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Professor Mark Whiteley
Mark Whiteley
How is Pelvic Congestion Syndrome diagnosed?
Professor Mark Whiteley explains that Pelvic Congestion Syndrome is diagnosed with a transvaginal duplex done with the Holdstock protocol, in which the patient is at 45 degrees and the transvaginal duplex shows which of the veins are refluxing, and which aren’t.
Transcript
The gold standard for diagnosing pelvic congestion syndrome is the transvaginal duplex by the Holdstock protocol. And that's where the patient's at 45 degrees and the transvaginal duplex shows which of the veins are refluxing, which aren't. If you have transvaginal duplex lying flat, or if you have MRI, CT, or venogram, it doesn't show pelvic congestion. And a lot of people are told they do or don't have it erroneously, because doctors are not understanding. You have to see the blood actually refluxing to make the diagnosis.