Pelvic Congestion Syndrome: Understanding, Diagnosing, and Treating a Hidden Cause of Chronic Pelvic Pain

 "Pelvic congestion syndrome can cause chronic pelvic pain in up to 40% of women." - Top Doctors

What Is Pelvic Congestion Syndrome?

Pelvic congestion syndrome is a frequently overlooked cause of chronic pelvic pain, often affecting women of childbearing age. It occurs when veins in the pelvis become enlarged and twisted, much like varicose veins in the legs, leading to persistent and sometimes debilitating discomfort. If you or someone you know has struggled with unexplained pelvic pain, especially pain that worsens when standing or after intercourse, pelvic congestion syndrome could be the culprit.

Why Does Pelvic Congestion Syndrome Happen?

The root of pelvic congestion syndrome lies in the malfunction of valves within the pelvic veins. Normally, these valves help blood flow back toward the heart. When they fail, blood pools in the veins, causing them to dilate and become congested. Hormonal changes, especially those related to pregnancy and estrogen, can weaken vein walls, making this condition more likely in women who have had multiple pregnancies.

Recognising the Symptoms

Pelvic congestion syndrome isn’t just about pain-it’s about a specific pattern of discomfort that disrupts daily life. Common symptoms include:

  • Dull, aching pain in the lower abdomen or pelvis, often worse at the end of the day or after prolonged standing

  • Pain that intensifies during or after sexual intercourse

  • Heaviness or pressure in the pelvis and legs

  • Visible or sore veins around the genitals, thighs, or buttocks

  • Low back pain and, occasionally, abnormal menstrual bleeding

If you have more than two of these symptoms, especially if the pain has lasted over six months, it’s time to consider pelvic congestion syndrome as a possible diagnosis.

Who Is at Risk?

  • Women aged 20–45, especially those with multiple pregnancies

  • Those with a retroverted (tipped) uterus

  • Women with a family history of varicose veins or hormonal imbalances

How Is Pelvic Congestion Syndrome Diagnosed?

Diagnosis can be tricky. Pelvic congestion syndrome often masquerades as other conditions, so doctors must rule out infections, fibroids, endometriosis, and more. The process may include:

  • Pelvic ultrasound (often transvaginal with Doppler) to assess blood flow in pelvic veins

  • CT or MRI scans for detailed imaging

  • Venography, considered the gold standard, to visualize pelvic vein abnormalities

  • Sometimes, diagnostic laparoscopy if other tests are inconclusive

Treatment Options: Relief Is Possible

The good news? Effective treatments exist! Depending on severity and personal needs, options include:

  • Medications to regulate hormones and ease pain

  • Minimally invasive procedures like embolization, which seal off problematic veins

  • Surgery to remove or tie off damaged veins in severe cases

  • Lifestyle changes, such as avoiding long periods of standing and managing weight

Many women experience significant relief after embolization, a procedure performed by a pelvic congestion syndrome specialist near me.

Why Early Diagnosis Matters

Untreated, pelvic congestion syndrome can significantly impact mental health and quality of life, leading to anxiety, depression, and ongoing pain. If you suspect you have congested pelvic veins, don’t wait-seek a comprehensive evaluation.

Take the Next Step

If you’re searching for answers or a pelvic congestion syndrome specialist near me, visit the vascular and interventional centre’s comprehensive guide for more information and support.

Still have questions about pelvic congestion syndrome or want to know more about treatment options? Let me know what you’d like to explore next

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