Uterine Fibroids

Fibroid tumors are noncancerous (benign) growths that develop in the muscular wall of the uterus. While fibroids do not always cause symptoms, their size and location can lead to problems for some women, including pain and heavy bleeding.

Fibroids range in size from very tiny to quite large and may be located in various parts of the uterus. There are 3 types of uterine fibroids, Subserosal, Intramural, and Submucosal. Please discuss with your physician the different types of fibroid tumors.

Uterine Fibroid Symptoms

If you do experience fibroid symptoms, they may include:

  • Heavy, prolonged menstrual periods, sometimes with clots
  • Anemia (fatigue due to low red blood count)
  • Pain during sexual intercourse
  • Pain or pressure between the hip bones or in the back of the legs
  • Urinary frequency
  • Constipation or bloating
  • An enlarged belly

Uterine Fibroid Treatments

Pelvic Congestion Syndrome (PCS)

PCS is essentially varicose veins in the pelvis. It is the cause of chronic pelvic pain in approximately 13 – 14 % of women1. Research has shown that 1 in every 7 women, and 1 in 5 women who have had children, have varicose veins that come from the pelvis. 

There are three major vessels involved in the venous drainage of the pelvis – the external iliac vein, internal iliac vein and ovarian vein. Varicose veins are most commonly seen in the legs and are caused by valve malfunction (valves in the veins do not work properly and they do not stop blood from flowing backwards). Veins become less elastic, bulky and enlarged. When this happens to the pelvic veins, visible varicose veins emerge in the pelvic region and the pressure often causes severe pain and discomfort. The varicose veins in the pelvis surround the ovary and can also push on the bladder and rectum.

Pelvic Congestion Symptoms

Pain is the most common symptom. It usually appears on one side but can affect both sides, worsening while standing, lifting, when you are tired at the end of the day, during pregnancy and during or after sexual intercourse. Veins are also affected by the menstrual cycle/hormones and therefore pain may increase during menstruation. 

  • Pelvic pain or aching around the pelvis and lower abdomen.
  • Dragging sensation or pain in the pelvis
  • Feeling of fullness in the legs      
  • Worsening of stress incontinence
  • Symptoms usually improve by lying down.
  • Worsening in the symptoms associated with irritable bowel syndrome.

Pelvic Congestion Diagnosis

  • May-Thurner Syndrome (MTS)
  • Nutcracker Syndrome

Pelvic Congestion Treatments