It's Time to Recognise Pelvic Venous Incompetence as a Cause of Chronic Pelvic Pain
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This paper advocates for integrating transvaginal Doppler ultrasound to assess pelvic venous reflux into routine pelvic scanning, aiming to improve the diagnosis and management of chronic pelvic pain caused by pelvic venous disorder.
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Abstract
Summary Pelvic venous disorder (PeVD) is an under‐recognised cause of chronic pelvic pain (CPP). Routine pelvic ultrasound rarely includes assessment of the pelvic veins, despite being well positioned to identify features of PeVD. A limited venous assessment can be incorporated into a routine pelvic ultrasound, analogous to varicocele assessment in men. Adnexal vein size alone is an unreliable indicator of disease; Doppler‐confirmed reflux is essential for diagnosis. Transvaginal Doppler ultrasound (TVDUS) is emerging as a clinically meaningful and efficient tool for assessing pelvic venous function. Integrating pelvic venous assessment into routine pelvic scanning may improve diagnostic recognition, support timely referral and enhance patient outcomes.
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References (8)
- FIGO-IPPS consensus statement: Addressing the global unmet needs of women with chronic pelvic pain via openalex
- W2086249147 via openalex
- W2126631151 via openalex
- W2132307039 via openalex
- W1966067093 via openalex
- W3126901034 via openalex
- W4405842113 via openalex
- W2540756173 via openalex
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- openalex
- last seen: 2026-10-23T06:00:16.390838+00:00
License: CC0
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