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It is generally acknowledged by vein experts that in some cases, varicose veins in the legs can arise from vein reflux in the pelvis. In addition, among some patients, this source of reflux can be a cause of recurrence of varicose veins. There appears to be trend towards treating pelvic vein reflux directly by embolization, even in the absence of pelvic symptoms. However, this is a controversial area with those who are strong proponents of this practice and those who are strongly opposed. So I asked an expert whom I met at the BAS meeting earlier this year for advice on this subject and in this video I summarise that advice. Dr Patrizia Pavei is the President of the Italian Association of Phlebology. Patrizia has a wealth of personal experience in the treatment of varicose veins and she is a respected academic who has been at the forefront of research. In her department, 269 patients with leg varicose veins of pelvic origin have been treated by ultrasound guided foam sclerotherapy. Specifically, it should be noted that these patients did not have pelvic symptoms such as pelvic pain, dysmenorrhoea or pain after intercourse. At one year follow up, 98.1% had good clinical and duplex results with resolution of varicose veins as well as symptoms. Her conclusion - At present, there isn’t sufficient data to establish that embolization of the ovarian vein is mandatory in cases of pelvic varicose veins without Pelvic Congestion Syndrome. http://theveincarecentre.co.uk/blog/p...