CONDITIONS TREATED
Pelvic Congestion Syndrome
FAQ's
- PVD
FAQ about Pelvic Congestion Syndrome
- A condition where pelvic veins become enlarged and congested, causing chronic pelvic pain.
- Often linked to faulty vein valves and hormonal changes, especially post-pregnancy.
- Also known as pelvic venous insufficiency or pelvic varices.
- Dull, aching pelvic pain lasting >6 months.
- Pain worsens when standing, improves when lying down.
- Pain during/after intercourse.
- Heaviness or pressure in pelvis, lower back ache.
- Visible varicose veins on vulva, buttocks, or thighs.
- Possible urinary or bowel irritability.
- Women aged 20–45, especially with multiple pregnancies.
- Those with leg or vulvar varicose veins.
- Pre-menopausal women (due to oestrogen influence).
- Women with unexplained chronic pelvic pain.
- Pelvic ultrasound with Doppler (first-line).
- MRI or CT scan for clearer vein mapping.
- Diagnostic venogram (gold standard; often paired with treatment in the same sitting).
- Exclude other causes like endometriosis or fibroids.
- Conservative: NSAIDs, hormone therapy, lifestyle changes.
- Definitive: Ovarian vein embolisation (minimally invasive, high success rate).
- Rarely: Surgical vein ligation or hysterectomy (for refractory cases).
- Light activity in 1–2 days; most resume normal activities within a week.
- Symptom relief may take 4–12 weeks to fully manifest.
- May contribute to subfertility, but many women conceive successfully.
- Embolisation is uterus- and ovary-sparing.
- Pregnancy after treatment is possible.
- If pelvic pain is persistent, unexplained, worsens with standing, or coexists with varicose veins.
- If initial gynaecology or ultrasound workups are normal.
- Referring GPs/OBGYNs should consider vascular referral when PCS is suspected.
- Gynaecologists
- Vascular surgeons
- Multidisciplinary care is often ideal.
Return quickly to an active lifestyle!
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Take the first step towards healthier veins today. Schedule your consultation with Dr. Darryl Lim, a trusted vascular and varicose vein specialist in Singapore.
Clinic Address
Clinic Hours
Monday to Friday: 9:00 am – 6:00 pm
Saturday: 9:00 am – 1:00 pm
Sunday: Closed
Contact Numbers
Clinic: +(65) 6694-2282
WhatsApp: +(65) 9727-0788
Email: contact@drdarryllim.com
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Dr. Darryl Lim and his dedicated team are committed to providing personalized, compassionate care. Whether you’re dealing with varicose veins, peripheral artery disease, or other vascular conditions, Dr. Lim’s expertise and innovative approach ensure you receive the best possible outcomes.
