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Zafaran Hospital,
Baku, Azerbaijan
Chronic pelvic pain syndrome occurs mainly in women between the ages of 20 and 45 who have had multiple pregnancies. It is the dilatation of the veins in the vaginal area due to valve deficiency in the ovarian (over) veins. That is, these veins become varicose (varicosis means expansion of the veins). These varices cause burning and bruising. An increase in bruising is an indicator of the progression of the disease.
How does chronic pelvic pain syndrome cause burns?
The most serious burn occurs in the lower abdomen. This is also called chronic pelvic pain. That is, long-term (more than 6 months) pain under the abdomen. 30% of women have constant abdominal pain at some point. However, not every abdominal pain is a symptom of this disease, and every pelvic pain syndrome may not have abdominal pain. In addition to pain, the disease causes complaints of swelling and heaviness in the lower abdomen.
Pain is the most common complaint. The pain is not sharp and does not occur at regular intervals. It starts to hurt mainly before menstruation, on the last day and after being on your feet for a long time or after being tired. Pain may occur during or after intercourse. Sometimes the degree of pain affects the patient's behavior and social relationships. Pains can also happen during the advanced stages of pregnancy.
Is chronic pelvic pain syndrome scary?
This disease is not a very dangerous disease. It is not necessary for every patient to receive treatment. However, pelvic pain in women is a common occurrence, and pelvic pain syndrome is an under-recognized cause. Burns caused by pelvic pain syndrome can negatively affect people's vital signs. In case of such complaints, the disease should be treated.
What are the symptoms of the disease?
Other symptoms, such as pain, may become more severe after prolonged standing or after intercourse.
How is it diagnosed?
It is actually very easy to diagnose the disease, but it is very difficult for the patient to suspect this disease.
If a large number of varicose veins are seen around the vagina with transvaginal ultrasonography, it is necessary to undergo an examination. With computed tomography or venography, it is possible to visualize and diagnose ovarian vein dilatation. However, it is too early to seek treatment for varicose veins around the vagina. These heirs must have the above-mentioned indicators in the patient. Because, the heirs in the vaginal area occur in many women who have given birth more than once.
What is the treatment and how is it done?
If the ovarian veins (over) are enlarged and there are varicose veins in the vagina, it is necessary to treat if the patient complains of burning and bruising.
The main treatment is to close this vein with valvular deficiency and treat the varices. In this way, the patient's complaints will decrease. This vein can also be closed with surgery. However, currently, embolization (closure) treatment performed by a simple angiography method is one of the most effective and preferred methods. Angiography is easier to perform than arterial vascular angiography, as it is done to the vena cava.
With angiography, one of the veins in the groin is accessed (in normal angiography, an artery is accessed). In some cases, it can be accessed not only from the groin, but also from the jugular veins
The ovarian veins are visualized and the diagnosis made to the patient is clarified. Then, a 1 mm thick plastic tube is inserted into the ovarian vein with an angio catheter and embolized.
After the intervention, there may be a feeling of pain in the lower abdomen for a day or two. The pain is stopped with pain medication.
After treatment, the patient is not necessarily hospitalized. Patients are discharged on the same day.