Re: Pelvic Congestion Syndrome was RE: Bill Tracking in VA attn: Ter
From: art fougner, md (evsono@pipeline.com)
Fri Feb 2 06:27:19 2001
this one is a tough call - i see many women with prominent pelvic and
uterine varicosities who are asymptomatic - so there is sorely needed
some rigorous investigation as to the significance of these findings.
art
At Thu, 1 Feb 2001, DuboseTerryJ@uams.edu wrote:
>
>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.
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
