What is Pelvic Congestion Syndrome?

By October 4, 2017Gynaecology

Pelvic congestion syndrome is a common cause of chronic pelvic pain in women, that is, non-cyclic pain that lasts more than 6 months.
Pelvic Congestion Syndrome

What is pelvic inflammatory syndrome? Let’s take a look at the symptoms, causes and risk factors and treatments of the condition.

As its name might suggest, pelvic congestion syndrome occurs when blood accumulates in veins of the pelvis, which can become dilated and congested. These are called varicose veins. Pelvic congestion syndrome is similar to varicose veins in the legs, which is the most prevalent instance of the condition.

Pelvic congestion syndrome is quite common in all women of childbearing age, however, may go undiagnosed as it often does not present symptoms until during or after pregnancy.

Symptoms of Pelvic Congestion Syndrome

The chronic pain that is associated with pelvic congestion syndrome is usually a constant dull ache. It can also be sharp and throbbing.

Pain is usually felt in pelvic region, lower back and legs and is usually worse during or after sexual intercourse, during the menstrual periods, or at the end of the day after prolonged periods of sitting or standing, or after physical activity.

Other symptoms may include:

• Frequent of urination
• Visible varicose veins on vulva, buttocks or thighs
• Abnormal periods
• Mood swings
• Fatigue
• Bloating

Causes and Risk Factors of Pelvic Congestion Syndrome

The cause of pelvic congestion syndrome is similar to that of varicose veins in the legs: the mechanisms in the the veins that pump to return blood to the heart against the effects of gravity become weakened. Blood flows backwards and pools, causing pressure and bulging veins.

The exact cause of varicose veins is currently unknown, however, it is believed to be linked with heredity, pregnancy, obesity, menopause, aging, prolonged standing, and injury or abdominal straining.

Pelvic congestion syndrome is most prevalent in women younger than 45 and who are pregnant or have previously had children.

Other risk factors include:

• Two or more pregnancies
• Hormonal increases
• Varicose leg veins
• Hormonal dysfunction

Treatment of Pelvic Congestion Syndrome

Treatment of pelvic congestion syndrome is often nonsurgical and minimally invasive, using techniques such as embolisation, a procedure that employs a catheter to “plug” the varicose vein; hormone therapy, or prescribing nonsteroidal anti-inflammatory drugs.

If you are suffering from pelvic pain and would to book an appointment, please get touch in today.

Dr Bevan Brown is one of the most trusted gynaecologists in the Hills District of Sydney. We will strive to give you guidance and compassionate care in every way possible.