Treatment for Pelvic Venous Disease in Denver, CO

Minimally Invasive Procedure Specialists possess the most experience of any practice in the Denver area in treating pelvic venous disease. Learn about the symptoms of Pelvic venous disease and call our office in Highlands Ranch, CO to schedule your consultation today.

What is Pelvic Venous Disease?

Pelvic venous disease (PVD) is a common cause of chronic pelvic pain but is frequently underdiagnosed. This may result in multiple physician consults, years of discomfort, pelvic floor physical therapy, and even unnecessary procedures and surgeries. Other terms frequently used when referring to pelvic venous disease include pelvic congestion syndrome, May-Thurner syndrome, gonadal or ovarian vein reflux, and/or enlarged pelvic veins.

Common Symptoms of Pelvic Venous Disease

Chronic pelvic pain, pressure, or heaviness with or without:

  • Low back pain
  • Pelvic pain, vaginal pain, groin pain, leg pain, or back pain
  • Dilated leg or pelvic varices (varicose veins)
  • Painful intercourse or bleeding after intercourse
  • Unexplained urinary urgency, frequency, or sensation of incomplete bladder emptying
  • Heavy and/or painful periods
  • Pain with ovulation
  • Continued leg swelling and symptoms after superficial vein treatments
  • A feeling of physical anxiety in the chest when one does not feel mentally anxious

Conditions that Frequently Occur with Pelvic Venous Disease

  • Postural orthostatic tachycardia syndrome (POTS)
  • Chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME)
  • Ehlers-Danlos syndrome (EDS)
  • Mast cell activation syndrome (MCAS)
  • Irritable bowel syndrome (IBS)
  • Interstitial cystitis (IC)
  • Chronic migraine headaches
  • Temporomandibular joint (TMJ) pain in the jaw

How is PVD Diagnosed?

Patients will first undergo a consultation with one of our providers to go over symptoms and perform a clinical exam. Patients may then undergo further testing with CT and/or MRI depending on each clinical situation. We will evaluate all possible causes of your pelvic pain so you can be treated with the right plan for you.

How is PVD Treated?

Our specialists treat PVD with a variety of minimally invasive outpatient procedures, depending on the cause of the symptoms. The goal of these procedures is to improve blood flow into normal veins and correct the blood flow away from abnormal veins, decreasing the pressure in the pelvis.

Before and After Image of PVD

*Before and after PVD treatment


Treatment may include:

  • Stent placement for May Thurner syndrome. This is the most common treatment for pelvic venous disease. A metal stent is placed into the left common iliac vein where it is compressed between your right iliac artery and spine to widen the vein size and encourage flow through this normal venous pathway.
  • Embolization. This is used for gonadal/ovarian vein reflux or other venous malformations. Small coils or medication are placed into abnormal veins to block backward blood flow and decrease the pressure off varicose veins in the pelvis.
  • Sclerotherapy. Injecting medication into abnormal veins to stop blood flow into veins that are no longer working properly.

Why Choose Minimally Invasive Procedure Specialists

Minimally Invasive Procedure Specialists has the most experience of any practice in Colorado in treating pelvic venous disease. We have placed over 4000 venous stents and our providers work closely with referring clinicians and pelvic floor physical therapists to achieve the best outcomes. The majority of our procedures are done at our outpatient interventional suite, decreasing the time between consult to treatment.

We are also currently conducting a multicenter study with Mayo Clinic about pelvic venous disease and the association of many symptoms and conditions before and after treatment.

Treatment for Pelvic Venous Disease in Denver

If you would like to schedule a consultation with one of our minimally invasive procedure specialists, please call (303) 805-7477 today. You can also request an appointment online using our secure contact form.


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