Transmyometrial pelvic venography N pill-users

ABSTRACT

Transmyometrial pelvic venography in pill-users [18 cases], revealed normal venograms in 4 cases [22%], while abnormal venograms were detect in the remaining 14 cases [78%]. The commonest abnormal venous pattern noted was bilateral pelvic varicocele and stasis in 8 cases [57%]. It was specially marked in the pampiniform plexus of veins. The next common abnormal venographic finding was uterine congestion which was found in 5 ladies [35%]. This was found in the group of Para 5 or more. A very important abnormal venographic finding found in 3 ladies [22%] was ovarian vein thrombosis. This should he seriously considered. It occurred irrespective of the duration of use of pills. Abnormal venograms were minly found in those above 30 years of age. Pelvic venography is recommended in pill-users, especially those a bove 30 years of age, those of high parities, those with lower limb varicosities and cases who have used pills for 5 years or more