Pelvic congestion is a painful condition that’s also called pelvic venous congestion because it results from the dysfunction of gonadal veins draining blood from your ovaries. This condition is an extension of varicose veins in the female pelvis. Pelvic congestion syndrome requires treatment by an experienced vascular specialist like Dr. Sergei Sobolevski at the Downtown Vein & Vascular Center in Brooklyn. Call on him to diagnose your condition and offer effective pelvic congestion syndrome treatment.
What Is Pelvic Congestion Syndrome?
Pelvic congestion syndrome (PCS) is a vascular condition characterized by varicose veins around your ovaries. Problems in the veins of your ovaries and pelvis affect blood flow, causing the blood vessels to engorge. The enlarged and congested pelvic veins cause severe symptoms, including chronic pelvic pain.
Pelvic congestion syndrome requires specialized treatment. Dr. Sergei Sobolevsky, an experienced endovascular specialist, along with his team at the Downtown Vein & Vascular Center in Brooklyn, offer pelvic congestion syndrome treatment, as well as treatments for other vein conditions, such as:
What Are the Symptoms of Pelvic Congestion Syndrome?
If you have PCS, the twisting and bulging veins in your pelvic area or ovaries cause serious symptoms that you can’t ignore.
The most common symptoms include:
- Varicose veins showing in your buttocks, pelvis, thighs, vulva or vagina
- Chronic pelvic pain that lasts longer than six months
- A dull, achy or heavy pain in your pelvis that may sometimes become a sharp pain
- Pain when urinating
- Pain that starts during or soon after pregnancy and worsens during future pregnancies
- PCS pain that worsens:
- With a change of posture
- At the end of the day
- Before and during menstruation
- During and after sex
- After long periods of immobility
- Pain that lessens when you lie down
- An irritable bowel
- Stress incontinence when laughing, coughing or during other blood-stressing movements
At the Brooklyn vein clinic, a top vascular specialist assesses your symptoms when determining a pelvic congestion diagnosis. The vein doctors at the Downtown Vein & Vascular Center leverage advanced technology and best practices for pelvic congestion syndrome treatment.
I highly recommend Dr. Sobolevsky for anyone seeking vein treatment. He was professional, knowledgeable, and provided excellent care throughout the process. The results were impressive and I’m grateful for his expertise.
What Causes PCS?
Doctors haven’t identified the main reason behind vein complications that cause pelvic venous congestion.
But Vein and Vascular Specialists have identified some of the risks of pelvic congestion syndrome, including:
- Women of childbearing age, between 20 and 45 years old
- Women who’ve given birth more than once
- Women with family members who have PCS
- Women who have polycystic ovarian syndrome, a condition that affects the function of your ovaries
Various medical issues can trigger pelvic pain. To rule out other pelvic problems, your vein doctor carries out tests to diagnose pelvic congestion syndrome.
The main diagnostic tests for PCS include:
- Pelvic congestion syndrome ultrasound. This test finds growths in your pelvic region. The imaging test also reveals any vein dilation or other vascular issues.
- Blood tests. Your vein doctor rules out an infection, such as a sexually transmitted infection or another blood issue, through a blood test.
- Urine test. This test rules out other bladder problems.
- MRI and CT scans. These specialized imaging tests show the veins in greater detail, revealing issues an ultrasound may miss.
- Pelvic venography. This is a more invasive imaging test, in which your Vein and Vascular Specialist guides specialized equipment into your ovarian veins with the aid of x-ray technology. The test identifies the exact point of dilation.
With over 25,000 minimally invasive treatment procedures under his belt, Dr. Sobolevsky diagnoses your vein problem. If he finds that you need pelvic congestion treatment, he and his team provide the procedure in the same facility in Brooklyn.
What Is the Best Pelvic Congestion Syndrome Treatment?
At the NYC vein center, you receive the care you need, not just to overcome your symptoms, but to address the underlying issues.
Some of the PCS treatment options include:
- Your doctor may prescribe drugs to suppress the production of estrogen. Estrogen is a hormone associated with pelvic congestion syndrome. For the pain and inflammation, your doctor may prescribe non-steroidal anti-inflammatory drugs (NSAIDs) or other chronic pain medications.
- Pelvic vein embolization. A top vein specialist closes off the affected vein in the pelvis with the guidance of imaging technology. The closed-off veins die off and are absorbed by your body, easing your pain.
- Sclerotherapy for varicose veins. For this is a minimally invasive procedure, your vein doctor injects a solution directly into the vein to cause it to die. The blood finds a new vessel to travel through.
Pelvic congestion syndrome is a debilitating chronic condition that can affect your physical and psychological well-being. Chronic pain causes stress and depression, and so it requires the most appropriate treatment. Contact the best vascular doctors in NYC at the Downtown Vein & Vascular Center in Brooklyn, NY today.
Sergei Sobolevsky, MD, is a leading specialist in endovascular medicine with experience in vascular and interventional radiology. Dr. Sobolevsky has decades of experience in the field, with over 25,000 procedures performed, accumulating extensive experience in image-guided minimally invasive medicine, diagnosing and treating a range of conditions.
Dr. Sobolevsky earned his Doctor of Medicine (MD) degree in 1997 from the University of Colorado School of Medicine. He received his specialty clinical training in vascular and interventional radiology at Harvard University. Later, he earned his MBA from the MIT Sloan School of Management. Recognized as a Castle Connolly Top Doctor and named to the Top Doctors New York Metro Area in 2020, 2021, and 2022, Dr. Sobolevsky is licensed in multiple states, has delivered presentations at numerous institutions in the US and abroad, and now acts as a clinical advisor for the biomedical industry. He also held multiple positions in the field during his career, including Chief of Vascular and Interventional Radiology at the Columbia University Medical Center in New York, NY, Senior Vice President in Clinical and Regulatory Affairs at Artann Laboratories in North Brunswick, NJ, and Medical Director at the American Endovascular and Amputation Prevention Center in Brooklyn.More About Dr. Sobolevsky
Downtown Vein Treatment Center
480 Court Street, Ste 101
Brooklyn, NY 11231