What are pelvic varicose veins?
Pelvic congestion syndrome (PCS) is a chronic condition in women that causes a dull, persistent pain in the pelvic area. It is thought to be caused by varicose-type veins that have developed in the pelvic area. These dilated pelvic and ovarian veins are thought to contribute to chronic pelvic pain in some women.
Prognosis of pelvic varicose veins
PCS is not life-threatening, but it can affect your quality of life if you are dealing with chronic pain and the resulting symptoms. However, the symptoms of PCS vary in severity, so just because you are diagnosed with PCS does not mean you will definitely experience the range of symptoms and pain. Treatments are available to make the symptoms more bearable.
Pelvic varicose vein symptoms
The main symptoms of PCS are:
- pelvic pain in the lower abdomen
- Pain during menstruation and sexual intercourse
- Back pain
- Pain that worsens when standing for long periods of time
- Pain in late pregnancy
- Increased urination
- Visible, swollen veins around the genital area
Pelvic or back pain is a common symptom.
Medical tests to diagnose pelvic varicose veins
PCS can be difficult to diagnose, but ultrasound is often used first if it is suspected. CT scans and MRI scans may also be used to evaluate the pelvic region for dilated veins. Laparoscopy may be required to examine the pelvis.
What are the causes of pelvic varicose veins?
The exact cause of PCS is unknown, but an inherited element is thought to be important, and women whose mother experienced PCS are more likely to develop the condition. Women who already have children are also more likely to develop PCS, and it is possible that pregnancy could play a role in the development of PBS. This is because during pregnancy it is believed that hormonal changes and alterations in a woman’s pelvis weaken the surrounding blood vessels, increasing the likelihood that they will swell and dilate.
Treatments for pelvic varicose veins
Treatments for pelvic congestion syndrome aim to provide symptom relief. Chronic pain can be relieved with certain pain medications and nonsteroidal anti-inflammatory drugs, however, these are not always appropriate in the long term. Pelvic vein embolization has also shown promise in relieving symptoms of PCS. Embolization blocks the veins believed to cause the most pain and discomfort.
What type of specialist treats pelvic varicose veins?
Obstetricians and gynecologists would treat pelvic congestion syndrome.