{"id":3545,"date":"2021-01-29T14:38:26","date_gmt":"2021-01-29T14:38:26","guid":{"rendered":"https:\/\/tiagobilhim.pt\/varizes-pelvicas\/"},"modified":"2022-12-20T13:01:09","modified_gmt":"2022-12-20T13:01:09","slug":"pelvic-varicose-veins","status":"publish","type":"page","link":"http:\/\/tiagobilhim.pt\/en\/pelvic-varicose-veins\/","title":{"rendered":"Pelvic Varicose Veins"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:10em;--awb-background-image:linear-gradient(180deg, rgba(255,255,255,0) 40%,var(--awb-color6) 100%),url(https:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/07\/embolizac\u0327a\u0303o-cover-3.jpg);;--awb-background-size:cover;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:15px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><h1 style=\"color: white;\">Pelvic Varicose Veins<\/h1>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-no-small-visibility fusion-no-medium-visibility\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:4em;--awb-padding-bottom:4em;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:15px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-2\"><h2>What are they<span style=\"color: #3867ce;\">?<\/span><\/h2>\n<p><strong>Pelvic varicose veins are dilated veins that appear mostly on women, affecting the uterus, but can also affect Fallopian tubes or the ovaries.\u00a0<\/strong><\/p>\n<p><strong>They have no cure, but symptoms, if they exist, can be controlled with medication or with <a href=\"https:\/\/tiagobilhim.pt\/en\/pelvic-vein-embolization\/\" target=\"_blank\" rel=\"noopener noreferrer\">embolization<\/a>.<\/strong><\/p>\n<\/div><div style=\"text-align:left;\"><a class=\"fusion-button button-flat button-medium button-custom fusion-button-default button-1 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#ffffff;--button_border_hover_color:#ffffff;--button_gradient_top_color:var(--awb-color3);--button_gradient_bottom_color:var(--awb-color3);--button_gradient_top_color_hover:var(--awb-custom12);--button_gradient_bottom_color_hover:var(--awb-custom12);--button_text_transform:none;--button_typography-font-family:&quot;Monsal Gothic - Regular&quot;;--button_typography-font-style:normal;--button_typography-font-weight:400;\" target=\"_self\" href=\"#consulta\"><span class=\"fusion-button-text\">Contact Us<\/span><\/a><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:15px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:5.76%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-video fusion-youtube\" style=\"--awb-max-width:600px;--awb-max-height:360px;\"><div class=\"video-shortcode\"><div class=\"fluid-width-video-wrapper\" style=\"padding-top:60%;\" ><iframe title=\"YouTube video player 1\" src=\"https:\/\/www.youtube.com\/embed\/Bqo26zDdyxI?wmode=transparent&autoplay=0\" width=\"600\" height=\"360\" allowfullscreen allow=\"autoplay; fullscreen\"><\/iframe><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-no-large-visibility\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:4em;--awb-padding-bottom:4em;--awb-padding-top-small:2em;--awb-padding-bottom-small:2em;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-center fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_2_3 2_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:66.666666666667%;--awb-margin-top-large:15px;--awb-spacing-right-large:2.88%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:2.88%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-3\"><h2>What are they<span style=\"color: #3867ce;\">?<\/span><\/h2>\n<p><strong>Pelvic varicose veins are dilated veins that appear mostly on women, affecting the uterus, but can also affect Fallopian tubes or the ovaries.\u00a0<\/strong><\/p>\n<p><strong>They have no cure, but symptoms, if they exist, can be controlled with medication or with <a href=\"https:\/\/tiagobilhim.pt\/en\/pelvic-vein-embolization\/\" target=\"_blank\" rel=\"noopener noreferrer\">embolization<\/a>.<\/strong><\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-4 fusion_builder_column_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:15px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:5.76%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-video fusion-youtube\" style=\"--awb-max-width:600px;--awb-max-height:360px;--awb-align-self:center;--awb-width:100%;\"><div class=\"video-shortcode\"><div class=\"fluid-width-video-wrapper\" style=\"padding-top:60%;\" ><iframe title=\"YouTube video player 2\" src=\"https:\/\/www.youtube.com\/embed\/Bqo26zDdyxI?wmode=transparent&autoplay=0\" width=\"600\" height=\"360\" allowfullscreen allow=\"autoplay; fullscreen\"><\/iframe><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-5 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:15px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"md-text-align-center sm-text-align-center\" style=\"text-align:left;\"><a class=\"fusion-button button-flat button-medium button-custom fusion-button-default button-2 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#ffffff;--button_border_hover_color:#ffffff;--button_gradient_top_color:var(--awb-color3);--button_gradient_bottom_color:var(--awb-color3);--button_gradient_top_color_hover:var(--awb-custom12);--button_gradient_bottom_color_hover:var(--awb-custom12);--button_text_transform:none;--button_typography-font-family:&quot;Monsal Gothic - Regular&quot;;--button_typography-font-style:normal;--button_typography-font-weight:400;\" target=\"_self\" href=\"#consulta\"><span class=\"fusion-button-text\">Contact Us<\/span><\/a><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-4 fusion-flex-container fusion-parallax-fixed nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:4em;--awb-padding-bottom:4em;--awb-padding-top-small:2em;--awb-padding-bottom-small:2em;--awb-background-color:var(--awb-color2);--awb-background-image:url(&quot;https:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/12\/background-right.png&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;background-attachment:fixed;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-6 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:15px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-4\"><h3>Why feminine pelvic varicose veins are called <span style=\"color: #3867ce;\">pelvic venous congestion syndrome<\/span>?<\/h3>\n<p><span style=\"font-weight: 400;\"><strong>A syndrome is a set of symptoms, that is to say: complaints such as pain and signals<\/strong>, something objective to the objective examination like vulvar varicosities. It is called pelvic venous congestion syndrome because it is a <strong>set of symptoms and signals (like pelvic pain, pain during intercourse, feeling of pelvic heaviness, and varicose veins on the vagina, vulva, thighs, or in the gluteal area) associated with the presence of dilated or varicose veins in the pelvic area.\u00a0<\/strong><\/span><\/p>\n<p><span style=\"font-weight: 400;\">These dilated veins lead the venous blood to accumulate in the pelvic area, resulting in pelvic venous congestion. Since the main complaint is long-term chronic pelvic pain, the association between varicose veins and chronic pelvic pain\/pelvic venous congestion syndrome was made in 1938.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-5 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:4em;--awb-padding-bottom:4em;--awb-padding-top-small:2em;--awb-padding-bottom-small:2em;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-7 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-5\"><h3>What are the <span style=\"color: #3867ce;\">causes<\/span>?<\/h3>\n<p><span style=\"font-weight: 400;\"><strong>Pelvic varicose veins<\/strong> are often secondary to the left ovarian vein dilatation and reflux.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>The varicose veins in the pelvic area can only arise from genetic factors. However, they are more common after pregnancy<\/strong>, because the body needs to dilate the veins in that area to move all the necessary blood to gestation.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Besides, hormones produced during pregnancy also dilate all the veins of the woman\u2019s body.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The valves inside the pelvic veins stop functioning and the venous blood accumulates in the pelvic veins, resulting in stasis dermatitis and ectasia or increasing of the pelvic veins \u2013 varicose veins.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>The pelvic venous congestion syndrome causes are many<\/strong>.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It can result from obstructive anatomic abnormalities, pathologies that originate secondary venous congestion, hormonal factors, hereditary factors, pelvic surgeries, varicose veins preceding or multiparity.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The absence of ovarian veins valves, 15% on the left and 6% on the right can explain the greater frequency of pelvic varicose veins in the dependency of the left ovarian veins, in comparison with the right one, which is rare.<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-8 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-6\"><h3>What are the <span style=\"color: #3867ce;\">complaints<\/span> associated with?<\/h3>\n<p><span style=\"font-weight: 400;\">Pelvic varicose veins usually don\u2019t cause any type of symptoms. However, some women can present:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Visible varicose veins on the vagina, thigh, or the gluteal area;\u00a0<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Abdominal pain;\u00a0<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Pain during intimate contact;\u00a0<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Feeling of heaviness on the genital area;\u00a0<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Urinary incontinence;\u00a0<\/strong><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\"><strong>Increase of menstruation<\/strong>.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Symptoms can differ when the woman is sitting or lying down because it makes it easier for the blood to go back to the heart. However, several women mention one pain that is always present.\u00a0<\/span><\/p>\n<p><strong>Usually, the gynecologist diagnoses pelvic varicose veins through exams, such as Doppler ultrasound, abdominal or pelvic CT, and MRI, for example.<\/strong><\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-6 fusion-flex-container fusion-parallax-fixed nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:4em;--awb-padding-bottom:4em;--awb-padding-top-small:2em;--awb-padding-bottom-small:2em;--awb-background-color:var(--awb-color2);--awb-background-image:url(&quot;https:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/12\/background-left-white.png&quot;);--awb-background-size:cover;--awb-flex-wrap:wrap;background-attachment:fixed;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-9 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:15px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-7\"><h2 style=\"text-align: left;\">How can I make the diagnosis<span style=\"color: #3867ce;\">?<\/span><\/h2>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-10 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-8\"><p><strong>The pelvic venous congestion syndrome diagnosis is not easy.\u00a0<\/strong><\/p>\n<p><span style=\"font-weight: 400;\"><strong>It is usually visible in middle-aged women<\/strong>, multiparous, with chronic pelvic pain, exacerbated by efforts and orthostatic position, sometimes related to painful intercourse (dyspareunia) or during menstruation (dysmenorrhea), urgency in urinating, feeling of heaviness on the pelvic area and perineum.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are no pathognomonic signals nor pelvic venous congestion syndrome and pelvic varicose veins typical signals, but in some cases, they present themselves as vulvar varicosities or as recurrence of lower members varicose veins, after surgery.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Most exams, including gynecological and several imaging exams, can be negative.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Varicose veins diagnosis can be done by gynecologic ultrasound or by Doppler ultrasound.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sometimes, varicose veins can also be evident on computerized tomography (CT) and magnetic resonance imaging (MRI). <\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-11 fusion_builder_column_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:50%;--awb-margin-top-large:15px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-9\"><p><strong>However, many women can have chronic pain and still don\u2019t suffer from pelvic varicose veins or pelvic venous congestion syndrome.\u00a0<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">It is also true that many women can have pelvic varicose veins, but no complaints at all (varicose veins without pelvic venous congestion syndrome).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There is also the possibility of women having small-dimension pelvic varicose veins and a lot of pelvic venous congestion syndrome complaints (pelvic pain and feeling pelvic heaviness), and the exams still be negative.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In these cases, laparoscopy is used to make a diagnosis.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, selective ovarian veins phlebography (catheterization made before the embolization), a quite simple and minimally invasive procedure, performed as an outpatient treatment, safely confirms\/excludes the possibility of the patient having pelvic varicose veins.<\/span><\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-12 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:15px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div style=\"text-align:center;\"><a class=\"fusion-button button-flat button-medium button-custom fusion-button-default button-3 fusion-button-default-span fusion-button-default-type\" style=\"--button_accent_color:#ffffff;--button_accent_hover_color:#ffffff;--button_border_hover_color:#ffffff;--button_gradient_top_color:var(--awb-color3);--button_gradient_bottom_color:var(--awb-color3);--button_gradient_top_color_hover:var(--awb-custom12);--button_gradient_bottom_color_hover:var(--awb-custom12);--button_text_transform:none;--button_typography-font-family:&quot;Monsal Gothic - Regular&quot;;--button_typography-font-style:normal;--button_typography-font-weight:400;\" target=\"_self\" href=\"#consulta\"><span class=\"fusion-button-text\">Contact Us<\/span><\/a><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-7 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:4em;--awb-padding-bottom:4em;--awb-padding-top-small:2em;--awb-padding-bottom-small:2em;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-13 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:15px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:15px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-10\"><h3>Are pelvic varicose veins <span style=\"color: #3867ce;\">dangerous<\/span>?<\/h3>\n<p><span style=\"font-weight: 400;\"><strong>They usually are not dangerous<\/strong>. However, there is a very small risk of developing blood clots inside those veins, which can move to the lung and cause a pulmonary embolism, a very serious situation that must be treated as soon as possible, in the hospital. <\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><div id=\"consulta\" class=\"fusion-container-anchor\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-8 fusion-parallax-fixed formulariodaniel hundred-percent-fullwidth non-hundred-percent-height-scrolling fusion-equal-height-columns fusion-no-small-visibility fusion-no-medium-visibility\" 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fusion-column-has-shadow fusion-flex-column-wrapper-legacy fusion-empty-column-bg-image fusion-column-has-bg-image\" data-bg-url=\"https:\/\/tiagobilhim.pt\/wp-content\/uploads\/2022\/12\/form-background.jpg\"><img decoding=\"async\" class=\"fusion-empty-dims-img-placeholder fusion-no-large-visibility\" src=\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\"><div class=\"fusion-clearfix\"><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-15 fusion_builder_column_1_3 1_3 fusion-one-third\" style=\"--awb-padding-top:4em;--awb-padding-right:2em;--awb-padding-bottom:4em;--awb-padding-left:3em;--awb-bg-size:cover;--awb-margin-top:0px;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-11\"><h2>Get in Touch<span style=\"color: #3867ce;\">.<\/span><\/h2>\n<\/div><div class=\"fusion-text fusion-text-12\"><p 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style=\"--awb-padding-top:4em;--awb-padding-right:2em;--awb-padding-bottom:4em;--awb-padding-left:3em;--awb-padding-top-small:0em;--awb-padding-bottom-small:0em;--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:0px;--awb-margin-bottom-large:0px;--awb-spacing-left-large:0px;--awb-width-medium:100%;--awb-spacing-right-medium:0px;--awb-spacing-left-medium:0px;--awb-width-small:100%;--awb-spacing-right-small:0px;--awb-spacing-left-small:0px;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-13\"><h2>Get in Touch<span style=\"color: #3867ce;\">.<\/span><\/h2>\n<\/div><div class=\"fusion-text fusion-text-14\"><p style=\"text-align: left;\">Submit the form to schedule your appointment with Dr. Tiago.<\/p>\n<\/div><div class=\"fusion-image-element \" style=\"--awb-aspect-ratio:2 \/ 1;--awb-object-position:51% 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awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" style=\"--awb-border-top-left-radius:0px;--awb-border-top-right-radius:0px;--awb-border-bottom-left-radius:0px;--awb-border-bottom-right-radius:0px;\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"fusion-alert-content\"><\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div>\n<\/form>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>hide<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"_vp_format_video_url":"","_vp_image_focal_point":[],"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-3545","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - 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