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 and many other associated symptoms but is frequently undiagnosed. 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.

There is a constellation of symptoms that are associated with pelvic venous disease that result from elevated vein pressure.  If untreated symptoms may worsen over time. This can be caused by several different vein issues and more than one problem can exist in any given patient. The classic “pelvic venous congestion” refers to blood flowing backwards, away from the heart in abnormal pathways.

Insurance companies have been reluctant to adopt treatment of this problem in the past because the outcomes vary widely depending on the study performed and the expertise of the physician.  Recently, this has changed as it has been discovered that blockage/compression of the main vein (left common iliac vein) draining the leg and pelvis is frequently the source of the symptoms described below.

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 veins (varices)
  • Painful intercourse or bleeding after intercourse
  • Unexplained urgency and frequent urination
  • Heavy periods
  • Severe menstrual cramping
  • Leg swelling and cramping after superficial vein treatment
  • Postural orthostatic tachycardia syndrome (POTS)
  • A feeling of physical anxiety in the chest when one does not feel mentally anxious
  • Irritable bowel syndrome (IBS)
  • Chronic migraine headaches
  • Temporal mandibular joint (TMJ) pain in the jaw
  • Mittelschmerz (mid cycle pain around the ovaries associated with ovulation)

How is PVD Diagnosed?

In order to determine a diagnosis, patients will undergo a consultation with one of our providers to go over symptoms and perform a clinical exam.  Patients may then undergo further testing with ultrasound, CT, and/or MRI depending on each clinical situation.

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 in the normal veins and reroute blood into normal veins and away from abnormal veins, decreasing the pressure in the pelvis.

Treatment may include:

  • Conservative therapy.  Symptom management with assistive devices such as compression stockings
  • Sclerotherapy.  Injecting medication into abnormal veins to stop flow permanently
  • Embolization.  Placing small devices or medication into the abnormal vein to block the backward blood flow in the vein and take the pressure off the varicose veins
  • Stenting.  Placing an expandable metal scaffold in the vein to widen the size and encourage flow through the normal venous pathway

Are Other Diseases Associated with PVD?

There may be an increased incidence of PVD in patient with connective tissue disorders such as Ehlers Danlos, mast cell activation syndrome, temporomandibular joint inflammation and chronic fatigue syndrome as well.

Why Choose Minimally Invasive Procedure Specialists

Minimally Invasive Procedure Specialists has the most experience of any practice in Colorado in treating pelvic congestion syndrome.  We have placed over 4000 venous stents and have a high level of expertise. Our doctors work closely with referring clinicians and pelvic floor physical therapists to achieve the best outcomes.

We are currently conducting a multicenter study with The Mayo Clinic about the association of many symptoms with pelvic venous disease and the improvement of the symptoms 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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