PCS is a little known chronic medical condition that presents in women. Pelvic congestion syndrome is caused by damaged veins inside of the lower abdominal area. These damaged veins, also known as varicose veins, happen when the valves inside of the veins won’t close properly. This blockage allows blood to flow backward and create pooling inside of the vein. That pressure results in bulging veins. When located in the pelvic area, varicose veins can affect the ovaries, uterus, and vulva.

This condition is ten found because the patient feels a chronic ache aggravated by standing. It is also identified by lasting 6 months or longer nonrelated to the reproductive cycle.

PCS happens in women ages 20 to 50. Other symptoms can include abnormal menstrual bleeding, irritable bladder, vaginal discharge and even visible varicose veins on vulva, thigh, or buttocks. These damaged vein areas are often overlooked and don’t show up on imaging making it tough to diagnose.

If you experience pelvic pain which worsens as the day goes on or specifically when standing yet you can’t seem to get a proper diagnosis come into Tampa Cardiovascular Associates we are happy to work in conjunction with your gynecologist.

How is PCS treated?

Pelvic congestion syndrome is treated using minimally invasive, non-surgical, trans-catheter techniques. Contrast dye may be injected to confirm which veins are affected. If varices are found on venography, they are embolized with small coils or other FDA approved chemical agents.

The procedure is performed under local anesthesia with IV sedation. The blood supply to the veins is blocked by the use of coils and embolic agents. An 80% pain reduction has been reported by those who have undergone this procedure.

The Recovery from PCS Treatment

Treatment is performed in two stages. Stage 2 will be completed two weeks post-treatment stage one. The first visit consists of an overnight admission to the hospital, this is for pain management during the first 24 hours. The patient is then discharged and can recover at home using oral pain medication for the relief of discomfort.

Any pain experienced is most significant during the first three days after either procedure. The second appointment is done outpatient and you may go home on the same day.

Most patients experience a great improvement. It is important to note that in some cases other pelvic veins are also affected and may require further treatment in the future.

If you are experiencing pelvic pain that seems outside the scope of normal monthly reproductive cycle issues, please give us a call at Tampa Cardiovascular Associates at 813-975-2800. www.TampaCardio.com