Pelvic Congestion Syndrome Management

Surgical video: pelvic congestion syndrome occurs when varicose veins develop around the ovaries, similar to varicose veins that occur in the legs. Then: The valves in the veins no longer function normally. This causes blood to back up. The veins become engorged or “congested,” which can be very painful.

Symptoms

Dull, aching or “dragging” pain in the pelvis or lower back, particularly on standing and worse around the time of your menstrual period.

Irritable bladder that sometimes leads to stress incontinence.

Irritable bowel (recurrent abdominal pain and diarrhea alternating with periods of constipation)

How is pelvic congestion syndrome treated?

Progestin hormone drugs, which may relieve pain.

Procedures to shut off damaged veins (sclerotherapy, embolization)

Surgery to remove damaged veins.

Surgery to remove uterus and ovaries.