Pelvic Congestion Syndrome

What Is Pelvic Congestion Syndrome? 

Pelvic congestion syndrome (PCS) is a chronic condition that affects women worldwide, especially those in their reproductive years. PCS occurs when varicose veins form in the pelvic area and cause uncomfortable symptoms such as pain or discomfort during menstruation, intercourse and other activities. Over time, complications can arise from PCS, so it is important to be aware of the signs and symptoms.

pelvic congestion syndrome

How Common Is Pelvic Congestion Syndrome? 

Pelvic congestion syndrome accounts for 10-20% of gynecological visits and referrals. It is most common among those between the ages of 25-45 and can sometimes be seen in postmenopausal women. Additionally, PCS is estimated to impact 10 million women in the United States alone. PCS can often be misdiagnosed if physicians are unsure of what to look for.

Symptoms of Pelvic Congestion Syndrome 

The most common symptom of PCS is aching or throbbing pain in the lower abdomen area. This pain may worsen during activities such as standing, sitting, walking, exercising or sex. Other symptoms may include: 

  • Heavy or swollen feeling in the abdomen 
  • Painful intercourse or urination
  • Pelvic pressure or fullness 
  • Lower back pain 
  • Leg swelling and/or achy legs


Additionally, some women with PCS may experience difficulty conceiving. 


symptoms of pelvic congestion syndrome

What Happens If PCS Is Left Untreated? 

If left untreated, PCS can cause serious complications. These may include: 

  • Pelvic organ prolapse 
  • Varicose veins in the rectum or anus
  • Chronic pelvic pain or pain during sex 
  • Difficulty conceiving due to damage to the uterus and ovaries 

Diagnosing PCS

When it comes to diagnosing PCS, your doctor can conduct a physical exam and recommend further tests such as an ultrasound or MRI scan to diagnose the condition accurately. Once diagnosed, they will be able to discuss available treatment options and create a care plan tailored to your needs. Remember, the sooner you seek help, the better your chances are of managing PCS and preventing further complications.

Treatment Options for Pelvic Congestion Syndrome 

Treatment for PCS can vary depending on the severity of the condition and the individual’s symptoms. Common treatments include: 

  • Lifestyle modifications such as wearing compression garments, avoiding standing or sitting for long periods and maintaining a healthy weight 
  • Nonsteroidal anti-inflammatory drugs (NSAIDs) to help reduce inflammation and pain 
  • Hormonal therapy to reduce symptoms related to menstruation 
  • Surgery to remove or repair damaged veins


Sclerotherapy has also been known to help, depending on the condition’s severity

Support With PCS

If you are struggling to cope with the symptoms of PCS, it is important to seek support from friends, family members and medical professionals. Additionally, there are several online support groups that provide resources and advice for those suffering from PCS. These support groups can be incredibly helpful for those seeking to find additional information and connect with others experiencing the same condition. 

No one should have to suffer from pelvic congestion syndrome alone. With proper treatment, lifestyle modifications and support, you can manage your symptoms and live a full and active life. 

Seek Appropriate Care for Women’s Health at TXVWI

At Texas Vein & Wellness Institute, we have treatment options to repair damaged veins related to women’s health. Our team is here to find a unique solution for your condition. Contact us at 281-888-1464 today.

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