Understanding Pelvic Congestion Syndrome (PCS): A Comprehensive Guide

What Is Pelvic Congestion Syndrome?

Pelvic Congestion Syndrome (PCS) occurs when veins in the pelvic region fail to function properly, leading to blood pooling and vein dilation. This condition is akin to varicose veins but occurs deep within the pelvis. The malfunctioning veins result from weakened valves or venous obstruction, causing increased pressure and congestion[5][7].


Symptoms of PCS:

The symptoms of PCS vary but typically include:
- Pelvic Pain Chronic, dull, or throbbing pain that worsens after prolonged standing or sitting and improves when lying down[2][3].

- Additional Symptoms: Lower back pain, bloating, achy legs, abnormal vaginal bleeding, and discomfort during or after sexual activity[2][8].

- Visible Vein Changes: In some cases, varicose veins may appear on the thighs, buttocks, or vulva[1].

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Who Is at Risk?

PCS primarily affects women aged 20–45, but can affect post menopausal women as well. It is  more common in those who have had multiple pregnancies. Other risk factors include:
- Hormonal imbalances (e.g., high estrogen levels)
- Family history of varicose veins
- Conditions like Polycystic Ovarian Syndrome (PCOS)[1][7].

Diagnosis Challenges

Diagnosing PCS can be difficult because its symptoms overlap with other conditions like endometriosis or ovarian cysts. Chronic pelvic pain lasting over six months and worsening in upright positions are key indicators[8].

Treatment Options

Effective treatments for PCS focus on relieving symptoms and addressing the root cause:
1. Ovarian Vein Embolization: A minimally invasive procedure that blocks refluxing veins to reduce congestion. It has a 75% success rate for significant pain relief[1][4].
2. Laparoscopic Ligation: Surgical tying of ovarian veins, though less common due to its invasive nature[4].
3. Lifestyle Adjustments: Regular exercise and avoiding prolonged standing can help manage symptoms[1].
4. Hormone Therapy: May alleviate symptoms in some cases but is not always suitable[1].

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Living with PCS
While PCS can significantly impact quality of life, early diagnosis and treatment offer effective symptom relief. If you experience chronic pelvic pain that worsens with standing or improves when lying down it pays to investigate for PCS.

TO LEARN MORE ABOUT  PELVIC CONGESTION SYNDROME AND TO FIND OUT MORE ABOUT EFFECTIVE NON-SURGICAL TREATMENTS CALL OUR OFFICE TODAY. YOU CAN ALSO BOOK AN APPOINTMENT WITH DR. GOLOWA THROUGH OUR WEBSITE. 

Sources
[1] 5 Things That Make Pelvic Congestion Syndrome Worse https://www.drgolowa.com/post/5-things-that-make-pelvic-congestion-syndrome-worse
[2] Should I Be Worried About Pelvic Congestion Syndrome? https://www.memphisvein.com/blog/should-i-be-worried-about-pelvic-congestion-syndrome
[3] Pelvic Congestion Syndrome Q&A with Dr. Black https://www.ivein.com/blog/pelvic-congestion-syndrome-qa-with-dr-black/
[4] What is Pelvic Congestion Syndrome? - Sydney Fibroid Clinic https://www.sydneyfibroidclinic.com.au/pelvic-congestion/about-pelvic-congestion/
[5] Everything You Need to Know About Pelvic Congestion Syndrome https://4rai.com/2018/09/10/everything-you-need-to-know-about-pelvic-congestion-syndrome/
[6] Navigating Chronic Pelvic Pain: Lindsey Thompson's Story | WakeMed https://www.wakemed.org/blog/navigating-chronic-pelvic-pain-lindsey-thompsons-story
[7] Pelvic Congestion Syndrome (PCS): Understanding, Identifying, and ... https://www.pelvichealthnj.com/pelvic-floor-blog/pelvic-congestion-syndrome
[8] Pelvic Congestion Syndrome | Center for Vein Care https://vein.stonybrookmedicine.edu/disease/pelvic-congestion-syndrome
[9] About Pelvic Congestion Syndrome https://www.ivein.com/blog/pelvic-congestion-syndrome/