Pelvic Congestion Syndrome

This condition is also known as pelvic venous insufficiency and is a condition where there is long-lasting pain in the pelvis. This is usually due to accumulation of blood in the veins that empties from the ovaries and uterus. Over time these veins become larger and larger with overflow of blood increasing the sensation of pressure in the pelvis, vulvar and vaginal area. Varicose veins may be noted in unusual places such as the buttocks, vulva, vagina, abdomen and legs.

What are the causes of Pelvic Congestion Syndrome (PCS)?

  • Multiple pregnancies
  • Abnormal levels of hormones
  • Polycystic ovaries
  • Compression and pressure on the left renal vein
  • Chronic venous insufficiency
  • Heredity
  • Previous DVT of the legs


What are the signs and symptoms?

  • Pelvic pain lasting for greater than 6 months and nothing seems to help
  • Lower back pain
  • Sharp or stabbing pain in the pelvis
  • Abnormal vaginal bleeding
  • Painful sexual intercourse
  • Frequent urination
  • Vaginal heaviness
  • Varicose veins on the vulva, buttocks, and thigh


Pelvic congestion syndrome can be easily detected and diagnosed in several different ways. A pelvic ultrasound is the safest and fastest way to diagnose PCS. A CT or MRI may also be used to diagnose PCS.

Treatment of Pelvic Congestion Syndrom

Learn about Ovarian Embolization here