What is pelvic congestion?
Pelvic congestion is characterised by dilated veins around the pelvis that may be diagnosed at ultrasound or laparoscopy. The dilated veins may be related in some way to varicose veins more usually seen in the legs. They can be seen at laparoscopy or ultrasound examination. Pelvic congestion can be associated with pelvic conditions such as infection.
Pelvic congestion may respond to medroxyprogesterone acetate administered continuously over six months at a dose sufficient to prevent menstruation.
Ligation of the pelvic veins has been performed laparoscopically. Occlusion of the pelvic veins (embolisation) may prove to be effective.
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