Pelvic congestion syndrome and reproductive problems: an interdisciplinary approach

A. N. Sulima, О. Б. Жуков, A. N. Rybalka
In: Andrology and Genital Surgery · 2021 · vol. 21(4) , pp. 31–39 · doi:10.17650/2070-9781-2020-21-4-31-39 · W3130714882
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This review analyzes the probable causes and pathogenetic mechanisms of pelvic congestion syndrome and its impact on reproductive function based on existing literature.

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This paper is an interdisciplinary review analyzing published evidence on pelvic congestion syndrome, focusing on potential anatomical and hormonal causes and the proposed pathogenetic mechanisms linking the syndrome to impaired reproductive function. Drawing on both Russian and international sources, the authors discuss chronic pelvic pain and venous congestion concepts, including diagnostic approaches such as ultrasound, Doppler techniques, and venographic/angiographic assessments as described in the cited literature. A key limitation noted by the nature of a narrative review is that it synthesizes heterogeneous studies rather than presenting new prospective patient data, and it emphasizes “most likely” mechanisms rather than establishing definitive causality. Relevance to endometriosis: the paper is not centrally about endometriosis, but it cites literature on endometriosis-associated pain and includes endometriosis among chronic pelvic-pain conditions considered in relation to pelvic venous congestion, though the main focus remains pelvic congestion syndrome and reproductive problems.

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Abstract

The review is devoted to one of the unknown, debatable and completely unexplored clinical syndromes –pelvic congestion syndrome. Based on the study of foreign and domestic literature, the probable anatomical, hormonal and other causes of the development of this syndrome were analyzed. An attempt was made to explain and understand the pathogenetic mechanisms leading to impaired reproductive function in this category of patients.
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Синдром тазовой конгестии и проблемы репродукции: междисциплинарный подход https://doi.org/10.17650/2070-9781-2020-21-4-31-39 Аннотация Обзор посвящен анализу научных данных об одном из малоизвестных и недостаточно изученных клинических синдромов – синдрому тазовой конгестии. На основании анализа иностранных и отечественных источников выделены наиболее вероятные анатомические, гормональные и иные причины развития данного синдрома. Предпринята попытка объяснить патогенетические механизмы, приводящие к нарушению репродуктивной функции у пациенток с синдромом тазовой конгестии. Об авторах А. Н. СулимаРоссия Анна Николаевна Сулима 295017 Симферополь, ул. Воровского, 8 О. Б. Жуков Россия 117198 Москва, ул. Миклухо-Маклая, 6 105187 Москва, ул. Мироновская, 18 А. Н. Рыбалка Россия 295017 Симферополь, ул. Воровского, 8 Список литературы 1. Шуликовская И.В. Лечение варикозной болезни вен малого таза у женщин (обзор литературы). 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Phlebol Venous Forum R Soc Med 2012;27:52–7. DOI: 10.1258/phleb.2012.012s27. 36. Infertility definitions and terminology (WHO). Available at: https://www.who.int/reproductivehealth/topics/infertility/definitions/en. 37. Приказ Минздрава России от 30 августа 2012 г. № 107н «О порядке использования вспомогательных репродуктивных технологиях, противопоказаниях и ограничениях к их применению». Доступно по: https://www.rosminzdrav.ru/documents/8023-prikaz-o-poryadke-ispolzovaniya-vspomogatelnyh-reproduktivnyh-tehnologiy-protivopokazaniyah-i-ogranicheniyah-k-ih-primeneniyu. 38. Пост-релиз VII Международный конгресс «Оргздрав 2019», 24–25 апреля 2019, Москва. Доступно по: https://www.vshouz.ru/orgzdrav2019/. Рецензия Для цитирования: Сулима А.Н., Жуков О.Б., Рыбалка А.Н. Синдром тазовой конгестии и проблемы репродукции: междисциплинарный подход. Андрология и генитальная хирургия. 2020;21(4):31-39. https://doi.org/10.17650/2070-9781-2020-21-4-31-39 For citation: Sulima A.N., Zhukov О.B., Rybalka A.N. Pelvic congestion syndrome and reproductive problems: an interdisciplinary approach. Andrology and Genital Surgery. 2020;21(4):31-39. (In Russ.) https://doi.org/10.17650/2070-9781-2020-21-4-31-39 JATS XML

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