Common indications for performance of this examination include, but are not limited to:

• Lower extremity edema
• Lower extremity varicose veins
• Vulvar edema
• Vulvar discomfort/heaviness
• Genital/ Labial varicose veins
• Perineal varicosities and/or discomfort
• Chronic pelvic pain of greater than six months duration that may include lower abdomen and/or lower back pain, heaviness, or a dull ache that is worse with prolonged standing or sitting
• Exertional lower extremity pain consistent with venous claudication
• Unilateral lower extremity swelling of suspected proximal venous origin
• Rectal discomfort/heaviness
• Urinary frequency
• Pain with urinating (Dysuria)
• Pain prior to the beginning of menstruation
• Pain during menstruation (Dysmenorrhea)
• Pain during intercourse (Dyspareunia) or after intercourse (Post-coital ache)
• Left flank pain with or without hematuria (renal vein compression or Nutcracker Syndrome)
• Hemorrhoids
• Varicocele