Varices uterine or pelvic congestion syndrome

Written by: Dr. Xavier Puncernau
Published: | Updated: 18/11/2018
Edited by: Top Doctors®

Uterine varices, popularly known as "varices in the womb" are a set of symptoms that cause chronic lower abdominal pain that worsens ovulation and the premenstrual period in women in fertile times who have had one or more pregnancies.

According to specialists in Angiology and Vascular Surgery , this syndrome is due to the appearance of varices in the female internal genitalia , such as the ovaries and uterus , because of the inability of the veins of these areas to regain their caliber and length later Of a pregnancy.

Misdiagnosed uterine varices can lead to incurable pathology


Symptoms of uterine varices

In the beginning, uterine varices cause discomfort, such as painful menstruations , abundant and with alterations in their periodicity. Later, these discomforts progress in hemorrhoids, vulvar varices, atypical varicose veins in the legs, low back pain not related to spinal osteoarticular problems, chronic perineal heaviness and postcoital pain.


Complications that may produce uterine varices

Pelvic congestion syndrome can cause fertility problems, that is, difficulties for new pregnancies. On the other hand, it may also be the cause of the development of venous insufficiency in lower limbs with varicose veins of perineal origin that will cause pain, swelling, heaviness and all other disorders of superficial venous insufficiency.

This occurs because there is a direct connection between the uterine venous plexuses and the superficial network of the legs. This is why varicose veins develop on many occasions, especially on the inner or posterior side of the thighs or the calf.


Diagnosis of uterine varices

Initially an abdominal ultrasound can be performed in this area to look for varicose dilatations, but in order to make a diagnosis of certainty, an Angio Resonance Magnétia Nuclear should be performed, as it will accurately assess the number, size and distribution of the uterine varices and Ovaries.


How uterine varices are treated

There is a high percentage of uterine varices that, if not diagnosed or treated, can condemn women to an incurable problem. Previously, when diagnosed, it was treated with anti-inflammatory and venotonic, which relieved the discomfort but did not solve the problem.

In more severe cases, a total resection of the uterus and / or ovaries by conventional abdominal surgery was used. Later the laparoscopic route was introduced, which allowed to link the birth of the insufficiency at the level of the left ovarian vein, with which partial improvements were obtained.

The technique of venous catheterization has been introduced for more than twelve years, which is done in a radiology room (not an operating room), with a small infiltration of local anesthesia at the level of the groin, blocking from within All veins, varices of matrix and ovaries on both sides. This technique eliminates the flow that supports and ceases the great pressure to which they are subjected, so that the symptoms disappear and the development of new varicose veins.


Results of treatment for uterine varices

The treatment of uterine varices by ambulatory venous catheterization improves symptoms in 92% of the cases in a resolutive way. This technique, therefore, represents a great advance, not only thanks to its results, but also thanks to its comfort and lack of medical and surgical aggressiveness .

*Translated with Google translator. We apologize for any imperfection
Dr. Xavier Puncernau

By Dr. Xavier Puncernau
Vascular Surgery

He is the cofounder of the company Angio Vascular Projects, dedicated to the study, research and treatment of vascular disease. He is also co-founder of the technique of laser surgery for varicose veins ELAV. He has a long career and more than 40 scientific publications in specialized journals.

*Translated with Google translator. We apologize for any imperfection