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What Most Women Don’t Know about Pelvic Congestion Syndrome

Pelvic Congestion Syndrome (PCS), also known as pelvic venous insufficiency or chronic pelvic pain, is a condition that affects many women but remains widely underdiagnosed. This article aims to empower women with knowledge about PCS, its symptoms, causes, and effective treatment options.

The Vascular and Endovascular Clinic (VEC) understands the challenges with pelvic congestion syndrome. Our clinic offers comprehensive diagnostic tools and minimally invasive treatment options to alleviate symptoms and improve your quality of life.

Who Is at Risk of Pelvic Congestion Syndrome

Pelvic congestion syndrome causes problems with blood flow in the pelvic veins. During pregnancy, increased blood flow to the pelvic organs is normal. However, some veins may fail to return blood efficiently after pregnancy, leading to blood pooling and congestion.

Other Risk Factors

  • Hormonal imbalances: Fluctuations in estrogen and progesterone levels can affect vein function.
  • Pelvic floor weakness: Weak pelvic floor muscles can impair blood flow in the pelvic region.
  • History of pelvic inflammatory disease (PID): PID can damage pelvic veins and increase the risk of congestion.
  • Endometriosis: Endometrial tissue outside the uterus can irritate and compress pelvic veins.
  • Uterine fibroids: These benign uterine growths can compress pelvic veins and contribute to blood flow issues.

What Are the Symptoms of Pelvic Congestion Syndrome

The common symptom of pelvic congestion syndrome is chronic pelvic pain, described as a dull ache or throbbing sensation in the lower abdomen or lower back. This pain can worsen with certain activities like standing for extended periods, sexual intercourse, and straining during bowel movements.

Female pelvic congestion syndrome symptoms may also include:

  • Pain during menstruation
  • Painful intercourse
  • Vaginal heaviness
  • Increased urinary urgency or frequency
  • Varicose veins in the vulva or inner thighs
  • Difficulty achieving orgasm

While pelvic congestion syndrome doesn’t directly impact fertility in most cases, some women with PCS may experience pain during ovulation or intercourse, which can indirectly affect their ability to conceive.

At the Vascular and Endovascular Clinic, we can discuss pelvic congestion syndrome fertility concerns and your symptoms. Our comprehensive approach allows us to explore all options and create a treatment plan that addresses both issues and empowers you to reclaim your well-being.

How To Find Relief: Diagnosis and Treatment Options for Pelvic Congestion Syndrome

Our experienced vascular specialists use a comprehensive approach to diagnose pelvic congestion syndrome.

Detailed consultation: Our specialists actively listen to your concerns and ask questions to understand your experience with pelvic pain.

Physical examination: An in-depth pelvic exam can help identify potential causes of pelvic pain, such as uterine fibroids or endometriosis.

Imaging techniques: VEC offers access to the latest imaging technologies, such as pelvic ultrasound or venography. These tests provide detailed images of your pelvic veins to assess blood flow patterns and pinpoint blockages.

Once a diagnosis is confirmed, the VEC team will collaborate with you to develop a personalised treatment plan tailored to your specific needs. An effective treatment approach for PCS is personalised based on the severity of your symptoms and the underlying cause.

Pelvic Congestion Syndrome Treatment

  • Medications like hormonal therapy or blood thinners to manage symptoms and improve blood flow.

  • Pelvic vein embolisation blocks problematic veins, reroutes blood flow, and alleviates congestion.

  • Guidance on maintaining a healthy weight, participating in regular exercise programs, and avoiding activities that worsen symptoms to improve overall well-being.

Our experienced vascular specialists can discuss various treatment options tailored to your needs.

When to Seek Medical Attention For Pelvic Congestion Syndrome

Chronic pelvic pain lasting for three months or longer shouldn’t be dismissed as “normal.” Aside from pelvic pain, pelvic congestion syndrome can manifest in other ways that might not be obvious.

  • Changes in the menstrual cycle, such as heavier bleeding, irregular periods or pelvic pain, intensify during your period.

  • Increased urinary urgency or frequency, or even pelvic pain during urination.

  • Discomfort or pain during sexual intercourse can significantly impact your intimacy and quality of life. PCS can contribute to this issue.

  • Pain or discomfort can make it challenging to achieve orgasm, adding another layer of frustration to your experience.

The Vascular and Endovascular Clinic's Tailored Approach to Pelvic Congestion Syndrome

Pelvic congestion syndrome (PCS) can be a frustrating and isolating experience. Chronic pain and discomfort can impact your daily life and overall well-being. We want you to know that there is hope. Vascular and Endovascular Clinic offers a supportive environment and effective treatment for pelvic congestion syndrome to help you reclaim your well-being.

Our compassionate team of vascular specialists takes the time to listen to your concerns and develop a personalised treatment plan tailored to your specific needs. We use diagnostic tools and minimally invasive procedures, like pelvic vein embolization, to address the underlying cause of PCS and alleviate your symptoms.

Schedule a consultation with VEC today to explore your treatment options for pelvic congestion syndrome.

Dr Tang is highly regarded for his specialised clinical interests and skills in a wide range of vascular conditions.
Dr Wong is highly regarded for his specialised clinical interests and skills in a wide range of vascular conditions.

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