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Heghine Khachatryan about PVCS as Cause of Chronic Pelvic Pain and Lower-Extremity/Pelvic Varices in Women
Heghine Khachatryan/LinkedIn
Dec 14, 2025, 15:46

Heghine Khachatryan about PVCS as Cause of Chronic Pelvic Pain and Lower-Extremity/Pelvic Varices in Women

Heghine Khachatryan, Editor-in-Chief of Hemostasis Today, Head of Hemophilia and Thrombosis Center at Yeolyan Hematology and Oncology Center, quoted CVIR Endovascular’s post on LinkedIn:

“Pelvic venous congestion syndrome (PVCS) is an important—often underrecognized—cause of chronic pelvic pain and lower-extremity/pelvic varices in women.

A helpful framework is the SVP classification:
• S (Symptoms): chronic pelvic pain, pelvic heaviness, dyspareunia, urinary symptoms, vulvar/perineal varices, and related extra-pelvic manifestations
• V (Varices): pelvic, ovarian, vulvar, and pelvic-origin extra-pelvic varices
• P (Pathophysiology): reflux and/or venous obstruction across key territories (renal/ovarian, iliac, and pelvic venous plexuses)

Why this matters: precise phenotyping (S-V-P) supports targeted imaging (US, CT/MR venography, catheter venography) and endovascular options such as embolization of refluxing gonadal/pelvic veins and treatment of obstructive lesions when present.

If you work with patients presenting with chronic pelvic pain or atypical varices, PVCS should be on the differential—and multidisciplinary collaboration is essential.”

Quoting CVIR Endovascular’s post:

“Quarterly update on pelvic congestion syndrome

Pelvic venous congestion syndrome: female venous congestive syndromes and endovascular treatment options”

Heghine Khachatryan about PVCS as Cause of Chronic Pelvic Pain and Lower-Extremity/Pelvic Varices in Women

Title: Pelvic venous congestion syndrome: female venous congestive syndromes and endovascular treatment options

Authors: Elika Kashef, Elizabeth Evans, Neeral Patel, Deepsha Agrawal, Anne P Hemingway

Heghine Khachatryan about PVCS as Cause of Chronic Pelvic Pain and Lower-Extremity/Pelvic Varices in Women

Read full paper here.

Read more from Editor-in-Chief of Hemostasis Today here.

Anne P Hemingway CVIR Endovascular Deepsha Agrawal Elika Kashef Elizabeth Evans female venous congestive syndromes Headlines Health Heghine Khachatryan Hemostasis Hemostasis Today Medicine Neeral Patel Pelvic venous congestion syndrome (PVCS) thrombosis
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