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Pelvic Congestion Syndrome

If you have been living with undiagnosed chronic pelvic pain or been diagnosed with Pelvic congestion syndrome, you do not have to live with chronic pelvic pain forever. Our specialists are experienced in caring for common and complex vein disease.

Pelvic congestion syndrome
Pelvic congestion syndrome is a condition that causes chronic pelvic pain in women in the pelvic area, i.e., the lower part of your belly (abdomen).Veins are blood vessels that carry blood back to the heart.  If the blood cannot flow properly, it builds up and causes veins to dilate. When this happens, the veins in your pelvis, including around the ovaries, can enlarge and change shape, like varicose veins. This may lead to the pain and other symptoms of pelvic congestion syndrome.The enlarged veins in PCS are similar to varicose veins in the legs.

What are the signs and symptoms of Pelvic congestion syndrome?

  • Pelvic pain that lasts at least 6 months
  • Dull, aching pain or heaviness, but may occasionally have sharp pain
  • Pain gets worse when upright or as the day progresses
  • Pain gets worse during menstrual periods
  • Pain worse during or after sexual intercourse
  • Varicose veins in the pelvis are more common on the left side
  • Sometimes the varicose veins may appear on the buttocks, thighs, or vulva.

Risk factors

  • Pregnancy, especially after multiple pregnancies
  • Increased estrogen

1. How is Pelvic congestion syndrome diagnosed?
The doctor will perform a physical exam of the pelvic region and will use imaging such as:

  • Ultrasound
  • MRI
  • CT scan
  • Venography (X-ray with contrast agent to visualise veins)

2. What are the treatments for Pelvic congestion syndrome (PCS)?
Treatment for PCS is focused on reducing chronic and painful symptoms. It can include pain medication, Hormonal medications and Embolisation, a minimally invasive catheter procedure to “plug” the varicose vein.

Embolisation is an innovative, nonsurgical treatment option for Pelvic congestion syndrome. Interventional radiologists close off these weakened veins to re-route the blood circulation around them. During the procedure, the patient is mildly sedated, and a thin catheter is inserted into the vein in the thigh and guided to the enlarged pelvic veins by X-ray guidance. Tiny coils and /or blocking agents are placed in the enlarged pelvic veins to seal the vein. Once the flow of blood through the veins is stopped, the vein shrinks, and the pain reduces. Patients can resume normal daily activities in a short time.

Embolisation Benefits

  • Performed under mild sedation
  • The procedure usually lasts between one and four hours.
  • Day Care Procedure
  • Shorter recovery time
  • The Patient can return to work and normal activities in a short time.

An examination by our experts will determine whether or not you are a suitable candidate for the procedure.

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