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Pelvic Congestion Syndrome (PCS) is a chronic medical condition in women caused by varicose veins in the lower abdomen. This results in lower abdomen/pelvic pain, that gets worse on prolonged sitting or standing. This pain is also worse just before the onset of menses. Pelvic pain is common and debilitating condition in women of reproductive age and accounts for 10-15% of the outpatient gynecological visits. It can negatively affect the quality of life and personal relationships of women, and result in physical and psychological suffering.

Reflux duplicate
Reflux duplicate
Duplicated left ovarian
Left  varian vein leading
vein with no reflux

*Photo courtesy of Dr. Sidhu

The underlying cause of PCS is dilation of the ovarian and/or pelvic veins, causing the valves in the veins to fail and pooling of blood in the veins in pelvic region.

It can be diagnosed by a vascular ultrasound designed to look at the ovarian and pelvic veins. Once the diagnoses is made the treatment involves venogram and embolization of the veins depending on the ultrasound findings.


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