Pelvic Congestion Syndrome
Pelvic Congestion Syndrome (PCS) is a common but often overlooked cause of pelvic pain. Embolization offers a safe, minimally invasive solution that restores comfort and improves quality of life.
What Is Pelvic Congestion Syndrome?
PCS is caused by enlarged, varicose-like veins in the pelvis. These veins have faulty valves that allow blood to pool, leading to pressure, swelling, and pain.
How common is it?
- Accounts for up to 30% of chronic pelvic pain cases in women
- Often affects women who have had multiple pregnancies
- Frequently underdiagnosed due to overlapping symptoms with other conditions
Common symptoms include:
- Dull, aching pelvic pain lasting more than 6 months
- Pain that worsens after standing, at the end of the day, or during menstruation
- Pain during or after intercourse
- Visible varicose veins in the buttocks, thighs, or vulva
Why Treat PCS?
Chronic pelvic pain can take a toll on daily life, relationships, and emotional well-being. Left untreated, PCS can continue for years. Many women are told “nothing is wrong” or offered only pain medication.
Treatment is recommended if:
- Pain interferes with your daily activities
- Other causes of pelvic pain have been ruled out
- You want a lasting solution beyond temporary symptom management
What Is PCS Embolization?
Pelvic vein embolization is a minimally invasive procedure that closes off the abnormal veins causing pain. Using imaging guidance, an interventional radiologist inserts a catheter and places coils or embolic agents into the enlarged pelvic veins. This reduces pressure, relieves pain, and redirects blood flow through healthy veins.
Why women choose embolization:
- Outpatient procedure, home the same day
- No large incisions or hospital stay
- Quick recovery with minimal discomfort
- Proven long-term pain relief
How Does PCS Embolization Work?
Here’s what the process looks like:
- Consultation: We review your history, symptoms, and imaging (often ultrasound, MRI, or CT) to confirm PCS.
- Procedure: A tiny catheter is inserted (usually in the groin or neck) and guided into the pelvic veins.
- Treatment: Embolic coils or agents are placed to block abnormal blood
- Recovery: Most patients go home within hours and resume normal activities in a few
PCS Embolization vs. Surgery
| Embolization | Surgical Options | |
| Hospital Stay | Outpatient, home same day | Hospital stay required |
| Recovery | Few days | Weeks |
| Incisions | Tiny puncture | Larger abdominal or laparoscopic incisions |
| Effectiveness | High pain relief rates | Variable, often with higher risks |
What to Expect
Before
Your doctor will confirm diagnosis with imaging and rule out other causes of pelvic pain. We’ll review your health history and answer all your questions.
During
The procedure takes about 1 hour under light sedation. You’ll remain comfortable and awake, with no general anesthesia needed.
After
- Mild soreness for a few days
- Back to work and light activity in 2–3 days
- Pain relief often begins within weeks, with continued improvement over several months
Is PCS Embolization Right for You?
You may benefit from embolization if you:
- Have pelvic pain lasting longer than 6 months
- Notice pain worsens after standing, menstruation, or intercourse
- Have visible varicose veins in the pelvic or thigh area
- Have tried other treatments without relief