Pelvic congestion syndrome (PCS) causes chronic pelvic pain in women due to enlarged veins in the groin and lower abdominal area. Symptoms include lower abdominal pain, painful periods, and varicose veins in the legs. Treatment options include over-the-counter medication, prescription pain medication, antidepressants, acupuncture, physical therapy, and surgery.
Pelvic congestion syndrome (PCS) is a medical condition that typically affects women who have not yet entered menopause. It is usually associated with chronic pelvic pain, however some women may experience no symptoms. The condition is caused by enlarged veins in the groin and lower abdominal area. Varicose, or enlarged, veins are caused by the backward flow and accumulation of blood. This stretches the veins and can cause pain, especially when it occurs near nerves.
Pain in the lower abdominal area is the most common symptom of pelvic congestion. It can get worse during or after intercourse, after prolonged standing, and just before your period. Women may also notice vaginal discharge, painful periods, and a swollen vagina. Other symptoms are tenderness in the lower abdomen, back pain and varicose veins in the legs, as well as depression and a general feeling of lethargy.
It is not known exactly what causes these varicose veins to develop. Often, the condition is associated with pregnancy. It is possible that pregnancy weakens the vein walls and makes you more susceptible to damage.
The hormone estrogen, which rises during pregnancy, can also weaken veins. Pregnant women also gain weight and can retain fluids. This can cause the veins to become engorged with blood.
Patients who suspect they have pelvic congestion may undergo a variety of tests for a correct diagnosis. Your doctor may order an ultrasound, which can detect any abnormalities. X-rays can also be helpful.
The course of treatment for pelvic congestion varies depending on the symptoms the patient experiences and how painful it is. Sometimes, over-the-counter medications, such as ibuprofen or naproxen, are all that is needed to relieve symptoms. If these medications are not enough to relieve the discomfort, the patient can explore prescription pain medication options.
People who wish to avoid prescription pain relievers or experience adverse side effects from them may consider taking an antidepressant. Antidepressants can be helpful in easing the discomfort. They can also help treat any anxiety and depression the patient experiences from pelvic congestion.
Some patients may also explore other solutions, including alternative remedies. Acupuncture can be one method of coping with pain. Your doctor may also recommend physical therapy or transcutaneous electrical nerve stimulation (TENS), which deadens pain impulses received by nerves.
If other treatments are unsuccessful, surgery may be one method of dealing with pelvic congestion. Surgical approaches involve the removal of varicosities or areas of enlargement. Embolization may also be an option. This procedure involves blocking blood vessels and then gradually narrowing them. Before undergoing any procedure, the patient should discuss all potential risks with the surgeon.
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