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Pelvic Congestion Syndrome was RE: Bill Tracking in VA attn: TerryFrom: DuboseTerryJ@uams.eduThu Feb 1 07:31:31 2001
Mary. No, no specific measurements for Pelvic Congestion Syndrome... I now tend to just use my gut... gestalt. We did quite a bit of research on this subject back in the 1980's and found that we could observe and measure changes in the female reproductive vessels throughout the menstrual cycle (specifically we measured the uterine arcuate vessels, but found that the vessels in the adnexa also respond to the hormones)... estrogen causes vessels dilation at mid cycle, the vessels constrict at menses which is what causes the menses to start. Sort of starves off the proliferated endometrium. Ken Taylor, Yale Univ, also measured Doppler changes in the uterine vessels. Here are some references: DuBose TJ, Hill LW, Hennigan HW; "Sonography of Arcuate Uterine Blood Vessels"; J Ultrasound Med, 1985; 4:229-233. DuBose TJ, Hill LW, Cunyus JA, et al; "Sonography of Menstrual Changes in Arcuate Uterine Blood Vessel Diameters"; J Cardiovascular Ultrasonography, 1985; 4:243-251. Also, in Fetal Sonography, W. B. Saunders 1996, CHAPTER 16: EXTRA-FETAL STRUCTURES of PREGNANCY. Resnik R; "ANATOMIC ALTERATIONS IN THE REPRODUCTIVE TRACT", Chapter 6; Creasy RK & Resnik R, Editors; MATERNAL-FETAL MEDICINE: Principles and Practice, 2nd edition; W. B. Saunders Company, 1989; p. 137-140. Resnik R; "The endocrine regulation of uterine blood flow in the nonpregnant uterus: A review"; Am J Obstet Gynecol, 1981; 140:151-156. Mary, I hope this helps... you might also want to query the Ultrasound Section of OBGYN.net. Terry J. DuBose, M.S., RDMS, Assistant Professor Director, Diagnostic Medical Sonography Program CHRP, University of Arkansas for Medical Sciences Little Rock, Arkansas, USA 501-686-6510 http://www.io.com/~dubose/ <http://www.io.com/~dubose/> http://www.uams.edu/CHRP/dmshome.htm <http://www.uams.edu/CHRP/dmshome.htm> http://www.obgyn.net/us/panel/panel.htm <http://www.obgyn.net/us/panel/panel.htm> -----Original Message----- From: Frog2688@aol.com [mailto:Frog2688@aol.com] Sent: Wednesday, January 31, 2001 6:10 PM To: Frog2688@aol.com Subject: Re: Bill Tracking in VA attn: Terry Terry, do you do measurements for Pelvic Congestion Syndrome? We have been getting conflicing opinions about how big the veins must get on Valsalva to be positive. thanks mary w.
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