What is Pelvic Venous Disorder or Pelvic Congestion Syndrome?

Pelvic Venous Disorder (PeVD) or Pelvic Congestion Syndrome (PCS) can affect almost 20-30% of all women.

Too often dismissed by family, friends and even doctors as just period pain to live with, this condition has only recently been understood to be caused by varicose veins in and around the uterus, the ovaries, the vagina, and other tissues in the pelvis. While usually seen in women between the ages of 18 and 50 years who have had two or more children, it is also seen in some post-menopausal women and in those who have had multiple cycles of IVF.

Symptoms of Pelvic Congestion Syndrome or Pelvic Venous Disorder

These are symptoms of Pelvic Congestion Syndrome (PCS) or now better termed as Pelvic Venous Disorder (PeVD). The inability to enjoy exercise and leisure, guilt from time off work or away from children and strained personal relationships are the emotional baggage many of these women carry.

Painful periods / Heavy menstrual bleeding.

A constant gnawing ache in the pelvis.

Legs that swell as the period approaches.

An irritable bowel.

The lower back hurts, making it uncomfortable to sit or stand for long periods of time.

Having the urge to pee during odd times.

Pain-killing pills in the day & hot water bottles at night.

Sex is painful and it hurts even more after the intimacy.

What causes Pelvic Venous Disorder or Pelvic Congestion Syndrome?

The symptoms of Pelvic Venous Disorder (PeVD) or Pelvic Congestion Syndrome (PCS) are due to the pooling of low oxygen containing blood in the deeper veins of the pelvis.

But they can also occur in some common gynaecological conditions like endometriosis and fibroids. This often leads to years of confusion with missed diagnoses and failed treatments. We see many patients who have had repeated doctor visits, Ultrasound examinations without the veins being assessed, CT and MRI scans that fail to show the underlying problem and even surgery without improvement.

Where to go for treatment of Pelvic Venous Disorder or Pelvic Congestion Syndrome?

The Venus Clinic is a one-of-a-kind clinic in the region for the management of this distressing condition.

At the Venus Clinic, we understand that you need a team to support you as together we help you claim your life back. Our unique experience in deep vein surgery and in the diagnosis and treatment of the condition, together with collaborating specialists in psychology and pelvic physiotherapy allow us to provide relief and care from pain and discomfort.

Book an Appointment

Call us (8:30am – 5:30pm on weekdays) or send a WhatsApp to +65 8666 9639 or email us at [email protected]. Alternatively, you may fill our enquiry form.

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    Frequently Asked Questions

    What can I expect at the first pelvic health physiotherapy visit?

    Your first pelvic floor appointment will last between 60-90 minutes; it will include a discussion of your health history and the reason(s) for your visit, a thorough orthopedic assessment of the spine, pelvis, abdomen and hips, and an internal vaginal and/or rectal examination. Once the comprehensive assessment is completed, your physiotherapist will inform you of their findings, provide education regarding the pathophysiology and anatomy of their findings, and discuss a treatment plan.

    +65 8666 9639