1. Break the silence on pelvic congestion syndrome. Break the silence on pelvic congestion syndrome. Break the silence on pelvic congestion syndrome. Echegut Perrine . MD. 

It is a disease that will be found in a large number of multiparous women. This will affect about 12% of multiparous patients. Is that a real number? Is this an underestimated figure? Three ellipses… It is a pathology that is the cause of chronic pelvic pain. It is estimated that about 20 to 30% of chronic pelvic pain in women will be of pelvic and venous origin and that we even have in the literature an age range of 45 years, with a prevalence of venopelvic insufficiency in this chronic pelvic pain of nearly 27%. Why should we talk about it and what could we talk about? We could also say that it is a disease of vascular origin with gynaecological expression and that our expertise as vascular doctors is extremely important in the line of diagnosis and follow-up when there has been treatment. We could also say that in the lower limbs (and I’m giving a little nod to this ugly anterior accessory saphenous thigh), that there are 10% of varicose veins in the lower limbs that are of pelvic origin and when there is a post-surgical recurrence, 17% of patients have a pelvic origin of this recurrence of varicose veins in the lower limbs. We could also say, to break the silence, by saying that the treatment is a correlation between symptoms, therefore an interrogation (which we, vascular doctors, will be able to do with our patients), and with imaging. We could also say that the clinical signs are multiple and can make the diagnosis difficult and explain the therapeutic wandering of our patients. Finally, we could say, to motivate the troops, that the exploration, the ultrasound-Doppler assessment of this pathology is absolutely exciting.