“Pelvic congestion can lead to varicosities within the uterine ligaments, fallopian tubes, or veins of the prostate and scrotum (varicocele). Pelvic congestion is often found in both sexes when no other obvious pathologic cause of pelvic pain can be found. In one study, 91% of women with chronic pelvic pain who had no other pathology on laparoscopy had dilated veins and vascular congestion in the broad ligaments and ovarian plexus as seen on venography. Varicosities of the thigh were an indication of this pelvic congestion,”Chronic Pelvic Pain by Steege, Metzger and Levy
Pain of varying severity is the most common complaint. The pain is typically dull and not cyclical. The pain is usually worse:
just before the onset of the menstrual cycle
at the end of the day
after prolonged standing
during or just after intercourse
during later stages of pregnancy
Other symptoms of Pelvic Congestion:
In general, the symptoms are more common at the end of the day or after prolonged periods of standing or even after sexual intercourse. In some cases, the pain may be severe and affect personal and social relationships.
Varicose veins (vulvar, buttocks, legs)
Abnormal menstrual bleeding
Tenderness to touch in lower abdomen
Pain during intercourse
Painful menstrual periods
Feelings of depression
Poor pelvic alignment and modern life are often contributing factors in pelvic pain and congestion.
Congested liver. The backup pressure from an overloaded liver contributes to bloating in the intestines and pooling in the venous system.
Retroverted Uterus could put pressure on the surrounding veins
Pressure on the ovarian veins
Abdominal and Movement Therapies for Pelvic Congestion:
Manual abdominal therapy shines when it comes to reducing pelvic congestion. Abdominal therapy relieves congestion by improving the flow of the fluids of the arterial, venous and lymphatic systems.
In my practice in Portland, Oregon I may use a combination of manual therapies for mild to moderate cases depending on the individuals needs. Techniques that I may use are:
- Visceral Manipulation™- low force osteopathic techniques
- Arvigo Techniques of Maya Abdominal Therapy®
- Chi Nei Tsang- Chinese abdominal therapy
Pelvic alignment is extremely important for optimizing flow through the pelvis, so I always incorporate Restorative Exercise™ in addition to the manual hands-on therapies with my clients.
In severe cases, vein closure through surgical methods may be necessary.
Uterine tonics and Venotonics
Individual herbs: Red Raspberry Leaf, Stinging Nettles, Horse Chestnut, Golden Seal, Partridge Berry, Blue Cohosh, Lady’s Mantle, Cramp Bark Formula: HerbPharm Vein Health™
Consult a herbalist for appropriate and individualized formulas. Some herbs should not be used during pregnancy.