"¡La Clínica de Dolor de Piernas es increíble! Salí con menos dolor del que tenía al entrar. El Dr. Anwar es asombroso y ¡me encanta su trato humano! No quería otra cirugía de reemplazo de rodilla y ¡ahora no tengo que hacérmela!"
Congestión venosa pélvica
Tratamiento mínimamente invasivo para el dolor pélvico crónico causado por venas pélvicas agrandadas. No requiere cirugía.
Pelvic Venous Congestion explained
Pelvic venous congestion is a frequently missed cause of chronic pelvic pain in Houston, affecting women whose pelvic veins have become enlarged and congested in the same way varicose veins develop in the legs. When the valves in these veins stop working, blood pools and causes persistent pressure and aching in the lower pelvis. Dr. Anwer, a Stanford Fellowship trained interventional radiologist, diagnoses and treats pelvic venous congestion using minimally invasive embolization, closing the affected veins through a pinhole incision with no surgery and same-day recovery. Many women suffer for years before receiving the correct diagnosis.
Dr. Anwer performs pelvic vein embolization using X-ray guidance. A thin catheter is inserted through a pinhole in the neck or groin and guided to the congested pelvic veins. Coils or a sclerosant agent close them, eliminating the source of pain. Approximately 45 minutes, no general anesthesia.
¿Es este el tratamiento adecuado para usted?
Every patient is different. These four areas will help you understand whether Pelvic Venous Congestion treatment at LPVI is the right fit.
¿Soy un buen candidato?
Pelvic venous congestion is most common in women of reproductive age who have had at least one pregnancy, though it can affect women who have not. Candidates typically experience a dull, aching pelvic pain that worsens after prolonged standing, during or after sexual intercourse, or in the days before menstruation. Diagnosis is confirmed using pelvic ultrasound, MRI, or venogram. Dr. Anwer reviews imaging personally at your first consultation and will confirm whether pelvic vein embolization is appropriate for your specific presentation.
Síntomas que tratamos
Pelvic venous congestion symptoms are often dismissed or wrongly attributed to other conditions. The hallmark symptom is a dull, heavy ache in the lower pelvis that worsens after standing, during or after intercourse, or before menstruation. Pain typically eases when lying down. Some women also develop visible varicose veins on the vulva, inner thighs, or buttocks. Urinary frequency, lower back pain, and bloating are also reported. If these symptoms sound familiar, an assessment with Dr. Anwer in Houston is worth pursuing.
El procedimiento
Dr. Anwer performs pelvic vein embolization as an outpatient procedure under local anesthesia with light sedation. A thin catheter is inserted through a pinhole in the neck or groin and guided using real-time X-ray imaging to the congested pelvic veins. Tiny coils or a sclerosant solution are then delivered through the catheter to close the affected veins. Once closed, blood is redirected to healthy veins and the pressure causing pain is relieved. The procedure takes approximately 45 minutes with no surgical incisions and no overnight stay.
Recuperación y resultados
Recovery from pelvic vein embolization at LPVI is straightforward. Most patients go home the same day and return to normal daily activity within 24 to 48 hours. Some patients experience mild pelvic cramping for one to two days after the procedure, which is managed with standard pain relief. Pelvic pain does not resolve immediately. Most patients notice a gradual reduction in symptoms over two to six weeks as the treated veins close completely. Dr. Anwer will schedule a follow-up review to assess your response and confirm the outcome of treatment.
¿Qué le detiene?
Puede que tenga más opciones de las que le han dicho. Responda cuatro preguntas rápidas y nuestro motor le conectará con el tratamiento mínimamente invasivo adecuado, y le pondrá en contacto directo con el Dr. Anwer.
Síntomas comunes
No necesita todos. Incluso dos o tres valen la pena discutir con el Dr. Anwer en su primera consulta.
How Dr. Anwer treats pelvic venous congestion
Dr. Anwer performs pelvic vein embolization using X-ray guidance. A thin catheter is inserted through a pinhole in the neck or groin and guided to the congested pelvic veins. Coils or a sclerosant agent close them, eliminating the source of pain. Approximately 45 minutes, no general anesthesia.
Consultation with Dr. Anwer, pelvic imaging review
Diagnosis confirmed, embolization procedure date set
Outpatient embolization, 45 minutes, local anesthesia
Alta el mismo día, revisión de seguimiento en cuatro a seis semanas
Tratamiento mínimamente invasivo vs. convencional
Pelvic venous congestion has historically been managed with hormonal therapy or laparoscopic surgery to tie off the affected veins, both of which carry significant side effects or recovery time and do not always provide lasting relief.
- Cirugía mayor o procedimiento invasivo
- Se requiere anestesia general
- Estancia hospitalaria de 1 a 5 días
- Recuperación de 4 a 12 semanas
Dr. Anwer closes the congested pelvic veins directly through a pinhole incision under X-ray guidance. No general anesthesia, no surgical incisions, no hospital stay. Most patients go home the same day and notice gradual pain relief over the following weeks.
- Ambulatorio, sin hospitalización
- Sedación ligera o anestesia local
- Incisión de ojo de alfiler, sin puntos
- Recuperación el mismo día o al día siguiente
Pelvic venous congestion is one of the most under-diagnosed conditions I treat. Many of my patients have seen multiple specialists and been told their pain has no cause. Getting the right diagnosis changes everything, and treatment is straightforward once we confirm it.
Lo que dicen nuestros pacientes
"El Dr. Bilal es un médico muy profesional e increíble. El dolor en mi rodilla izquierda bajó de 9 a 3. El personal de recepción, las enfermeras y el personal del quirófano fueron todos asombrosos y muy profesionales."
"Traje a mi suegra para que la ayudaran con sus rodillas. Literalmente no podía caminar. Después del procedimiento, caminó hasta el carro con mínimas molestias. Cada día está mejorando más y más. Califico todo el lugar como 10 de 10."
"Doctor fantástico, muy minucioso, explicó todo. ¡El personal es excepcional! Los conocí por Facebook y después de investigar más, vi que también pueden tratar el dolor de hombro. Me siento genial después de mi procedimiento."
"El Doctor Anwer y su personal son totalmente geniales, son muy amables y respetuosos. El Dr. Anwer hace un trabajo increíble. Los quiero a todos."
"¡Excelente personal y doctor! ¡Excelente atención y cuidado! Recomendaría esta clínica a cualquiera que busque un equipo médico atento y profesional."
"Mi esposo tiene una opinión muy alta del doctor. Toda la experiencia de principio a fin fue profesional y compasiva."
"¡Sabrena Cummings: "Médico fantástico, muy minucioso, explicó todo. ¡El personal es sobresaliente!"
"¡La Clínica de Dolor de Piernas es increíble! Salí con menos dolor del que tenía al entrar. El Dr. Anwar es asombroso y ¡me encanta su trato humano! No quería otra cirugía de reemplazo de rodilla y ¡ahora no tengo que hacérmela!"
"El Dr. Bilal es un médico muy profesional e increíble. El dolor en mi rodilla izquierda bajó de 9 a 3. El personal de recepción, las enfermeras y el personal del quirófano fueron todos asombrosos y muy profesionales."
"Traje a mi suegra para que la ayudaran con sus rodillas. Literalmente no podía caminar. Después del procedimiento, caminó hasta el carro con mínimas molestias. Cada día está mejorando más y más. Califico todo el lugar como 10 de 10."
"Doctor fantástico, muy minucioso, explicó todo. ¡El personal es excepcional! Los conocí por Facebook y después de investigar más, vi que también pueden tratar el dolor de hombro. Me siento genial después de mi procedimiento."
"El Doctor Anwer y su personal son totalmente geniales, son muy amables y respetuosos. El Dr. Anwer hace un trabajo increíble. Los quiero a todos."
"¡Excelente personal y doctor! ¡Excelente atención y cuidado! Recomendaría esta clínica a cualquiera que busque un equipo médico atento y profesional."
"Mi esposo tiene una opinión muy alta del doctor. Toda la experiencia de principio a fin fue profesional y compasiva."
"¡Sabrena Cummings: "Médico fantástico, muy minucioso, explicó todo. ¡El personal es sobresaliente!"
Common questions about Pelvic Venous Congestion
Yes. Pelvic vein embolization is covered by Medicare and most major insurance plans in Houston when pelvic venous congestion has been confirmed on imaging and is causing symptoms. Our team at LPVI will verify your specific benefits and confirm prior authorization requirements before your consultation. Call us at 713-242-1139 and we will check your coverage and answer any questions about the cost of pelvic pain treatment in Houston.
Recovery from pelvic vein embolization at LPVI is quick. Most patients go home the same day and return to normal daily activity within 24 to 48 hours. Some mild pelvic cramping in the first day or two is normal and managed with standard pain relief. Pelvic pain reduces gradually over two to six weeks as the treated veins close. Dr. Anwer will arrange a follow-up review to confirm your response to treatment and ensure the best possible outcome.
Pelvic venous congestion is diagnosed using a combination of clinical assessment and imaging. Dr. Anwer uses pelvic ultrasound, MRI, or venogram to identify enlarged or congested pelvic veins and confirm the diagnosis. Because PVC is frequently missed on standard imaging, specialist assessment is important. Many women in Houston have lived with this condition for years before receiving an accurate diagnosis. If your pelvic pain has no clear explanation, a consultation with Dr. Anwer is a worthwhile next step.
Pelvic venous congestion does not resolve on its own. Without treatment, the congested veins continue to enlarge and the aching, pressure, and pain typically worsen over time. The condition can significantly affect quality of life, including relationships, work, and physical activity. Hormonal fluctuations during the menstrual cycle can cause symptoms to vary in intensity, but the underlying venous problem persists. Minimally invasive embolization at LPVI addresses the root cause and provides lasting relief for the majority of patients.
Yes. Pelvic venous congestion and pelvic congestion syndrome refer to the same condition. Both describe chronic pelvic pain caused by enlarged, poorly functioning veins in the pelvis that allow blood to pool rather than drain efficiently. The condition is similar to varicose veins in the legs. At LPVI in Houston, Dr. Anwer treats pelvic congestion syndrome using minimally invasive embolization, closing the affected veins through a pinhole with no surgery and same-day recovery.
Pelvic pain relief after embolization is gradual rather than immediate. Most patients notice a reduction in symptoms over two to six weeks as the treated veins close and pressure in the pelvis decreases. Some patients see earlier improvement, while others notice the full benefit at the two to three month mark. Dr. Anwer will monitor your progress at a follow-up review. The majority of patients treated at LPVI in Houston report significant improvement in pelvic pain within the first three months after embolization.
Aceptamos la mayoría de los principales planes de seguro
Dr. Anwer treats pelvic venous congestion at LPVI clinics in Houston and Webster, serving women from Sugar Land, Pearland, Friendswood, League City, and Clear Lake. Pelvic vein embolization is an outpatient procedure with same-day recovery, covered by Medicare and most major insurance plans. Women across Greater Houston choose Dr. Anwer because he specializes in diagnosing this frequently missed condition and offers a minimally invasive treatment that delivers lasting relief.
Ready to find relief from chronic pelvic pain?
Speak with Dr. Anwer about your pelvic venous congestion. Same-day appointments available. Most insurance accepted.
Esta información no es un diagnóstico médico. Una consulta con el Dr. Anwer confirmará sus opciones de tratamiento. Los resultados individuales pueden variar.


