Pelvic Pain

Chronic pelvic pain is a prevalent issue in women, often attributed to various causes, including Pelvic Congestion Syndrome (PCS).

What Is Pelvic Congestion Syndrome?

Persistent pelvic pain may arise from vein-related complications in a woman's lower abdomen, a condition known as Pelvic Congestion Syndrome (PCS). Factors contributing to impaired vein function can lead to the enlargement and alteration of pelvic veins, resembling varicose veins. PCS-related pelvic pain is common among women, particularly those who have recently been pregnant, and tends to intensify with subsequent pregnancies.

Symptoms of PCS

The primary indicator of PCS is chronic pelvic pain lasting 6 months or more.

Additional symptoms may include:

  • Dull pain in the lower back and abdomen during sitting or standing.
  • Irritable bowel and/or bladder.
  • Bulging veins in the pelvic region.
  • Increased pain during standing, walking, or intercourse.
  • Heightened pain during menstrual periods.
  • Sudden urges to urinate unexpectedly.

While chronic pelvic pain might be the primary warning sign, it's essential to consult with Dr. Reynolds if you experience any PCS-related pain.


Pelvic pain or discomfort during intercourse can result from various conditions affecting the intestines, urinary bladder, or female reproductive organs. Some women with chronic pelvic pain have undiagnosed venous disorders, often overlooked for years.


Symptoms, including worsening pain during menstruation, prolonged pain after intercourse, enlarged veins in the pubic or labial area, and potential leg pain or swelling with exercise, may indicate venous disorders. Persistent unexplained pelvic pain may necessitate an abdominal/pelvic venous color duplex ultrasound for a detailed assessment of venous flow. This specialized, non-invasive study, offered by select ultrasound facilities, can diagnose venous obstruction or reflux. Minimally invasive treatments following diagnosis often lead to a significant improvement or resolution of symptoms.

Contact our office at 615.716.VEIN to schedule an appointment today.

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