What are the Symptoms of Pelvic Congestion Syndrome?

What are the Symptoms of Pelvic Congestion Syndrome?

Pelvic Congestion Syndrome (PCS) is a condition characterized by chronic pelvic pain due to varicose veins in the pelvis, similar to varicose veins in the legs. These veins become enlarged and engorged, causing discomfort and pain. The symptoms of pelvic congestion syndrome can vary from person to person, but common signs and symptoms may include:

  • Chronic Pelvic Pain: Persistent, dull, aching pain in the lower abdomen or pelvis, often worsened by prolonged standing or sitting. The pain may also worsen during or after sexual intercourse or menstruation.
  • Lower Back Pain: Aching or discomfort in the lower back, often accompanying pelvic pain.
  • Pelvic Heaviness or Pressure: Feeling of fullness, heaviness, or pressure in the pelvis, especially after standing for extended periods.
  • Worsening Pain Throughout the Day: Pain that typically worsens as the day progresses, especially after standing or sitting for a prolonged time.
  • Pain Relieved by Lying Down: Relief from pelvic pain when lying down, as this reduces pressure on the pelvic veins.
  • Increased Pain During Menstruation: The pain may intensify during menstruation due to hormonal changes and increased blood flow to the pelvis.
  • Abnormal Menstrual Bleeding: Irregular menstrual cycles, heavy menstrual bleeding (menorrhagia), or spotting between periods.
  • Varicose Veins in the Pelvic Area: Visible or palpable swollen veins in the lower abdomen, buttocks, or thighs.
  • Painful Ovulation: Pain or discomfort during ovulation (mittelschmerz).
  • Increased Pain During Pregnancy: Women may experience worsened pelvic pain during or after pregnancy.
  • Urinary Symptoms: Frequent urination, urgency, or a sensation of incomplete bladder emptying.
  • Gastrointestinal Symptoms: Bloating, constipation, or changes in bowel habits.

It’s important to note that symptoms of PCS can overlap with other conditions affecting the pelvic region. If you suspect you may have pelvic congestion syndrome, seeking medical evaluation and diagnosis from a healthcare professional, typically a gynecologist or interventional radiologist, is essential. Treatment may involve lifestyle changes, pain management, hormonal therapy, or minimally invasive procedures to alleviate symptoms and improve quality of life for individuals with pelvic congestion syndrome.

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