Chronic pelvic pain is a very common problem in the United States. It
accounts for 10 to 15 percent of referrals to gynecologists and pain
clinics. For some women, the cause of their pelvic pain is a condition
known as pelvic congestion syndrome (PCS). It may go undiagnosed
simply because physicians often fail to look for it.
Symptoms of pelvic congestion syndrome (PCS)
Many times, symptoms don't appear until a woman becomes pregnant,
and then they continue after the pregnancy. The main symptom of PCS is
pelvic pain. The pain typically worsens as the day goes on, especially
for women who sit or stand all day, and then goes away after a night
of sleep. Learn more about pelvic pain.
The pain can also worsen:
During or following intercourse
After certain physical activities, such as bicycling
or horseback riding
Causes of pelvic congestion syndrome (PCS)
Pelvic congestion syndrome occurs when varicose veins develop around
the ovaries, similar to varicose
veins that occur in the legs. Then:
The valves in the veins no longer function normally.
This causes blood to back up.
The veins become engorged
or “congested,” which can be very painful.
Treatment for pelvic congestion syndrome
After we confirm a diagnosis of PCS, we will discuss treatment
options with you. Treatments for PCS include:
Embolization, a minimally
invasive catheter procedure to “plug” the varicose vein