Pelvic Venous Disease
We identify hidden venous reflux patterns and guide patients toward the most appropriate treatment pathway for their pelvic congestion problem.
Persistent pelvic pain, vulval varices, scrotal veins or recurrent leg varicose veins without an obvious cause may be signs of pelvic venous disease.
What is pelvic venous disease?
Pelvic venous disease refers to abnormal reflux in pelvic veins that can contribute to chronic pelvic symptoms and atypical lower-limb varicose vein patterns. It is frequently under-recognised because standard leg vein assessments may not detect the underlying source.
Common associated conditions include:
- Pelvic congestion syndrome
- Ovarian vein reflux
- Vulval varices
- Atypical thigh reflux patterns
- Recurrence unexplained by truncal vein disease
Early recognition allows patients to access targeted treatment sooner and avoid repeated ineffective procedures.
Who should attend this clinic?
You may benefit from pelvic venous disease screening if you have:
- persistent pelvic aching or pressure
- vulval, perineal varicesfor women or veins in the scrotum for men
- recurrent varicose veins after previous treatment
- unusual thigh varicose vein patterns
- symptoms not explained by standard saphenous reflux
- leg varices associated with pelvic discomfort
These presentations often indicate reflux originating above the groin rather than within the leg veins themselves.
Our role as your diagnostic gateway
Our clinic specialises in identifying patients who may have pelvic-origin venous reflux. Even without performing embolisation procedures onsite, we provide structured assessment and referral pathways so patients reach the right specialists efficiently.
During your assessment, we:
- review symptom patterns suggestive of pelvic reflux
- assess previous vein treatment history
- perform targeted duplex ultrasound where appropriate
- identify atypical reflux distributions
- determine whether pelvic imaging is indicated
- arrange referral to interventional radiology or vascular surgeon when required
