GuidelinesOther guideline
Pelvic Congestive Syndrome
This booklet is intended as a practical guide to patient care for registrars, medical officers, interns and medical students attached to the gynaecology units at the University of the Witwatersrand Academic Hospitals. Anyone can use it.
This condition may present with chronic lower abdominal pain & dyspareunia, worse at the time of menstruation.
It is said to be associated with laparoscopic findings of engorged veins around the uterus, which may be seen on ultrasound.
Diagnosis is by exclusion of other causes, particularly endometriosis & adenomyosis. Treatment is by progestagens, LHRH analogues, or analgesics. Recurrence is likely. The diagnosis is contentious.