Pelvic varices: what it is, symptoms and treatment

Pelvic varices: what it is, symptoms and treatment

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At varicose veins they are a condition caused by disturbances in the valves of the veins, making them dilated and deformed. Quite common among women, they usually appear in the veins of the legs, but few are aware that varicose veins can also appear in the pelvic region and cause very unpleasant symptoms.

  • Definition

  • Causes

  • Pelvic varices in pregnancy

  • Symptoms

  • Diagnosis

  • Treatment


Pelvic varicose veins correspond to exactly the same problem that frequently occurs in the legs, but over the veins in the pelvis region, which are called ovarian veins and internal iliac veins. Your difference to the conventional way varicose veins are the symptoms caused by the problem.


Pelvic varicose veins are caused by the weakening of the pelvic vein walls and valves. This situation is caused mainly by genetic issues. More rarely, varicose veins in the pelvis arise from venous obstructions generated by two very unusual syndromes: Nutcracker syndrome (nutcracker) and Cockett syndrome.

Pelvic varices in pregnancy

Another very important risk factor for the appearance of pelvic varices is pregnancy. The greater the number of pregnancies a woman has in her life, the greater the pressure exerted by the uterus and the baby on the veins, whether pelvic, legs or vulva. In addition, the hormonal changes experienced by women during pregnancy also increase the risk of pelvic or other varicose veins.


The symptoms of pelvic varices are chronic pain in the region and pain during and after intercourse. This picture, however, can make suspicious of several medical conditions. Therefore, some tests are necessary to confirm the diagnosis. One factor that brings confirmation closer is the appearance of varicose veins in the vagina and also in the legs.


The first exam to arrive at the diagnosis of pelvic varices is to perform a transvaginal ultrasound, a procedure that evaluates the veins of the pelvic region and others in the surroundings. If abnormalities are found in the veins, other tests, such as angiotomography, help the specialist to determine the most appropriate treatments.


The first recommended treatment for pelvic varices is hormone replacement. Progesterone tablets reduce vascularization in the pelvis, as well as decrease a woman’s ovulation. When this therapy has no effect, the only alternative is to surgery, which is done in the same way as for varicose veins in the legs.

Photo: © TRAIMAK –

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