Your VSS clinical team is trained in the diagnosis pelvic, iliac, and renal vein compression and acute/chronic DVT. The pathway to diagnosis is based on the timing of the presentation of your symptoms.
Chronic symptoms of venous compression include heaviness, aching and swelling in the lower abdomen and legs. If there is a pelvic vein disease component to your problem, your symptoms may be worse at the time of menses or intimacy.
With chronic symptoms, your diagnosis starts with a vein evaluation, history, physical exam and venous ultrasound of the thigh and leg. An (transabdominal) ultrasound (US) of the pelvic and abdominal veins is scheduled if your vein evaluation suggests the possibility of iliac vein, left renal vein compression or pelvic vein disease.
A positive (or inconclusive) vein evaluation and transabdominal US leads to tests to evaluate the directional flow in the deep veins of the abdomen and pelvis. It also identifies areas of compression, scarring of the veins, evidence of acute or chronic blood clots and varicose veins in the abdomen and pelvis.
