CHRONIC PELVIC PAIN

Pelvic venous disease
(pelvic congestion syndrome or chronic pelvic pain)

What Is Chronic Pelvic Pain?

Chronic pelvic pain that occurs because of pelvic venous disease (sometime referred to as pelvic congestion syndrome) is often felt below the belly button in the pelvis. A number of conditions can cause chronic pelvic pain, including enlarged varicose veins in the ovaries and pelvis. In the pelvis, veins have one-way valves that help keep blood flowing toward your heart. If the valves are weak or damaged, blood can pool in your veins, which causes them to swell. When this happens near the pelvis, it is called pelvic venous disease (PeVD). Women with pelvic venous disease often experience pain during or following intercourse.
Pelvic venous disease usually affects women who have previously been pregnant because the ovarian and pelvic veins widened to accommodate the increased blood flow from the uterus during pregnancy. After the pregnancy, some of these veins remain enlarged and fail to return to their previous size, causing them to weaken, allowing blood to pool.

What are the causes of chronic pelvic pain?

Determining the cause of pelvic pain can be complicated because there are many possibilities:

• Pelvic venous disease (pelvic congestion syndrome)
• Uterine fibroids
• Kidney stones
• Infected appendix
• Endometriosis
• Ovarian cysts
• Other causes

A number of diagnostic tests can be performed through minimally invasive methods to determine whether your chronic pelvic pain is a result of pelvic varicose veins. These tests include:

• Pelvic and transvaginal ultrasound
• Pelvic venogram
• Computed tomography (CT)
• Magnetic resonance imaging (MRI)

How do IRs treat Pelvic Venous Disease? 

Pelvic venous disease is treated with ovarian vein embolization by an IR using X-ray guidance and mild sedation. Ovarian vein embolization is a same-day treatment, which takes place in an interventional radiology suite. Through a small incision in your groin or wrist, the IR passes a small catheter through your veins to reach the enlarged pelvic veins responsible for the congestion.
The catheter allows the introduction of embolic agents, medications that seal off the vein, relieving the painful pressure. When the catheter is removed, pressure is applied to the vein. After treatment, women can return to normal activities immediately.

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OUR PATIENTS SAY

Dr De Young is personable and thorough in his explanations. Exceptional. 

James R.

I am pleased to recommend La Jolla Vein & Vascular. I am in the process of receiving treatment there. The entire medical staff are super friendly, welcoming and very helpful. Everyone is courteous, including the physicians. I’ve had one doctor follow my case. He’s the one who always treats me at appointments and closely follows my health. I am very comfortable going there. Would go again if needed and encourage anyone who’s thinking of making an appointment to do so asap. You’ll see what a wonderful experience it is. It’s the people who make it so special!

Monica M.

From my greeting at the front desk to the ultrasound and visit with the doctor, I received excellent care. It’s clear they care about their patients and all the staff couldn’t have been nicer or more helpful. I also appreciate how much time the doctor spent with me to explain the results and the next steps. I would definitely recommend this office to friends with vein issues. 

Anne S.

We were early and didn’t have to wait at all. The tech that did my husband’s ultrasound, Monica, was very accommodating with my husband’s Parkinson’s. Doctor Lucas whom we hadn’t seen before, came to us instead of making my husband walk down to another office. She spent a lot of time getting caught up on Steve’s background issues/conditions. I was impressed by this medical group before, so I was surprised that the staff was even better this time around; I honestly didn’t think there was room for improvement! 

Linda N.

I have been having leg treatments for several months now La Jolla Vein Care. Every time I go to an appointment; the staff is so friendly and takes such good care of me; always informative; not in a rush and always friendly (especially Alejandra & Anna to name a few). Of course Dr. Lucas is amazing. The treatments have changed my life. Overall this has been an incredible experience. 

Brigid Z.

Beautiful facility! I walked in without an appointment and they took me right away! It was even the end of the day…I was so grateful…Every single person was soooo pleasant! Super impressed ❤️ 

Susan M.

Highly recommend! Entire staff are warm& friendly, professional and accommodating. The doctor took the time to thoroughly explain everything and encouraged me to ask questions. I never felt rushed. Significantly better experience than the other 2 vein clinics I’ve been to on the east coast. I wish I could’ve just come here from the beginning. 

M.

The staff kept you informed as to when you would be seen and the wait was not too long. Emily took care of my ultrasound and was very accommodating giving me an extra pillow and playing a video to watch. The office is very courteous and professional- Nadia answered our questions and offered us a bottle of water. I have been seeing Dr. Bunke, but now Dr. Lucas and will continue coming to La Jolla Vein Care! 

Rebecca D.

I had the best experience at La Jolla Vein Care. Dr.Bunke is an amazing doctor with the best bedside manners, she truly cares about her patients, she explained everything to me. My procedures where so easy I was impressed how painless and fast my appointments. Anna M was very helpful scheduling my treatments and checking on me to make sure all of my questions were answered. I am very pleased thank you !!! I truly recommend La Jolla Vein Care!

Henda S.

Everyone here is so nice! Usually front desk medical personnel are so rude. The front desk ladies Alejandra, Anna, and I think her name is Liz, went above and beyond to take care of me and my insurance issues. The techs are great too! Rachel and a male technician assisted me…both of them implemented different techniques to make me feel more at ease during an uncomfortable and painful process. These procedures were rough…and I am grateful everyone was so sweet to me. Thanks again. 

Melissa B.

When I arrived for the first time, I could barely walk. My legs were red and swollen. After my treatments, I can now walk again. I’m so thankful to the doctor and his staff. They are caring, supporting and knowledgeable about my issues. Five Stars all the way!!!! 

Pamela M.

La Jolla Vein care has the best staff ever. They are so nice, accommodating and professional!! Dr. Bunke is the best doctor that I ever seen. She is so friendly upfront and has the best bed side manner. I thank this office for letting me be their patient. 💜. Plus they are so careful with COVID which I really appreciate!!! 

Darlene H.

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