Pelvic compression syndrome

Pelvic Compression Syndrome
SpecialtyGynecology, Urology
Symptomsconstant to intermittent, dull to sharp pain to the pelvis, especially with increased abdominal pressure and dyspareunia.
Usual onsetpuberty
Durationthree months or longer
Diagnostic methodVenography, physical exam
Differential diagnosisPainful bladder syndrome, pelvic inflammatory disease, interstitial cystitis, endometriosis, pelvic neuralgia, irritable bowel syndrome, myofascial pain, and pelvic floor myalgia
TreatmentLigation of incompetent veins
MedicationGonadotropin-releasing hormone agonists, danazol, combined oral contraceptives, progestins, phlebotonics, and non-steroidal anti-inflammatory drugs
Frequencyunknown

Pelvic compression syndrome is characterized by intermittent or persisting pain in the abdomen, which is exacerbated by abdominal pressure. A swelling of the veins in the valveless pampiniform plexus causes it.

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