Understanding Pelvic Venous Congestion Syndrome: Insight from Monterey Bay Vascular

Pelvic Venous Congestion Syndrome (PCS) is a condition that affects many individuals, causing chronic pelvic pain and discomfort. At Monterey Bay Vascular, we aim to provide comprehensive information about PCS, its causes, symptoms, diagnosis, and treatment options. We aim to provide useful information to help you understand this condition and find ways to manage its symptoms, read full article. 

 Pelvic Venous Congestion Syndrome  (PCS)  

Varicose veins are most common on the feet and legs, but they can also occur in the pelvis causing chronic pelvic pain in women. This condition is known as Pelvic Venous Congestion Syndrome (PCS) or ovarian vein reflux.  

Pelvic Venous Congestion Syndrome Causes: 

The exact cause is often unclear, but it may involve: 

  • Vein issues: Poor vein valve function leads to enlarged veins. 
  • Hormonal changes: Pregnancy or birth control can weaken vein walls. 
  • Genetic factors: Some may have a genetic predisposition, increasing the risk. 

Pelvic Venous Congestion Syndrome Symptoms: 

Symptoms vary and include: 

  • Chronic pelvic pain, a dull, aching sensation. 
  • Discomfort after sitting or standing. 
  • Painful intercourse. 
  • Irregular periods. 
  • Back or leg pain. 
  • Pelvic pressure or fullness. 

Note: Symptom severity varies. 


It can be challenging due to similar symptoms with other conditions. Methods include: 

  • Pelvic Ultrasound: Detects enlarged pelvic veins. 
  • CT or MRI Scans: Provide detailed pelvic images. 
  • Venography: Uses contrast dye to visualize blood flow and identify congestion. 

Living with PCS presents unique challenges, and the journey to relief involves embracing lifestyle adjustments and seeking support. Here’s a closer look at navigating life with PCS: 

 Lifestyle Changes 

Implementing lifestyle changes can significantly impact the management of PCS symptoms. Patients are advised to: 

  • Avoid Prolonged Positions: Standing, sitting, or pain-aggravating activities. 
  • Mindful Exercise: Include gentle pelvic health exercises without strain. 
  • Optimal Rest Positions: Find comfort in lying down or elevating legs. 


Medications are essential for relieving PCS symptoms. Here are some common options. 

  • Pain Relievers: Over-the-counter options provide temporary relief for pelvic pain. 
  • Hormonal contraceptives: Managing symptoms by regulating hormonal fluctuations. 

 Medical Procedures 

When lifestyle changes and medications aren’t enough, medical procedures become crucial. Here are notable interventions. 

QA2Pelvic Venous Embolization: 

A minimally invasive procedure to limit blood flow to abnormal veins, reducing pelvic pain. 


  • Gonadal vein embolization is generally a safe procedure when done by a specialist. 
  • Blocking the unhealthy veins can irritate them, which can cause temporary pain. 
  • The unhealthy veins can come back, or symptoms do not improve in 1 in 10 women. 
  • The special material used to block the vein can go somewhere else in the body in 1-2 in 100 women. 
  • Other rare complications include bleeding or infection at the wound site. 
  • The procedure DOES NOT affect the menstrual cycle or fertility. It does use radiation. 
  • Even though the radiation dose is very small, it could harm the ovaries. 

Injecting a solution into affected veins, causing them to collapse and be reabsorbed by the body.  

Why Choose Monterey Bay Vascular? 

At Monterey Bay Vascular, we offer coordinated care to prevent, diagnose, and treat vascular disease. 
We understand everyone deserves to live a long, happy life. Vascular disease may lead to limb loss and other life-threatening conditions such as pulmonary embolism. Our licensed vascular surgeon uses state-of-the-art tools and technology to tackle all problems related to your vascular system. Thanks to our vast wealth of experience, we also work with our patients to develop a unique solution that fits your needs. Contact us today to learn more about the vascular treatments we offer and schedule an appointment today!   
Taking the Next Step 

Monterey Bay Vascular excels in providing state-of-the-art vascular care. Led by our physician Dr. Mazen Hashisho, a premier vascular surgeon, vein specialist, and dialysis access specialist. Our focus is on tailored, minimally invasive treatments for arterial and venous diseases, as well as dialysis access management. Our team is dedicated to elevating and promoting vascular health across Monterey, Salinas, Aptos and Santa Cruz. 

What We Treat: 

If you’re ready to take the next step towards relief, visit Monterey Bay Vascular for insights and support. Your journey to a life beyond Pelvic Venous Congestion Syndrome begins here. 

Here are a couple of helpful resources related to vascular health:  
Understanding Pelvic Venous Congestion Syndrome: Causes & Symptoms 
Arterial Treatments & Insights from Monterey Bay Vascular 
Deep Venous Thrombosis (DVT): Prevention and Management 

Visit our website at www.montereybayvascular.com to learn more about our services and schedule your appointment. Visit us at 3275 Aptos Rancho Rd Suite A & B, Aptos, CA 95003 or 945 Blanco Cir ste a, Salinas, CA 93901 


What is Pelvic Venous Congestion Syndrome (PCS)? 
PCS is a condition causing chronic pelvic pain and discomfort, often due to varicose veins in the pelvis. 

What are the causes and symptoms of PCS? 
Causes include vein issues, hormonal changes, and genetic factors. Symptoms vary, including chronic pelvic pain, discomfort, painful intercourse, irregular periods, back or leg pain, and pelvic pressure. 

How is PCS diagnosed? 
Diagnosis involves pelvic ultrasound, CT or MRI scans, and venography to detect enlarged pelvic veins and identify congestion. 

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