Women’s Woes – The Pelvic Congestion Syndrome

Although there may be numerous reasons for women to suffer from chronic pain, the Pelvic Congestion Syndrome is diagnosed up in to 1/3 of all cases. Only a thorough diagnosis by vascular specialists can enlighten you about the real cause of that chronic pelvic pain if your gynaecologist ruled out other causes.

PCS (Pelvic Congestion Syndrome)

In simple terms, pelvic congestion syndrome is actually the varicose veins in the pelvis around the ovaries, uterus and bladder. Pelvic Congestion Syndrome is quite difficult to detect during pelvic examination. Only with ultrasonography, CT scan or venography doctors can diagnose the problem to ensure the real cause of the pelvic pain.

Pelvic Congestion Syndrome

Varicose veins occur in the pelvic area in the same way, as it can occur anywhere in the body. Due to venous incompetence (or blockage), blood pools in the veins, stretches and bulges causing varicose veins.In normal cases, the blood flow is from the pelvis up towards the heart in the ovarian vein. The valves within the vein prevent it from flowing backwards. But when the ovarian veins dilate, the valves do not close properly, resulting in “reflux”, that is, the backward flow of blood. The pooling of blood within the pelvis results in pelvis varicose veins that cause pain and a general heaviness.

Are you at RISK?

Check out the risk factors that make women susceptible to PCS. Are you susceptible? Read on.

  • Hormonal abnormalities.
  • Retroverted or tipped uterus that is responsible for painful sex.
  • Polycystic Ovarian Syndrome, (PCOS)!
  • Multiple pregnancies.



Don’t dismiss lower back or abdominal pain as any other ordinary pain. So, check out the symptoms listed below.

  • Sharp, dull pain during or after sexual intercourse.
  • Prolonged lower back pain, aches in the legs and abnormal vaginal bleeding.
  • Clear and watery vaginal discharges.
  • Pain gets worse at the end of the day (after you have been standing or sitting for a long time). By lying down ought to get you much relief.
  • Varicose veins present on the vulva, buttocks and thighs are a sign of PCS.
  • Feeling fatigued, recurrent mood swings, headaches and abdominal bloating with irritable bladder are a few of the other signs.

Diagnosis – The Root Cause

Normal pelvic examinations is common. However, with ultrasonography and CT scan  or angiogram doctors are able to detect the cause of the chronic pelvic pain.

Treatment – The Path to Wellness

The treatment for this painful condition is a safe procedure that is minimally-invasive. It is called ovarian vein embolization.With x-ray technology and a contrast dye, the affected veins are envisioned and a thin, small catheter is first inserted into the blood vessel that passes via the damaged veins. The faulty vein is sealed as a synthetic agent or medication is dispersed from the catheter into the veins which help in clotting the blood and permanently blocking the vein.

When blood does not flow from the varicose veins in the pelvis, the pain subsides.

No Side Effects, All Positive After-Effects

The treatment of Pelvic Congestion Syndrome is simple and effective with a 95% of success rate. Although some patients experiencediscomfort,  it can be controlled with prescribed medication. Depending on the normal healing process, most patients return to work immediately as the procedure is “day-case” with no hospital stay leaving no scar.

Schedule an appointment today and find out the reason behind your chronic pelvic pain. It can be Pelvic Congestion Syndrome!

Varicose Veins – Incidence, Symptoms and Diagnosis

Varicose veins are very common. There is usually a strong family predisposition.  Women are more likely to suffer from this disease than men. Pregnancy and overweight are also risk factors for varicose veins.

Varicose veins can be found mostly in the legs and thighs but also in the groins, private parts (vulva, scrotum) and also inside of the pelvis.  Varicosities in the pelvis can not be felt or seen but still cause problems like pelvic pain or ache, vaginal discharge, painful intercourse or frequent urination. Women mostly notice more symptoms after two or more pregnancies. This condition is called “Pelvic congestion syndrome”.

Leg veins  can be as large as ½ inch in size and can easily be felt when the person is standing. The blue veins under the skin are the reticular veins. These are generally less than 4 millimeters in size.  Spider veins or telangestasias are bright red or purple skin veins. These are less than 1mm in size.

Varicose Veins

Symptoms associated with leg veins

Most of the people suffering from the disease do not always have any symptom or sometimes the symptoms are so little that they prefer not to seek any treatment. However, there are people who want to get rid of the disease as they are unhappy with the look of their legs. There are a few common symptoms seen in 50% of adults that includes:

  • Swelling of leg
  • Dull pain or aching
  • The feeling of leg pressure or heaviness
  • Night-time cramping
  • Restless legs at night
  • Fatigue or tiredness
  • Burning or itching
  • Pelvic congestion syndrome


The diagnosis of the disease begins with physical examination and obtaining history. An ultrasound machine should be used to examine the flow of blood in the superficial and deep  veins. Some laboratories perform plethysmography for the evaluation of pump dysfunction in the calf muscle or obstruction and also CT (cat scan), MRI or venogram can be ordered in some situations to shed more light on the underlying pathology specially in situations where varicosities are recurrent, large or very symptomatic.