Pelvic Congestion Syndrome and May-Thurner Syndrome generally affect women between the ages of 20 and 50. These conditions can be extremely debilitating, making it especially difficult for young women to maintain an active lifestyle.
Treatment for pelvic pain doesn’t just get rid of the pain – it makes an overall improvement in a woman’s quality of life.
At the Center for Vascular Medicine, we offer minimally invasive treatments that can be performed in the outpatient setting. They are generally simple and relatively painless procedures which are performed in 2-3 hours. Most patients experience a relief in pelvic pain and often return to their normal activities the following day.
Treatment Options for Pelvic Pain
Embolization therapy is generally the recommended treatment for symptomatic Pelvic Congestion Syndrome (PCS). Women with PCS experience chronic pelvic pain that lasts for 6 months or more and usually gets worse throughout the day. In most cases, embolization therapy will involve the physician injecting a sclerosing agent into the vein. This treatment is very similar to sclerotherapy in the legs. The sclerosing agent will cause the vein to collapse and blood flow will be naturally restored through healthy veins.
In another method, the physician may insert a coil into the vein which will block the flow of blood completely, creating a permanent seal in the vein. Normal blood flow will be rerouted through healthy veins in the area.
Venoplasty and Stenting
A majority of women diagnosed with May-Thurner Syndrome will undergo a minimally invasive procedure to place a stent in the compressed iliac vein. Using intravascular ultrasound (IVUS), the physician will guide a catheter through the vein in the leg and into the pelvic region allowing precise measurement. If necessary, a balloon and stent may be placed into the vein to keep the vein open.
In a limited number of cases, bypass surgery will be recommended to restore proper blood flow in the pelvic region and lower extremities.