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[Congestive pelvic syndromes]

G Charles1

  • 1Clinique gynécologique et obstétricale, Hôpital Bégin, Saint-Mandé.

Revue Francaise De Gynecologie Et D'Obstetrique
|February 1, 1995
PubMed
Summary
This summary is machine-generated.

Pelvic congestion syndrome, linked to hormonal and circulatory issues, presents cyclically or as chronic pelvic pain. Treatments involve hormonal therapies, venotonics, and anti-inflammatories, with surgery reserved for specific cases.

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Area of Science:

  • Gynecological conditions
  • Vascular disorders
  • Pain management

Context:

  • Pelvic congestion syndrome (PCS) encompasses three conditions: premenstrual syndrome, intermenstrual syndrome, and chronic pelvic congestion syndrome.
  • The cyclical syndromes often involve multifactorial pathogenesis, with hormonal and circulatory factors implicated.
  • Chronic pelvic congestion syndrome presents persistent pelvic pain, with partially understood etiopathogenesis where vascular involvement is recognized.

Purpose:

  • To outline the pathological situations, pathogenesis, and treatment strategies for pelvic congestion syndrome.
  • To differentiate between cyclical and chronic forms of PCS and their respective management approaches.
  • To highlight the diagnostic role of endovaginal ultrasonography and laparoscopy in identifying pelvic varicose veins.

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Summary:

  • Cyclical PCS (premenstrual, intermenstrual) is treated with progestogens and venotonics.
  • Chronic PCS involves long-term pelvic pain, potentially linked to pelvic varicose veins identified via Doppler ultrasonography and laparoscopy.
  • Medical management for chronic PCS includes hormone therapy, venotonics, anti-inflammatories, and antibiotics, with surgical options limited.

Impact:

  • Provides a comprehensive overview of pelvic congestion syndrome for clinicians and researchers.
  • Clarifies diagnostic and therapeutic pathways for managing different forms of PCS.
  • Emphasizes a multidisciplinary approach to pelvic pain, integrating medical and, selectively, surgical interventions.