Pelvic Congestion Syndrome
What is pelvic congestion syndrome (PCS)?
PCS is a painful condition caused by enlarging veins within the pelvis. It often goes undiagnosed because the symptoms are similar to many other conditions, including uterine fibroids, ovarian cysts, endometriosis and cystitis (bladder inflammation). Women of childbearing age and who have had more than one pregnancy are at the highest risk for developing PCS.
The most common symptom of PCS is a heavy, aching pelvic pain that lasts longer than 6 months. It typically starts during or after a pregnancy, and may worsen over time. MRI is the best non-invasive test to formally diagnose this condition. Pelvic venography is also an accurate test, and requires the injection of an x-ray dye into the veins.