Pelvic Varices

In addition to the commonly known varicose veins in the legs, veins in the pelvic area can also become dilated, particularly in women after pregnancy. This often leads to venous hypertension being redirected into the leg veins or the pubic region. The points where this venous pressure transfers into the leg’s venous system are referred to as "pelvic leak points." As a result, affected patients may experience leg vein discomfort that can vary with the menstrual cycle. In such cases, a thorough venous assessment is crucial to identify these leak points and address them during treatment.

Treating only the leg veins without considering the source of venous insufficiency risks recurrence. Therefore, precise evaluation is essential in these situations. Diagnostic methods for pelvic veins include ultrasound and, notably, magnetic resonance imaging ("MR phlebography"). Beyond classic pelvic varices, other venous conditions above the groin can impact leg circulation, such as May-Thurner syndrome or Nutcracker syndrome.