Pelvic Congestion Syndrome

What is Pelvic Congestion Syndrome (PCS)

PCS is caused from varicosities (varicose veins) in the lower abdomen/pelvic area in women. The valves in the veins return blood to the heart by preventing the back flow of blood down into the vein. The blood pools in the vein increasing the pressure and buldging the vein. Women in their childbearing years and less than 45 years old are at higher risk of PCS. Multiple pregnancies also increase your risk. Estrogen may weaken the vein walls resulting in varicosities. More than half of women with PCS have cystic changes to their ovaries. Symptoms include chronic dull or aching pain that increases throughout the day or after prolonged standing. Increased pain after sexual intercourse or just prior to menstrual period can occur. Other symptoms include back pain, bloating, mood swings, depression, fatigue, vaginal discharge and dysmenorrhea.

Diagnosis for Pelvic Congestion Syndrome

is made after evaluation by the gynecologist, including a physical exam and testing. Ultrasound of the pelvis is the most common diagnostic tool. Venograms, CAT Scans and MRI can be helpful.

Treatment for PSD

Women may find that resting (lying down) relieves the pain. Pain medications (anti-inflammatories), suppression of ovarian function (medication), physical therapy and acupuncture have been used to relieve symptoms. Outpatient hospital surgery involves stopping the blood flow to the varicose veins. You can return to normal activities the next day. Full benefits of treatment may not be realized for several weeks. In 80% of the cases women report a decrease in pain.

Your first step should be to contact your gynecologist for evaluation of pelvic congestion syndrome.

Prior exam and testing is required before being evaluated at Muskegon Surgical Associates, P.C.