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Pelvic pain, and normal scans

Worse by the evening, worse on your feet, and nobody has named it.

Heaviest by the evening, worst on the days you were on your feet, worse the week before your period. It does not show on a scan of your womb.

Writing to me starts nothing. You do not have to tell me six years to ask one question.

These are varicose veins, where nobody can see them. The one way doors stop closing, blood falls back and sits there, and a vein that stays full all day aches. That is why standing makes it worse and lying down helps. Written down: pelvic congestion syndrome, and closing those veins is pelvic vein embolization.

the scan they didthe one I look at

Your scans came back normal because a scan of the uterus is not a scan of the veins. They answer different questions, and nobody has asked yours. I look at the veins themselves. Either they are leaking or they are not. That is a finding, not an opinion.

What the evidence does and does not show

Most women in the studies got substantially better. The same reviews say that evidence is weak, and that nobody has proven these veins cause the pain.

The scan does not have that problem. I will look properly.

If your veins are not the cause, I will say so on the day, and tell you who to see next, with the scan in your hand.

  1. One numbed spot, and a tube that travels inside the vein. Nothing is cut open.

  2. About an hour, and home the same day.

  3. Not overnight. It settles over weeks, and I want to hear from you in three.

Whatever happens, you leave with a scan of your own veins and an answer about them. That is the thing nobody has given you yet.

Ask me about pelvic pain on WhatsApp

It comes to my phone. I read it myself.

Ask me

Tell me what is happening, in your own words.

  • I will tell you whether it is one of mine.
  • If it is not, I will tell you who to see.

Dr Yammine, I have had pelvic pain for years. It is worse by the evening and on my feet. Every scan has come back normal.

It comes to my phone. I read it myself.

A question costs you a message. Nothing is decided today.

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