Pelvic Congestion Syndrome (PCS) is a chronic condition that causes persistent pelvic pain in women, caused by enlarged and poorly functioning veins in the pelvic region similar to how varicose veins develop in the legs. It primarily affects women of childbearing age and is one of the most underdiagnosed causes of long-term pelvic pain.
It happens mostly in women of childbearing age. It may be more common in women who have given birth to more than one child.
Healthcare providers are trying to understand the possible causes of pelvic congestion syndrome. Enlarged veins in the pelvis seem to play a major role. But many women have enlarged veins and no symptoms. Pregnancy may increase the risk for pelvic congestion syndrome. This is because veins enlarge during pregnancy to support the increased blood flow. This can permanently enlarge the veins and lead to symptoms.
Hormones may also play a role in pelvic congestion syndrome. Estrogen makes veins wider (dilates). This may be why the condition is not common after menopause. Estrogen levels are lower after menopause. Other hormones may also cause veins to grow wider and cause symptoms.
You may have a higher risk for pelvic congestion syndrome if you have given birth to more than one child. You may also have a higher risk if other members of your family have it.
You may be at higher risk if you:
The main symptom of pelvic congestion syndrome is pelvic pain that lasts at least 6 months. This pain often first starts during or after a pregnancy. It may worsen after a later pregnancy. The pain may be a heavy or aching feeling. Or the pain may be sharp. Usually the pain is only on one side, usually the left side. At times you may feel it on both sides. The pain is often worse at the end of the day.
Important: PCS symptoms can overlap with other conditions such as uterine fibroids and endometriotic ovarian cysts. A proper diagnosis is essential before starting any treatment.
The most effective treatment for PCS is Ovarian Vein Embolization a minimally invasive, image-guided procedure that closes off the faulty veins, stopping blood from pooling and relieving pain without any surgery.
This is the same trusted embolization technique used in our Uterine Fibroid Embolization and Hemorrhoidal Artery Embolization procedures all performed by our expert interventional radiologists.
Ovarian vein embolization is a minimally invasive outpatient procedure that:
With ovarian vein embolization, you can expect:
You may be a good candidate if you:
Women with related reproductive conditions are also encouraged to explore our Fallopian Tube Recanalization and Endometriotic Ovarian Cyst Ablation services available at IRCC.
I was facing severe fibroid symptoms that were affecting my daily life. After undergoing Uterine Fibroid Embolization, my condition improved remarkably without surgery. The procedure was comfortable, and recovery was very quick. I truly appreciate the care and professionalism of the medical team.
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I had been dealing with discomfort due to varicocele for a long time. The embolization procedure was simple and minimally invasive, and I experienced relief within a short period. The doctors explained everything clearly and made the entire process stress-free. Highly satisfied with the results.
I was worried about thyroid treatment options until I learned about Radiofrequency Ablation. The procedure was safe, painless, and required no surgery. My symptoms improved significantly, and recovery was smooth. I highly recommend this treatment and the medical team.
My leg pain and visible veins were getting worse, but Varicose Vein Ablation completely changed my condition. The treatment was quick, and I was able to walk normally the same day. Excellent experience and very professional medical care.
While not life-threatening, PCS causes chronic pain that significantly affects daily life, work, and relationships. It is frequently misdiagnosed or dismissed. Early, accurate diagnosis and treatment can provide lasting relief and dramatically improve quality of life.
Yes. PCS symptoms overlap with conditions like uterine fibroids, endometriotic ovarian cysts, irritable bowel syndrome, and urinary tract issues. This is why a thorough diagnostic workup including Doppler ultrasound and venography is essential before treatment.
The procedure typically takes 60 to 90 minutes and is performed on an outpatient basis. No overnight hospital stay is required patients go home the same day.
Many patients notice significant improvement within a few weeks as the treated veins shrink and blood is rerouted. Full relief is generally achieved within 2 to 3 months of the procedure.
Recurrence is uncommon. With a 90% success rate, ovarian vein embolization provides durable, long-term symptom relief for the majority of patients at IRCC.
The procedure does not involve the uterus or fallopian tubes. However, future pregnancy plans should be discussed individually with your IRCC interventional radiologist before proceeding. Women with fertility-related concerns may also benefit from our Fallopian Tube Recanalization service.
Most patients return to light daily activities within 2 to 5 days. Full recovery is typically achieved within 1 to 2 weeks significantly faster than surgical alternatives.
Pelvic congestion syndrome in its classic form affects women. However, men can develop a related condition called varicocele enlarged veins around the testicles which is also treated with embolization at IRCC.
Both conditions involve the same underlying problem weakened vein valves causing blood to pool. Varicose veins affect the legs, while PCS involves the pelvic veins. Both are treated with minimally invasive procedures at IRCC.
IRCC is Pakistan's leading interventional radiology center, offering the full spectrum of minimally invasive vascular treatments from PCS and uterine fibroids to prostate artery embolization performed by experienced interventional radiologists using state-of-the-art imaging technology.
For decades, women with uterine fibroids, or benign growths inside the uterus, commonly have been offered two options to manage the symptoms—get a hysterectomy, or just deal with the pain.
Male infertility often involves low sperm count. Varicocele, swollen veins within the testicles, is a common contributor and can impact sperm health.
Varicose veins are bulging, twisted veins that can be seen and felt right under the skin. They commonly occur on the legs, and are present in up to 30% of people.
