In brief
Pelvic Venous Disorder (PeVD), also known as Pelvic Congestion Syndrome (PCS), is a common yet often underdiagnosed cause of chronic pelvic pain in women. It is caused by enlarged, dysfunctional pelvic veins that lead to increased pressure and discomfort.
What is Pelvic Congestion Syndrome?
Pelvic Congestion Syndrome is a condition in which pelvic veins become dilated and fail to properly return blood to the heart. This results in blood pooling in the pelvis, leading to chronic pain and discomfort.
Common Symptoms
- Dull, aching pelvic pain lasting more than 6 months
- Pain that worsens after standing or sitting for long periods
- Increased pain before or during menstruation
- Pain during or after intercourse
- Lower back pain
- Visible varicose veins in the thighs, buttocks, or genital area

Causes and Risk Factors
- Multiple pregnancies
- Hormonal influences (especially estrogen)
- Weak or damaged vein valves
- Family history of varicose veins
- Anatomical variations in pelvic veins
How is PCS Diagnosed?
Diagnosis involves a combination of:
- Clinical evaluation
- Ultrasound
- CT or MRI imaging
- Venography (gold standard for confirming the diagnosis)
Minimally Invasive Treatment: Pelvic Vein Embolization
Pelvic vein embolization is a highly effective, catheter-based procedure performed under local anesthesia. A small catheter is inserted into the vein, and the affected veins are sealed using tiny coils or a medical agent.
Benefits:
- No surgery required
- Performed under local anesthesia
- Minimal downtime
- High success rate in reducing pain
- Quick return to daily activities
Suffering from chronic pelvic pain?
Discover a minimally invasive solution that treats the root cause – without surgery.


