Chronic Pelvic Pain (Diagnosis and Treatment)

Abstract

Implanon (single-rod, progesterone only, non-biodegradable implant) is an effective hormonal alternative with tolerable side effects for premenopausal women suffering from chronic pelvic pain secondary to pelvic congestion syndrome. Prior treatment involved transcatheter embolotherapy of the ovarian veins. Implanon was able to decrease the symptoms of chronic pelvic pain due to pelvic congestion syndrome in the experimental group. In addition, Implanon decreased venous congestion as seen by improved venography evaluations after completion of the study, It is believed that venous stasis as a result of tortuous and dilated veins in the pelvis is the underlying pathophysiology of pelvic congestion syndrome. Implanon’s side effects were reported to be much more tolerable than other hormonal therapy treatments, and a safe alternative for women who desire non-invasive treatment.