What is PCS?

What is PCS (also known as Pelvic Congestion Syndrome or ovarian vein reflux?) This is a medical condition triggered by internal varicose veins in the pelvis and lower abdomen. Often difficult to diagnose, this post can help you identify and differentiate PCS symptoms from other pelvic conditions to help you find relief.

How Common is PCS?

According to the British Society of Interventional Radiology, PCS is an underlying cause of chronic pelvic pain for as many as 40% of all women. Unfortunately, it's often confused for other conditions, including Polycisystic Ovarian Syndrome (PCOS), Premenstrual Dysphoric Disorder (PMDD) and endometriosis. For that reason, understanding this condition is crucial; it could help you find a faster diagnosis and treatment plan.

What is PCS?

This condition is caused by the build-up of excessive blood in the pelvis, typically due to internal varicose veins. the condition is characterized by dull, aching pelvic pain that persists for extensive periods. Most women develop Pelvic Congestion Syndrome after a previous pregnancy. (Studies have identified additional risk factors.) But you can develop this condition even if you've never been pregnant. While most sufferers are premenopausal, more recent evidence suggests that menopause may not cure the pain. In some cases, women may not even develop symptoms until reaching menopause, suggesting there's more we need to learn about this condition.

Potential Causes

PCS is caused by varicose veins in the pelvis; these form due to valve failure that allows blood to pool, causing dilation and added pressure on your pelvis and pelvic floor muscles. Previous pregnancy is linked to PCS, likely because of the extra blood flow in your pelvis during this time of life. Additionally, the higher levels of estrogen, late-pregnancy injury, or secondary symptoms of May-Thurner syndromes could be the cause of PCS

Signs and Symptoms

PCS causes dull or aching rather than sharp or intense pelvic pain; it worsens throughout the day, especially with exercise, changes in posture or heavy lifting With PCS, you may also experience pain during sex or worsening menstrual symptoms.

PCS can also cause urinary urgency; waking to urinate; and incontinence. Varicose veins of the vagina or vulva may also develop,and Irritable Bowel Syndrome (IBS), chronic fatigue or back pain could also develop or worsen.

Treating PCS

PCS is typically diagnosed via ultrasound, then treated with Pelvic Vein Embolization (PVE) a procedure that's similar to UFE and has been endorsed by the Society of Vascular Surgeons. Perfomed while you're under deep conscious sedation, our specialists use ultrasound guidance to insert a catheter to your problematic pelvic vein. Next, they deposit embolizing material to block the vein or veins, preventing the build-up of blood, allowing the veins to shrink, and resolving your symptoms in the weeks following your procedure.

The journey to PCS relief doesn't have to be a long one. Our highly trained vascular specialists in Georgia can provide prompt diagnosis and treatment. Simply request a consultation [/tx-appt-link]. and we can get you on the road to relief from chronic pelvic pain!