+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Is pelvic vein incompetence associated with symptoms of chronic pelvic pain in women? A pilot study



Is pelvic vein incompetence associated with symptoms of chronic pelvic pain in women? A pilot study



European Journal of Obstetrics Gynecology and Reproductive Biology 196: 21-25



Pelvic vein incompetence (PVI) affects 15-20% of all women, yet we know little about how it affects sufferers. The aim of this prospective pilot study was to explore symptoms experienced by women with PVI, and determine its impact on quality of life and NHS costs. Case-control study at a UK University teaching hospital conducted over an eight-month period. Cases were 40 premenopausal women aged 18-49 years with PVI and varicose veins (VV). There were two age-matched controls groups: (i) 40 healthy women with no PVI but with VV, and (ii) 40 healthy women with no PVI and no VV. Subjects were asked to complete a structured questionnaire on disease specific outcomes, health status and use of healthcare resources. Mean age (range) was 39.8 (24-47) years for cases, 39.1 (24-49) for VV controls and 38 (25-49) for healthy controls. Pelvic pain was reported by 38 of 40 (95%) PVI cases, compared with 25 of 40 (62%) VV controls, and 26 of 40 (65%) healthy controls (p=0.001). The median (range) EQ-5D utility score for PVI cases was 0.80 (0.29-1.0) compared with 0.80 (0.09-1.0) for VV controls and 1.0 (0.62-1.0) for healthy controls (p=0.002). Of the 40 PVI cases, 35 (88%) visited a consultant in the previous 12 months compared with 12 of 40 (30%) VV controls, and 14 of 40 (35%) healthy controls (p<0.001). Women with PVI report a greater frequency of pelvic pain with reduced health status and increased use of healthcare resources compared with matched controls.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 058169523

Download citation: RISBibTeXText

PMID: 26656197

DOI: 10.1016/j.ejogrb.2015.10.023


Related references

The relationship between pelvic vein incompetence and chronic pelvic pain in women: systematic reviews of diagnosis and treatment effectiveness. Health Technology Assessment 20(5): 1-108, 2016

Seeking consensus amongst UK-based interventional radiologists on the imaging diagnosis of pelvic vein incompetence in women with chronic pelvic pain: A modified Delphi study. Phlebology 34(7): 486-495, 2019

Pelvic congestion syndrome (pelvic venous incompetence): impact of ovarian and internal iliac vein embolotherapy on menstrual cycle and chronic pelvic pain. Journal of Vascular and Interventional Radiology 13(2 Pt 1): 171-178, 2002

Ovarian vein incompetence: a potential cause of chronic pelvic pain in women. European Journal of Obstetrics Gynecology and Reproductive Biology 139(2): 215-221, 2008

Ovarian vein incompetence: a potential cause of chronic pelvic pain in women. Yearbook of Vascular Surgery 2009: 300-301, 2009

Embolization of the ovarian veins as a treatment for patients with chronic pelvic pain caused by pelvic venous incompetence (pelvic congestion syndrome). Current Opinion in Obstetrics and Gynecology 11(4): 395-399, 1999

Pelvic vein varicosis--a treatable cause of chronic pelvic pain in women?. Zentralblatt für Gynakologie 112(18): 1157-1162, 1990

Predictors of chronic pelvic pain in an urban population of women with symptoms and signs of pelvic inflammatory disease. Sexually Transmitted Diseases 32(5): 293-299, 2005

The pelvic floor muscle hyperalgesia (PFMH) scoring system: a new classification tool to assess women with chronic pelvic pain: multicentre pilot study of validity and reliability. European Journal of Obstetrics Gynecology and Reproductive Biology 193: 111-113, 2015

Widespread Psychosocial Difficulties in Men and Women With Urologic Chronic Pelvic Pain Syndromes: Case-control Findings From the Multidisciplinary Approach to the Study of Chronic Pelvic Pain Research Network. Urology 85(6): 1319-1327, 2015

Is pelvic pain associated with defecatory symptoms in women with pelvic organ prolapse?. Neurourology and Urodynamics 30(7): 1305-1308, 2011

Adverse Childhood Experiences and Symptoms of Urologic Chronic Pelvic Pain Syndrome: A Multidisciplinary Approach to the Study of Chronic Pelvic Pain Research Network Study. Annals of Behavioral Medicine 52(10): 865-877, 2018

Referred pain patterns provoked on intra-pelvic structures among women with and without chronic pelvic pain: a descriptive study. Plos one 10(3): E0119542, 2015

Are pelvic adhesions associated with pain, physical, emotional and functional characteristics of women presenting with chronic pelvic pain? A cluster analysis. Bmc Women's Health 18(1): 11, 2018

The Long Term Outcome of Selective Ovarian Vein Embolization for Chronic Pelvic Pain with Pelvic Congestion Syndrome. Journal of Minimally Invasive Gynecology 19(6): S161-S162, 2012