Treatment of veins after childbirth

Finding Relief for Pelvic Pains and Prominent Veins in the Groin Area!

Chronic pelvic pain can have various causes, and one common cause is Pelvic Congestion Syndrome (PCS), which involves veins and varicose veins in the pelvis. Women with PCS often experience pelvic pain or a feeling of heaviness, especially during menstruation, intercourse, or prolonged standing. During pregnancy, some women with PCS may also develop bulging veins in the groin or upper thighs. (While PCS is more commonly observed in women who have had multiple pregnancies, some women experience experience these symptoms during a first pregnancy; they sometimes even appear only after menopause.)

What are the symptoms of PCS?

Prominent veins in the groin or upper thighs are typically reported as a common symptom, particularly during pregnancy. These veins may worsen with each subsequent pregnancy, causing pain and a heavy sensation. In severe cases, standing for long periods becomes challenging. Diagnosing pelvic pain symptoms specifically attributed to PCS can be difficult, and the condition is occasionally misdiagnosed Many women undergo evaluations by gynecologists, including imaging tests like ultrasounds, CT scans, and sometimes laparoscopic surgery, to rule out other causes.

How is PCS diagnosed?

When prominent veins are present in the typical areas, further evaluation is usually unnecessary. However, if pelvic pain is present without noticeable veins, an ultrasound examination of the pelvis and additional imaging may be required. The ultrasound must be performed correctly.

Who is eligible for treatment?

Women who fall into one or more of the following categories may be candidates for treatment:

1. Women experiencing bulging veins in the groin or upper thighs, particularly during pregnancy.
2. Women suffering from chronic pelvic pain without any other identified cause.
3. Women seeking treatment for leg vein issues, with or without painful symptoms, and having prominent veins in the groin/thigh area. Treating PCS can minimize the risk of leg vein problems recurring after treatment.

How is PCS treated?

The treatment for PCS involves a minimally invasive, non-surgical procedure called "embolization." During this procedure, a small catheter is inserted into the pelvic veins to close them off. It is performed in an angiography room equipped with imaging technology to guide the catheter's placement. Local anesthesia is administered at the insertion site (typically on the right side of the neck), and sedation can be provided through an infusion without the need for general anesthesia. The procedure generally takes one to two hours, and patients can return home the same day without hospitalization. Mild pain may be experienced for the first 24-48 hours, which can be managed with oral pain relievers. This procedure boasts a high success rate, with 75-90% patient satisfaction. In the past, PCS treatment options were limited to significant surgical procedures like hysterectomy, with potential complications.

Do I need to wait until I'm done having children before seeking PCS treatment?

No! It is a common misconception that women should wait until after having children to undergo PCS treatment (as well as treatment for leg veins). Women with PCS experience symptoms during their fertile years, making this the ideal time for treatment. While pregnancy is not possible during the treatment itself, there is no evidence of any negative effects on future pregnancies after PCS treatment. The optimal time for treatment is between pregnancies.

How can I schedule an appointment to determine if PCS treatment is right for me?

To schedule an appointment at the angiography unit of Shaare Zedek Medical Center, please contact us:
Phone: 02-655-5014 or 02-564-5634
Fax: 02-666-6125
Email: angio@szmc.org.il
Website: www.jerusalemvascular.com