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Pelvic congestion syndrome (PCS) is a common condition in women that causes chronic pelvic pain

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Pelvic Venous Congestion Can Be Treated

Some patients with pelvic congestion syndrome have an underlying yet correctable problem that needs to be considered in the evaluation of the patient. The first thing you can do is write down your symptoms.

Pelvic Venous Congestion Syndrome

Nearly 25% of women who visit an OB/GYN for pelvic pain have pelvic congestion syndrome. If not treated properly, it can be debilitating. This is often secondary to compression of the iliac vein in the abdomen.

Tests Performed By The Vascular Specialist

Pelvic ultrasound to look for growths in the pelvis, Doppler ultrasound to check the blood flow in the pelvic blood vessels, CT scan or MRI for more detailed pictures, Diagnostic laparoscopy to rule out other causes of pelvic pain, Venography.


Women can develop pelvic congestion syndrome when varicose veins develop around the ovaries. The valves in these varicose veins can stop functioning properly, causing blood to flow backward, which will cause congestion. Multiple pregnancies, Polycystic ovaries.

How Is Pelvic Congestion Syndrome Treated?

When pelvic vein reflux is the direct cause of your pelvic venous congestion, our vascular specialists and vein doctors will discuss both medical and minimally-invasive treatment options:

  • NSAIDs: Treatment with nonsteroidal anti-inflammatory drugs may help relieve the patient’s pain in the short term. Analgesia is a good first-line option
  • Hormonal treatments
  • Pelvic ovarian vein embolization: This is a minimally invasive treatment that is safe and can be done as a day case. You come in for the procedure in the morning and can leave a few hours later the same day.
  • In most cases, the ovarian vein is the cause of the varicose veins. However, other pelvic veins, such as internal iliac veins, internal pudendal veins, obturator veins, and ischial veins, may also be responsible and will need treatment as well.
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Seeking Treatment for Pelvic Venous Congestion Syndrome?

When you schedule a consultation at Vein Specialist Centers in Princeton for pelvic congestion syndrome, you will be meeting with Dr Alissa Brotman, a board-certified vascular surgeon and vein specialist. She is a Harvard graduate and currently serves as the President of the New Jersey Vascular Surgical Society. She is an experienced vascular surgeon who is comfortable with the diagnosis and management of pelvic congestion syndrome using the latest technologies.

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