Pelvic Congestion Syndrome Self Assessment Questionnaire
Take this questionnaire if you have heavy or painful menses; or lower abdominal or pelvic pain on a frequent basis; or varicose veins in the legs; or frequent pain during or after sex; or had piles (haemorrhoids) after pregnancy that have persisted; or have had multiple IVF cycles.
Section 1: Basic PCS score
Please click Yes or No as answers.
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If your Basic PCS score is 2 or more; or if you have pelvic pain or discomfort for 6 months or more with any of the symptoms above – move on to questions in Section 2 – PCS Specific score.
Section 2: PCS-Specific score
Please click Yes or No as answers.
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Your Basic PCS Score
0
Your Specific PCS Score
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Adding the two scores gives your Total PCS score
Your Total PCS Score: 0
| Total: | What this score means for you: |
|---|---|
| PCS Score 0 – 2 |
The chances that you have PCS (a Pelvic Venous Disorder) is very low – you may wish to consult your Family Physician or Gynaecologist first to assess your symptoms |
| PCS Score 3 – 6 |
There is a real possibility that your symptoms may be due to PCS (a Pelvic Venous Disorder) – we at the Venus Clinic will be happy to help assess your symptoms |
| PCS Score 7 – 14 |
There is a very high chance that you are suffering from PCS (a Pelvic Venous Disorder) – you will likely need a full clinical assessment and a PCS Duplex Ultrasound scan to confirm or rule out the diagnosis. |