Pelvic Congestion Syndrome (PCS): Understanding the Condition and Its Impact
Pelvic Congestion Syndrome: Unveiling the Hidden Cause of Chronic Pelvic Pain
Learn how PCS causes persistent discomfort and how its symptoms overlap with other conditions like endometriosis, affecting daily life and fertility.
Take the Symptom Questionnaire
What is Pelvic Congestion Syndrome?
Pelvic Congestion Syndrome (PCS) is a condition characterized by chronic pelvic pain caused by enlarged and dysfunctional veins in the pelvic area. When these veins fail to carry blood back to the heart, blood pools and creates ongoing discomfort. PCS primarily affects women of childbearing age, with symptoms often worsening after pregnancy.
Common causes include:
- Enlarged veins related to pregnancy or hormonal changes
- Elevated estrogen levels that increase vein dilation
- Family history of varicose veins or PCS
Who is at Risk of Developing PCS?
Certain factors make PCS more likely to develop or worsen over time:
- Multiple pregnancies, with risk increasing after each pregnancy
- Family history of venous issues such as varicose veins
- Hormonal influences in women of childbearing age
Symptoms of PCS
PCS symptoms can look a lot like endometriosis and other pelvic conditions. Many people experience some combination of the following:
Explore PCS Symptoms in Detail- Chronic pelvic pain that intensifies toward the end of the day
- Pain or discomfort during sexual intercourse (dyspareunia)
- Lower back pain that can radiate into the hips or legs
- Digestive discomfort such as bloating or constipation
- Irregular vaginal bleeding or increased discharge
- Fatigue, brain fog, or difficulty sleeping
- A sense of heaviness or fullness in the lower abdomen
Diagnosis of PCS
Diagnosis relies on a mix of clinical evaluation and imaging. Pain must persist for more than six months and center on the pelvis.
Key diagnostic features include:
- Tortuous pelvic veins measuring 6 mm or larger
- Slow or reversed venous blood flow on Doppler studies
- Dilated ovarian veins or polycystic ovarian changes
Treatment Options for PCS
Ovarian vein embolization (OVE) is the most common and effective treatment for PCS. It is a minimally invasive procedure that targets the problem veins directly.
OVE can provide:
- Significant pain reduction and relief during daily activities
- Improved comfort during sexual activity and intimacy
- Potential improvements in fertility for people affected by PCS
Additional options can include medication, hormone management, or pelvic physical therapy to support recovery.
Improving Quality of Life
PCS affects more than just physical comfort. People frequently report disruptions to relationships, mental health, and sexual wellbeing. After OVE, many regain confidence, intimacy, and connection with their partners.
Backed by Science
Explore clinical research that validates PCS diagnosis and treatment:
Your Voice Can Change Care
By completing the symptom questionnaire, you help build the data needed for faster diagnosis, better treatment options, and more informed care models for PCS.
Share Your Symptoms