Pelvic Venous Congestion Syndrome – September 5, 2002

Pelvic Venous Congestion Syndrome – September 5, 2002

This syndrome is caused by pelvic venous congestion in women of childbearing age, with abdominal pain, dyspareunia, dysmenorrhea, increased vaginal discharge, and autonomic nervous system dysfunction as the main clinical manifestations. Although the pelvic veins run parallel to the arteries, they have numerous anastomotic and collateral branches, forming a vast pelvic venous plexus. When blood flows from arteries to veins, the flow slows down, making it easy to form congestion, and this state of congestion exists to some extent in itself. Factors such as women’s work posture, uterine position, pregnancy, endocrine factors, and tubal ligation can all increase the degree of congestion. Diagnosis of this condition is relatively difficult, but ultrasound can reveal enlargement of the uterus and ovaries, as well as thickening of the endometrium; color Doppler ultrasound can show varicose veins. The most reliable diagnostic method is pelvic venography and ovarian venography. Pain upon palpation during gynecological examination is a characteristic of this disease and also an objective indicator for its diagnosis. Treatment: Western medicine currently lacks an ideal treatment method; severe cases require surgical intervention, such as ligation or suspension of the pelvic veins. Traditional Chinese medicine offers a wide range of treatments for this condition, including Gui Zhi Fu Ling Wan, Dang Gui Shao Yao San, Tao Hong Si Wu Tang, Shao Fu Zhu Yu Tang, Da Huang E Chong Wan, and Xue Fu Zhu Yu Tang—all effective prescriptions for this syndrome, adaptable according to individual circumstances.