Managing Pelvic Congestion Syndrome (PCS)

Pelvic or belly pain that is present for more than six months is a sign of a serious condition called pelvic congestion syndrome (PCS).

belly pain

PCS is a condition where the blood in the ovarian vein flows back into the ovaries due to malfunctioning valves as a result of genetics or childbirth. This leads to the eventual dilation of the blood vessel and pain in the pelvic region. Lack of ovarian circulation leads to blood-engulfed veins on top of the thighs or in the groin.


The symptoms may vary from dull, aching pain in the lower abdomen, made worse by prolonged periods of sitting or standing. A woman might experience a feeling of fullness in her legs. The intensity of the pain may vary depending on the phase of the menstrual cycle they are in. A woman may also experience pain while passing urine (dysuria) and while having sex (dyspareunia) – which can lead to them avoid intercourse.

In some cases, a catheter is inserted into the thigh or groin, targeting non-functional veins using a sealing solution. Blood pooling stops, returning veins to normal size.

Lifestyle Management Tips

Minimised congestion in the veins and pain can be achieved through a number of lifestyle, supplemental and dietary measures.

Pelvic Congestion Syndrome

  • Chronic pain can take over a woman’s life, but experts advise staying active, working, and engaging in physical activity, including low-impact aerobics. A brisk morning walk or run would be preferable as there is often less pain and congestion in the morning. Alternatively, swimming or cycling may be good alternatives. Studies have suggested that physical therapy and exercise may be effective for chronic pain relief.
  • Dietary recommendations include a high fibre diet including wholegrain rice, cereals, beans and legumes
  • Minimising caffeine and soft drinks
  • Increased water intake 
  • Herbal tea is also beneficial like, Raspberry leaf tea. Grape seed also help with congestion and the toning of veins.

Oligomeric proanthocyanidins (OPCs) are a type of phytonutrient with antioxidant properties that help protect capillaries, by helping to reduce the breakdown of collagen and maintain strength and tone in veins. OPC’s are found in berries and fruits, such as blueberries and grapes.

Sometimes physical therapists target specific points of pain using a medical instrument called transcutaneous electrical nerve stimulation (TENS). TENS delivers electrical impulses to nearby nerve pathways.



The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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