In this eye-opening episode, Dr. Linda Bluestein speaks with Dr. Alexis Cutchins, a cardiologist passionate about uncovering missed and misunderstood diagnoses. One of those? Pelvic Venous Disease, a condition affecting countless patients but rarely identified. They explore how PVD can mimic or exacerbate conditions like dysautonomia, MCAS, and chronic pelvic pain and how many patients are left cycling through specialists without answers. From diagnostic challenges to emerging treatments, this episode will change the way you think about pelvic pain and complex multisystem illness.
Takeaways
Dr. Cutchins explains how PVD flies under the radar, despite being a major cause of pelvic pain, urinary issues, and systemic symptoms.
Learn how vein compression and congestion can trigger autonomic flares, GI issues, bladder symptoms, and more.
Standard imaging often misses vein-related pathology. Dr. Cutchins dives into what to look for and where medicine is failing.
PVD is often mistaken for interstitial cystitis, endometriosis, IBS, or anxiety. This episode teases apart the differences.
Dr. Cutchins urges both patients and providers to keep asking “what else could this be?”, especially when treatments aren’t working.
References:
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WHO study: Oral Rehydration Salts Study: https://www.who.int/publications/i/item/WHO-FCH-CAH-06.1#:~:text=Overview,manufacture%20of%20the%20new%20ORS.
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Chapters:
00:00 Introduction and Welcome
00:51 Meet Dr. Alexis Cutchins
02:28 Understanding POTS and Pelvic Venous Disease
05:03 Symptoms and Diagnosis of Pelvic Venous Disease
06:17 Home Tests and Doctor Communication
10:21 Compression and Hydration Strategies
18:55 Imaging and Diagnostic Challenges
23:32 Bendy Bodies Boutique and Podcast Support
24:27 Interventions and Intravascular Ultrasound
25:13 Accuracy of Diagnostic Tools: Ultrasound, MRI, Venogram, and IVUS
25:34 Understanding Venogram and IVUS Procedures
26:28 Personal Experience with IVUS
27:04 Embolization and Stenting: Candidates and Outcomes
27:21 Pelvic Pain Treatments: Sclerotherapy and Iliac Vein Stenting
30:45 Stent Tolerance and Mast Cell Activation
33:42 Risks and Contraindications of Stenting
37:39 Managing Mast Cell Activation Before Procedures
40:27 Medications for POTS: Preferences and Side Effects
44:20 Conclusion and Future Discussions
