How is Pelvic Congestion Syndrome Related to Your Veins?

Are you tired of dull, aching pelvic pain that flares up when you stand too long? You could be living with pelvic congestion syndrome (PCS.) This under-diagnosed, little-known condition affects as many as 4 in 10 women with chronic pelvic pain.

At the Center for Vein Disease in Chevy Chase, MD, renowned vein expert Dr. Mehru Sonde is a compassionate and highly knowledgeable vascular disease specialist with over a decade of experience. She leads the way in educating our patients about today’s most effective vein care solutions. Many women with chronic pelvic pain are surprised to learn that it might be related to their vascular health. Here’s what you should know about PCS.

Understanding PCS

PCS is a vascular condition that causes chronic pelvic pain due to varicose veins deep within the pelvis, specifically around the ovaries and uterus.

These swollen veins disrupt normal blood flow, leading to discomfort, pressure, and a heavy sensation. Symptoms are often most pronounced after standing for a long time or at the end of the day. 

It’s most common in women who’ve had multiple pregnancies, as increased blood volume and hormonal changes can weaken vein walls. 

Common Signs You Might Have PCS 

Symptoms can be vague and are often similar to those of other chronic conditions like uterine fibroids. Some of the signs that your chronic pelvic pain could be PCS include:

• Dull, aching pain in the lower abdomen or pelvis
• The feeling of fullness or heaviness in the pelvic region 
• Pain that worsens after standing
• Pain that increases during menstruation 
• Visible varicose veins on the buttocks or upper thighs 
• Pain during or after intercourse 

How Treating the Veins Can Help 

Diagnostic imaging (and other diagnostic procedures like pelvic venography as needed) can confirm that pelvic veins are the source of the chronic pain.

With that confirmation, we have a road map to follow in addressing the problem. The most effective treatment for PCS is a procedure called pelvic vein embolization. It targets problem veins to cut off their blood supply. Often, this involves injecting tiny metallic coils that plug the vein, but in some cases, it may include a liquid that causes the vein walls to shrink instead.

In either case, the affected vein slowly collapses, and other, healthier veins take over its circulatory role. Embolization is a hospital-based procedure performed by an interventional radiologist.

Most women return to normal activities within a few days. Unlike surgery, embolization leaves no visible scars and avoids the need for a long recovery time. Clinical data shows success rates of 85% or higher, with long-lasting relief for many women. It’s a proven and safe option for lasting relief. 

PCS Evaluations in Chevy Chase, MD 

You don’t have to live with unexplained pelvic pain. Call the Center for Vein Disease at 301-220-8346 to book your consultation with Dr. Sonde now.