Pelvic Venous Congestion

Chronic Pelvic Pain
Caused by Varicose Veins

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

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 backwards, 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 for 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, it is the ovarian vein that is the cause of the varicose veins. However, other pelvic veins such as veins such as internal iliac veins, internal pudendal veins, obturator veins and ischial veins may also be responsible and will need treatment as well.

Seeking Treatment for Pelvic Venous Congestion Syndrome?

When you schedule a consultation at Vein Wellness Clinics 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 with comfort in the diagnosis and management of pelvic congestion syndrome using the latest technologies.

Contact Us

Whether it’s to book a consultation at one of our centers or you have questions / concerns that need more immediate assistance, please reach out. We’d be more than happy to assist.

    Our offices

    We pride ourselves on providing the best spider vein and varicose vein treatments to patients in New Jersey.

    01. Princeton

    10 Forrestal Road South
    Princeton, NJ

    02. Edison

    3848 Park Avenue, Ste 101
    Edison, NJ

    03. Mt. Laurel

    4000 Church Road
    Mt. Laurel, NJ

    04. Paramus

    2 Sears Drive, Ste 101
    Paramus, NJ

    05. Clifton

    905 Allwood Road, Ste 105
    Clifton, NJ

    06. Wayne

    342 Hamburg Turnpike, Ste 202
    Wayne, NJ

    07. Freehold

    501 Iron Bridge Road, Ste 2
    Freehold, NJ

    We’re here to assist, call us at (609) 257-2095 or chat with us