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Pelvic Venous Congestion Syndrome

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A type of varicose veins that can cause pelvic pain in women

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Pelvic venous congestion syndrome occurs when the pelvic veins that supply blood to a woman’s uterus or ovaries become dilated, or widened. This allows blood to flow backward, pool in the veins and cause chronic pelvic pain. The condition is a type of varicose veins in the pelvis.

Symptoms are often worse when sitting or standing because the veins are under more pressure. You may experience:

  • Chronic pelvic pain lasting more than six months
  • Dull ache in the pelvis
  • Irritable bowel syndrome
  • Stress incontinence

What are the causes and risk factors for pelvic venous congestion syndrome?

Pelvic venous congestion syndrome primarily affects young women who have had more than two children. It can be caused by:

  • Abnormal development of the vein valves
  • Obstruction in the veins, plaque buildup or clots
  • Polycystic ovary syndrome (PCOS)
  • Pregnancy
  • Veins not returning to normal size after pregnancy

Tests

Diagnosing pelvic venous congestion syndrome can be difficult because when you lie down for an examination, the pressure on the veins typically is relieved. Our specialists may recommend one or more diagnostic and imaging procedures.

Computerized Tomography (CT) Scan

The cardiac computed tomography scan, or cardiac CT, uses X-rays to create three-dimensional images of your heart and blood vessels.

Fluoroscopy

A fluoroscopy is an imaging technique that uses a continuous X-ray beam passed through the body to create real-time, moving images of your internal structures.

Magnetic Resonance Imaging (MRI)

Magnetic resonance imaging, better known as cardiac MRI, is a combination of radio waves, magnets and computer technology to create images of your heart and blood vessels.

Treatments

Our vascular teams work together and with other specialties to develop and implement individualized plans to treat women with pelvic venous congestion syndrome.

Venous Disease Treatments

Venous disease treatment may include medications, minimally invasive and surgical procedures to improve blood flow and circulation.

Physicians

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20 Doctors & Specialists
Dr. Ayesha Nzeribe Hatch, MD
Dr. Ayesha Nzeribe Hatch, MD
Vascular Surgery
106 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-3100
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Dr. Steven David Abramowitz, MD
Dr. Steven David Abramowitz, MD
Vascular Surgery
(237)
106 Irving Street Northwest Suite 3150 Washington, DC 20010
(202) 877-0275
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Dr. Margaret Walkup Arnold, MD
Dr. Margaret Walkup Arnold, MD
Vascular Surgery
9000 Franklin Square Drive Baltimore, MD 21237
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Dr. Arthur Flatau, III, MD
Dr. Arthur Flatau, III, MD
Vascular Surgery
(316)
25500 Point Lookout Road Floor 2 Leonardtown, MD 20650
(240) 434-4072
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Dr. Mark O'Brien Peeler, MD
Dr. Mark O'Brien Peeler, MD
Vascular Surgery
(469)
2002 Medical Parkway Suite 520 Annapolis, MD 21401
(410) 571-8430
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Dr. Cameron M. Akbari, MD, MBA
Dr. Cameron M. Akbari, MD, MBA
Vascular Surgery
(278)
106 Irving Street Northwest Suite 3600 Washington, DC 20010
(202) 444-2255
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Dr. John Harvey, MD
Dr. John Harvey, MD
Vascular Surgery
(267)
24035 Three Notch Road Hollywood, MD 20636
(301) 373-7900
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Dr. Krystal C. Maloni, MD
Dr. Krystal C. Maloni, MD
Vascular Surgery
110 Irving Street Northwest Center for Vascular Care Washington, DC 20010
202-416-2000
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Dr. Kevin Arthur Brown, MD
Dr. Kevin Arthur Brown, MD
Vascular Surgery
2002 Medical Parkway Suite 520 Annapolis, MD 21401
410-571-8430
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Dr. Javairiah Fatima, MD
Dr. Javairiah Fatima, MD
Vascular Surgery
18101 Prince Philip Drive Olney, MD 20832
(301) 774-8962
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Dr. Lucy B. Kupersmith, MD
Dr. Lucy B. Kupersmith, MD
Vascular Surgery
1630 Main Street Suite 208 Chester, MD 21619
(410) 571-8430
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Dr. Geetha Jeyabalan, MD
Dr. Geetha Jeyabalan, MD
Vascular Surgery
(268)
2002 Medical Parkway Suite 520 Annapolis, MD 21401
(410) 571-8430
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Dr. Suzanne Siefert Kool, MD
Dr. Suzanne Siefert Kool, MD
Vascular Surgery
(182)
5601 Loch Raven Boulevard GSH SMYTH BLDG Baltimore, MD 21239
(410) 554-2950
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Dr. Jason Ryan Crowner, MD
Dr. Jason Ryan Crowner, MD
Vascular Surgery
5601 Loch Raven Boulevard GSH SMYTH BLDG Baltimore, MD 21239
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Dr. Stephen Fulvio Stanziale, MD
Dr. Stephen Fulvio Stanziale, MD
Vascular Surgery
(282)
9101 Franklin Square Drive Outpatient Center, Suite 212 Baltimore, MD 21237
(443)-777-1900
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Dr. Edward Yiming Woo, MD
Dr. Edward Yiming Woo, MD
Vascular Surgery
(239)
106 Irving Street Northwest Physician Office Building North Tower, Suite 3150 Washington, DC 20010
(202) 877-0275
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Dr. Jason Andrew Chin, MD
Dr. Jason Andrew Chin, MD
Vascular Surgery
5601 Loch Raven Boulevard Smyth Bldg Ste 303 Baltimore, MD 21239
(443) 444-3431
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Dr. Joshua A. Dearing, MD
Dr. Joshua A. Dearing, MD
Vascular Surgery
(193)
7501 Surratts Road 208 Clinton, MD 20735
301-877-7353
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Dr. Raghuveer Vallabhaneni, MD
Dr. Raghuveer Vallabhaneni, MD
Vascular Surgery
(179)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
(410) 554-2950
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Dr. Misaki Mikki Kiguchi, MD
Dr. Misaki Mikki Kiguchi, MD
Vascular Surgery
(364)
3800 Reservoir Road Northwest 4th Floor Washington, DC 20007
(202) 444-2255
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