Pelvic Congestion Syndrome: A Hidden Cause of Chronic Pelvic Pain
Pelvic congestion syndrome (PCS) is essentially varicose veins inside the pelvis. It's an under-recognized cause of chronic pelvic pain — and, like leg varicose veins, it stems from failed vein valves.
What is pelvic congestion syndrome?
In PCS, the veins draining the ovaries and pelvis develop valve failure, allowing blood to pool. The resulting congestion causes a chronic, dull pelvic ache. It's most common in women who have had multiple pregnancies.
Symptoms
The hallmark is chronic pelvic pain lasting more than six months that worsens with standing, late in the day, and around menstruation, and eases when lying down. Some women also notice varicose veins around the vulva, buttocks, or upper thighs.
Why it's often missed
Because the affected veins are internal, PCS is frequently overlooked, and symptoms overlap with other gynecologic conditions. Diagnosis usually involves ultrasound and sometimes specialized venous imaging.
How it's treated
The most common treatment is embolization — a minimally invasive procedure that seals the faulty pelvic veins, much as leg veins are closed. Many women experience meaningful relief afterward. If you have unexplained chronic pelvic pain alongside visible veins, ask about a venous cause.
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Check your symptoms →Frequently asked questions
Is pelvic congestion syndrome related to varicose veins?
Yes — it's the same underlying problem (failed vein valves and pooling blood) occurring in the pelvic veins instead of the legs.
How is pelvic congestion syndrome diagnosed?
Through a combination of symptom history and imaging, often pelvic and venous ultrasound, sometimes with additional venography.
Can pelvic congestion syndrome be treated?
Yes — embolization to close the faulty veins is the most common treatment and provides relief for many women.
Medical disclaimer: This article is for general education only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with questions about a medical condition. SOLVEIN is an investigational device and is not FDA-cleared.