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Are you a woman who’s been told your pelvic pain is “normal” or “just part of being a woman”? You’re not alone—and you might be living with a condition that’s underdiagnosed, misunderstood, and very treatable.
It’s called Pelvic Congestion Syndrome (PCS), and at the Vascular Institute of Chattanooga, we want to help women finally find answers—and relief.
What Is Pelvic Congestion Syndrome?
Pelvic Congestion Syndrome is caused by varicose veins deep in the pelvis. Just like varicose veins in the legs, these weakened, swollen veins allow blood to pool, causing pressure, pain, and discomfort in the lower abdomen and pelvic area.
These veins often become problematic due to hormonal changes, multiple pregnancies, or genetic predisposition—and PCS tends to affect women in their 20s to 50s, especially those who have had more than one child.
Why PCS Is Often Missed in Women
One of the biggest challenges with PCS is that it mimics other conditions like endometriosis, fibroids, or bladder problems. Many women suffer for years before getting the right diagnosis.
Why it’s overlooked:
- Symptoms are chronic but vague
- Imaging like pelvic ultrasounds often miss the deeper vein issues
- Not all providers think to check for vascular causes of pelvic pain
At VIC, we specialize in vascular disorders and know what to look for when it comes to PCS.
Common Symptoms of Pelvic Congestion Syndrome
PCS symptoms can range from mild to life-disrupting, and they often worsen throughout the day or after standing for long periods:
- Chronic, dull pelvic pain (often worse after standing or during menstruation)
- Pain during or after sex
- Visible varicose veins on the buttocks, upper thighs, or vulva
- Feeling of fullness or pressure in the pelvis
- Frequent or urgent urination
These symptoms often improve when lying down, which is a major clue PCS could be the cause.
What Causes PCS?
Pelvic vein dysfunction happens when the valves in the ovarian or pelvic veins weaken, allowing blood to flow backward and pool. This leads to pressure and inflammation in the pelvic region.
Common risk factors include:
- Multiple pregnancies
- Hormonal changes (estrogen makes veins more likely to stretch)
- Family history of varicose veins
- Prolonged standing
- History of chronic pelvic pain with no clear cause
How VIC Diagnoses and Treats PCS
At the Vascular Institute of Chattanooga, we use advanced imaging techniques to diagnose PCS, including:
- Pelvic venous ultrasound
- CT or MR venography
- Diagnostic venograms (minimally invasive procedures that map the pelvic veins)
If PCS is confirmed, we offer minimally invasive treatments like:
✅ Pelvic vein embolization – A quick outpatient procedure that seals off the problematic veins using tiny coils or agents, restoring proper blood flow and relieving pressure.
✅ Lifestyle counseling to help manage symptoms and improve circulation.
Relief Is Possible—And You Deserve It
If you’ve been living with chronic pelvic pain and no clear answers, don’t settle for “just dealing with it.” Pelvic Congestion Syndrome is real—and treatable.
👉 Call the Vascular Institute of Chattanooga today to schedule your evaluation.
📍 No referral is needed, and appointments are available within 1–3 days.
