Pelvic Congestion Syndrome Specialist

Vascular & Interventional Institute of Louisville

Mahmoud Samman, MD

Vascular and Interventional Radiologist & Endovascular Surgeon located in Louisville, KY

Pelvic congestion syndrome is a common cause of pelvic pain in women. Mahmoud Samman, MD, and the team at Vascular & Interventional Institute of Louisville diagnose and treat pelvic congestion syndrome in women who live in and around Louisville, Kentucky. If you have pelvic pain, call Vascular & Interventional Institute of Louisville or schedule a consultation online today.

Pelvic Congestion Syndrome Q&A

What is pelvic congestion syndrome?

Pelvic congestion syndrome occurs when the veins in your lower abdomen stop working efficiently and varicose veins form. Varicose veins develop when the valves in your veins are weak or damaged and allow blood to leak backward and pool inside your vein. 

Pelvic congestion syndrome causes chronic, aching pain, but your symptoms might increase after a long day on your feet, during or after sex, and in the late stages of pregnancy. In addition to pain, pelvic congestion syndrome can cause:


  • Painful periods
  • Abnormal bleeding
  • Backaches
  • Hip pain
  • Fatigue
  • Swelling in your pelvic area and vulva
  • Irritable bowel symptoms


Symptoms range in severity from mild to debilitatingly painful. If you have pelvic pain, the team at Vascular & Interventional Institute of Louisville can help.


What causes pelvic congestion syndrome?

Women who have had multiple pregnancies are most likely to develop pelvic congestion syndrome. Pregnancy changes your body in several ways. Your blood volume, weight, and other fluids increase, which can stress and stretch your blood vessels. 

Your hormone levels also change during pregnancy. Increased estrogen levels can weaken your blood vessel walls and increase your risk of pelvic congestion syndrome.


How is pelvic congestion syndrome diagnosed?

Dr. Samman and his team use state-of-the-art diagnostic imaging studies to diagnose pelvic congestion syndrome. They offer:


  • Ultrasound
  • CT scans
  • MRIs 


Ultrasounds are often the first approach to diagnosing pelvic congestion syndrome. These noninvasive tests provide critical information about your pelvic organs and blood vessels. 


How is pelvic congestion syndrome treated?

The team at Vascular & Interventional Institute of Louisville offers pelvic vein embolization (PVE) to address the root cause of pelvic congestion syndrome. PVE is a minimally invasive treatment that uses an image-guided catheter to close the faulty veins in your pelvic area. 

During PVE, you rest on a treatment table, and a member of the team provides a sedative to keep you comfortable. Then, Dr. Samman cleans your skin and makes a small incision to insert the catheter. 

Depending on your specific condition, he might use ultrasound-guidance or X-rays and contrast dye to move the catheter into the damaged veins in your pelvis. When the catheter is in place, he injects the embolizing agent, which closes your vein. 

When your treatment is complete, Dr. Samman removes the catheter and bandages the incision site. After you recover from sedation, a friend or family member can drive you home. 

You need to rest for several hours after your procedure and should be able to return to your regular activities within a week. 

Call Vascular & Interventional Institute of Louisville, or make an appointment online today, for expert diagnosis and treatment of pelvic congestion syndrome.