[Overview]
The main symptoms of the syndrome is lower abdominal pain, low back pain, the sexy slow, deep sense of fatigue. stasis dysmenorrhea and premenstrual breast pain. In a few days before menstrual pain is often aggravated after the first or second day to alleviate discomfort, there are a few cases of continued pain. Pain patients often stand in the running for some time and dance, or sit down when suddenly increased after intercourse, aggravated, heavy afternoon than morning. Deep intercourse pain is a common symptom but is not willing to talk. In addition to pain, such as leucorrhea, constipation, bladder pain, irritable temperament, the common symptoms of this syndrome. Most patients married in a certain symptoms usually begin shortly after childbirth or abortion. The most common in women aged 25 to 40, rarely in premenopausal and postmenopausal was never on. Gynecological examinations, premeditated cervix, uterus posterior fornix may have tenderness, annex areas tenderness, a sense seems to be thickening; After extrauterus tenderness also prevalent.

[Diagnosis]
As mentioned above, the symptoms of pelvic congestion syndrome covers a very wide. and on signs confused with some other disease, the diagnosis is often difficult. But if asked in detail about the history, attention to the differences in symptoms and signs, with the exception of other diseases, proper use of angiography and laparoscopy pelvic veins, which can be more reliable diagnosis. Can provide the following information :
First, patients Women of child-bearing age, there have been two or more production, abortion, Following a meeting shortly after the abortion or that such chronic pelvic pain, low back pain, sexy frustration that the symptoms of dysmenorrhea. But no post-natal or post-abortion infection.
Second, subjective symptoms and objective findings as incompatible. Telling patients the symptoms more serious and gynecological examinations only see cervical hypertrophy, Purple, some are broke Au sacrum pour in uterine, cervical or if Taking a touch inconsistent arrived in the posterior vaginal fornix. and the bottom will lead to a very serious pelvic pain, and annex extrauterus clear sense of tenderness and full, continue slowly as a soft touch when it is feeling like a sponge. No chronic annexitis and are often thickened and hard of cordlike pattern has not muscular tension and anti-Tiaotong. When attempting to use the tactics of the uterus and pour into anterior rehabilitation, patients feel the pain became intolerable.
Third, and accompanied by some of neurasthenia and the early symptoms of breast swelling and pain.
4 Although it has been diagnosed as "chronic annexitis" or "chronic pelvic inflammatory disease," but it rarely prevent pregnancy. Even after the diagnosis of chronic annexitis abortion, it has not cured the symptoms of pregnancy.
Fifth, as in the past, according to the types of treatment for chronic pelvic were ineffective, or had no effect. Consciously serious gynecological disease patients, in terms of, as was gynecologist refractory disease.
6 For the above symptoms, diagnosis and other gynecological examinations, If hysterosalpingography, excluding pelvic organic diseases, and clinical suspected pelvic congestion syndrome. assist in the diagnosis of pelvic venography feasible, concrete implementation details later.
7 pelvic Phlebography pelvic angiography contrast agent is injected into the uterine cavity to the bottom of the myometrium. uterus veins, ovarian veins, and some vaginal vein, iliac vein enhancement, and a certain time interval for filming, understand pelvic blood (ovarian and uterine vein is the main vein) out of the pelvis, as a means to support the diagnosis of pelvic congestion syndrome.
Transported in a normal pelvic vein, the contrast agent is usually in the pelvic out completely within 20 seconds; In pelvic congestion syndrome, the rate of venous return slows down, pelvic contrast agent outflow to 20 seconds more.

[Treatment]
Prior to treatment, patients should first understand the causes of pelvic congestion factor. and judge the severity of the disease seriously. First, the treatment of mild patients
Many patients shortly after birth or abortion or just occasionally arise within 1-2 months of this menstrual cycle The symptoms, and more unnecessary medication. In view of its causes may provide health guidance so that the patients of the disease have full understanding of the formation and prevention. If daily noon, at the break, changed customary side prone to supine position (Figure 1), correcting constipation, to sexual restraint. Pelvic appropriate physical training to improve pelvic muscle tone and improve blood circulation. Generally effective. A cervical erosion, timely cure cervical erosion and the results more satisfactory.

Second, the treatment of patients with serious
Some patients have years of suffering, after doctors repeatedly treatment invalid. First, it should have a full understanding of the disease on patients, their confidence in conquering disease, with proactive treatment. Daily noon, and at night were seriously adhere to the first of more than 10 minutes in knee-chest position, and another lateral posture rest observed effects severe pelvic pain and other symptoms generally allowed to be significantly reduced or relaxation. Under "general pain" principle, the use of stasis treatment (such as Salvia, safflower, Chuanxiong, angelica, peach kernel, Puhuang. WULINGZHI) and massage therapy have certain effects. Breast cancer and excessive menstrual with serious symptoms, before the symptoms begin serving a small number of methyl testosterone, but also results.
If lateral posture and effective consolidation therapy, surgical treatment should be considered, the choice of surgical methods, should take into account the patient's age, the demand for fertility, and whether the duration of the symptoms associated with organic diseases. discretion to use the following methods :
(A) : Operation round ligament suspension will remain in the uterus of 12 pour spaces hypertrophy of the uterus and cervix make more narrow, pelvic pain and other symptoms disappeared or greatly reduced, the result is good. The best way is to bypass the inguinal ligament inner circle next to the cafeteria extraperitoneal TRAM geopolitical side, and the muscle belly of the muscle sheath between joints in the solid inside the sheath. This would ensure a tight round ligament and the smallest gap between the lateral parietal peritoneum, Unlike the modified law will circle round ligament Gilliams streak sheath, the former joint solid sheath outside high postoperative abdominal pain. Has been proved that the pain clearly confined to the compartment through the round ligament. Palpation of the parts can lead to pain, but also to be close to the cafeteria during the round ligament.
(2) applicable to the broad ligament rupture repair : young, no longer required maternity and the broad ligament rupture in patients with severe pelvic bleeding. And before doctors can determine whether patients with broad ligament rupture, but because of third degree tilt uterus, severe pelvic pain. younger patients, there was no need to fertility,

This article was posted on 2007-02-27