Pelvic Venous Disease

Discussion with Tracy Sher and Dr. Brooke Spencer


  • 1 hour
  • NY CEUs available
  • For other states, check for reciprocation or individual application



  • Medical and Fitness Professionals
  • No pre-requisites
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What can I expect?

Tracy and Dr. Spencer discuss pelvic congestion, pelvic pain, considerations of vascular health in pregnancy and postpartum, and so much more!

Dr. Spencer has been treating complex venous disease for 20 years, and she discusses her current research investigations to develop a better understanding of pelvic venous disease and chronic pelvic pain in women. She also answers common patient questions like:

  • Why has no one ever mentioned this to me before? 
  • How can vein problems in the pelvic cause seemingly unrelated symptoms like bloating, bladder and urinary issues, headaches and postural tachycardia (elevated HR with standing and passing out)? 
  • Can I get pregnant after I have a stent placed? 


What people are saying:

Oh my gosh. This was priceless! Amazing. Thank you!
Excited to learn more about this tricky dx! Thank you so much!! This was amazing!
This is a fantastic presentation! This really is a missing piece. HUGE! Thinking of so many clients!

What You Will Learn:

Vein problems in the pelvis often cause chronic pain and many other symptoms.

Some of the symptoms we dive into include:⁣
  • Common Symptoms of Pelvic Venous Disease Chronic: pelvic pain, pressure, or heaviness with or without (*may be other diagnoses instead as well)
  • Low back pain
  • Pelvic pain, vaginal pain, groin pain, leg pain, or back pain
  • Dilated leg or pelvic varices (varicose veins)
  • Painful intercourse or bleeding after intercourse
  • Unexplained urinary urgency, frequency, or sensation of incomplete bladder emptying
  • Heavy and/or painful periods
  • Pain with ovulation
  • Continued leg swelling and symptoms after superficial vein treatments
  • A feeling of physical anxiety in the chest when one does not feel mentally anxious (
Learn ways to problem solve a variety of sexual health issues.
Feel comfortable navigating psychosocial nuances while learning practical skills to do so. 

Do you want to watch THIS webinar and ALL of our other webinars for one yearly price? 

The Global Pelvic Health Alliance Membership offering features designed to help you grow your clinical skills and build your business. 
  • Webinars: an amazing set of webinars (like this one) that are all included in the membership with the ability to be present at the live recording and ask questions to the presenters.
  • Illustrations: We have an illustration that creates anatomy illustrations for us. We are constantly looking for ways of presenting the anatomy in ways that are more accurate and descriptive.
  • Handouts: Using the illustrations and an amazing team of colleagues to help review, we create a collection of handouts for you to use with your patients/clients!
  • Premiere Directory Listing: While anyone can have a free directory listing, GPHAM members get to have a profile picture, live links, and photo galleries to stand out. 
  • Global Pelvic Health Support Community: In addition to resources, you can also ask to join the private FB page with hundreds of multidisciplinary professionals from around the world to help you out!

Tracy Sher, PT, DPT, CSCS - Your Host

Tracy Sher is a pelvic physical therapist and is the founder of Pelvic Guru, Pelvic Guru Academy, and the Global Pelvic Health Alliance Membership. She is also an instructor for Pelvic Guru Academy, teaching Pudendal Neuralgia and Complex Pelvic Pain Solutions. 

Brooke Spencer, MD, FSIR

E. Brooke Spencer, MD, FSIR, attended medical school at the University of Vermont College of Medicine, performed her internship in General Surgery at University of North Carolina and completed her residency at Duke University Medical Center. Following residency, she completed an Interventional Radiology Fellowship at Mallinckrodt Institute of Radiology in St. Louis, Missouri.  
Dr. Spencer has been treating complex venous disease for 20 years. She has performed more than 1000 IVC iliac vein reconstructions, over 1000 femoral popliteal venous recanalizations, 3000 vein ablation and superficial vein treatments and placed over 4000 venous stents. Her passion for the treatment of venous disease has extended into current research investigations to develop a better understanding of pelvic venous disease and chronic pelvic pain in women. 
After 2 long experiences 8 years and 9 year respectively in large radiology groups, starting and running clinical practices in each respectively she founded an independent clinical IR practice Minimally Invasive Procedure Specialists in 2018. In 3 years, the practice has grown to 30 employees and includes a clinic with 3 Nps and 3 MDs, an outpatient office based interventional lab and coverage of a hospital service where she serves as Medical Director of Interventional Radiology. 
She has been the principal investigator on several research projects, has multiple publications, and is a dedicated educator, speaking at society meetings across the country.  
Dr. Spencer has been president of the Western Angiographic and Interventional Society and serves for the Society of Interventional Radiology. She was a founding member of a non-profit organization called the Interventional Initiative. Dr. Spencer was featured in the first episode of the documentary series titled Without a Scalpel. She has received recognition as “Best Doctor” in the Denver Business Journal and has been voted into Fellowship of the Society of Interventional Radiology for her contributions in the field.


What is the Cancelation & Refund Policy?
Individual GPHAM webinars are non-refundable. 
For other courses, the option for a full refund is available within 48 hours of purchase, however it is non-refundable upon either of these conditions:
  • You have viewed more than 50% of the course material
  • You have already claimed your CE certificate
If you need additional assistance with a refund or course concern, please email
Will there be any part of this live course where I could be recorded?
Live participation parts of courses may be recorded live and screenshots maybe be taken by the instructor or the host. If your camera is on, your microphone is on, or you type comments in the comment section, your participation will be part of that recording. If you do not wish to be part of this recording, you will be responsible for keeping your video and audio recording OFF during any live recorded sessions. 
How can I use the handouts, videos, and course supplemental material?
You will be provided with online content and recordings of the course as well as slides and material related to the course. This material is for your personal use only.  Please do not use clips of video, screen captures, screenshots, or copying in any way, that you might be presenting it as your own (whether or not it is for financial gain). Sharing a screenshot to social media that is credited to the instructor and/or Pelvic Guru, LLC is acceptable. If you would like to use any of this content for an independent project, you need to discuss this directly with Pelvic Guru and the instructor of the course. 
Will I have to exercise or have a space to move for this course? 
Some of the Pelvic Guru Academy courses have sections in them in which you will have the option of doing movement at various levels. Understand that all physical therapy, rehabilitative, and strength training instruction and use of all facilities and equipment shall be done at you own risk, and please be physically and medically able to undertake any and all physical therapy, rehabilitative, and strength training instruction provided in the course.