvic pain due to varicose veins within the pelvis. This causes blood to pool within the bulging veins of the pelvis, causing pain. These abnormal veins can be secondary to abnormalities of the gonadal veins or a compression of a vein in the pelvis called, May-Thurner. Unfortunately, this is an underdiagnosed condition for women suffering with chronic pelvic pain.

Chronic pelvic pain is classified by pain in the lower abdomen/pelvis for more than 6 months. 60% of women who suffer from pelvic pain never get a proper diagnosis. The diagnosis for PCS is often not thought of as a diagnosis during evaluation and worku

diagram of pelvic congestion syndrome

Risk Factors for Pelvic Congestion Syndrome

  • 2 or More Pregnanciesers
  • Polycystic Ovaries
  • Varicose Veins
  • Hormonal Imbalance

Classic Pelvic Congestion Syndrome Symptoms

  • Worse pain with standing, sitting and physical activity
  • Improved pain with lying down
  • Abnormal menstrual bleeding
  • Irritable bladder
  • Vaginal discharge
  • Varicose Veins
  • PoTS syndrome
  • Interstitial Cystitis
  • Migraines
  • Irritable bowel syndrome

Pelvic Congestion Syndrome Treatment Options

illustration of iliac venous stenting


Pelvic congestion syndrome can be secondary to compression of the left common iliac vein, draining vein in the pelvis. This is due to an anatomical compression of the right iliac artery compressing the left common iliac vein. By limiting the drainage of blood out of the pelvis, blood finds alternative routes through veins in the pelvis and spine, causing them to dilate and potential cause pain.

Treatment involves placement of a stent within the compressed iliac vein, to regain its normal size and decompress venous pressure in the pelvis.

ovarian vein embolization


Dilation of the pelvic veins may also be secondary to a leaky gonadal vein, allowing blood to back up into the pelvis instead of moving forward to the heart. This is interrogated by performing a venogram, or dye test with X-ray, to watch blood flow within the gonadal vein. If reflux is noted, along with dilated varicose veins within the pelvis, the vein is shut down with coils, or embolized.

Patient Resources

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Professional staff working in a beautiful facility with great doctors who sincerely care about their patients. Without Dr. Schmidt's skill, I would have needed heart bypass surgery instead of a stent. Follow-up has been thorough. I can't recommend them highly enough.
LeAnn Harner

Dr. Jim Melton and all the staff are fantastic. He is an excellent surgeon and his team is GREAT!!!! I just had surgery at the surgery center, I have only great things to say about my experience. Without him I really don't think I would be here to write this. If you’re looking for a good cardiovascular team, they are a 5 star for sure.

Susie Brooks Harrison

Dr. Parsons and staff are amazing. He truly listened to me from the consult. Staff showed genuine care for my progress post procedure. I had my follow up appointment today so satisfied with results. Blake made me comfortable from the start. He is an activist for uterine fibroids treatment beyond the standard.

Tamara Means

Professional and caring staff. Dr. Smith is very knowledgeable and shows genuine concern for your personal health. I enjoyed the background music in the procedure room, it really adds to the relaxing atmosphere.

David Lambert

Dr. John Schrader is the most personable doctor we know. He stays on top of my dads health care and is genuinely concerned about his health. We never leave his office with questions. He answers them all. Even questions we don’t think of. Always professional but never cold or bad bedside manner. In our opinion he is THE BEST around.
Thank you Dr Schrader.

Kathy J

I came to Dr. Warren by a self referral for mals when it took me 8yrs 50+ doctors and thousands of dollars spent on no answers. My first visit I was scared I was just going to be gaslighted just like the past however I was pleasantly shocked when Dr. Warren immediately believed me. She took the time to review many disk I had brought from past tests. She never once dismissed me and listened to ever word I had to say. She scheduled one last test to confirm the diagnosis then I was scheduled for surgery right away. Surgery was a success and I can’t thank her and her staff enough. Dr. Warren truly saved my life.

Angie W

Dr. Garner literally saved my life 18 months ago and I've followed him to his new practice with Cardiovascular Health. He explains things so clearly, listens and is just a very nice person. His staff is great, too! I highly recommend!

D Watts

Some of the nicest staff that I have ever dealt with!! They have been so incredibly awesome to my mom!! Would definitely recommend them to anyone!! Thank you so much for being so great with her!!

Christy Garvie

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