
Endo Untangled
Ep 27: When Pelvic Pain Doesn't Add Up. Understanding Pelvic Venous Disease with Sarah Thorncraft RN and Dr James Hillhouse
Join GP Dr Alecia Macrow as she interviews interventional radiologist Dr James Hillhouse and nurse practitioner candidate Sarah Thorncraft to explore one of the most overlooked contributors to persistent pelvic pain: pelvic venous disease. Together they unpack: why pelvic venous disease is often missed how venous pain differs from endometriosis the symptoms that should raise suspicion why a "normal" scan doesn't always rule it out which investigations to order and when to refer current interventional treatment options, including embolisation Resources Meissner MH, Khilnani NM, et al. The Symptoms-Varices-Pathophysiology (SVP) classification of pelvic venous disorders . This is the consensus paper James refers to during the episode and provides an excellent framework for understanding pelvic venous disorders. Open-access article (PMC)

