Pelvic Congestion Syndrome

Pelvic Congestion Syndrome (PCS) is one of the most common causes of chronic pelvic pain, particularly in women. This persistent pain can disrupt daily life and reduce quality of life. Early diagnosis and correct treatment are crucial for alleviating symptoms. In this context, physical therapy stands out among non-surgical methods.

What is Pelvic Congestion Syndrome?

Pelvic Congestion Syndrome develops as a result of the dilation of veins in the ovaries and the pelvic area. This vein enlargement leads to blood pooling (stasis), causing chronic pelvic pain. The pain typically worsens after standing for long periods, during menstruation, or after sexual intercourse.

Symptoms of Pelvic Congestion Syndrome

Pelvic Congestion Syndrome manifests with various symptoms:

• Constant, dull pain in the lower abdomen and groin
• Symptoms that worsen after standing for a long time
• Pain that intensifies during menstruation
• A feeling of pressure radiating to the back and hip area
• Pain after sexual intercourse (dyspareunia)

Diagnosis of Pelvic Congestion Syndrome

Diagnosis primarily begins with a detailed history and physical examination. Subsequently, the vascular structure is evaluated using imaging methods such as ultrasound, Doppler imaging, MRI, and CT angiography. Early diagnosis plays a critical role in treatment planning.

The Role of Physical Therapy in Pelvic Congestion Syndrome

Physical therapy methods are important in reducing pain and supporting vascular circulation. They help improve the quality of life without the need for surgery.

Methods Applied Through Physical Therapy

• Pelvic floor exercises: Specific exercises are applied to support the veins and improve blood circulation.
• Manual therapy: Helps reduce muscle spasms, relieving pressure in the pelvic region.
• Electrotherapy: Can be effective in pain control and muscle relaxation.
• Circulation-enhancing exercises: Movements involving the lower extremities and torso support venous return.
• Breathing and relaxation techniques: Diaphragmatic breathing is used to ease vascular circulation.

Multidisciplinary Treatment Approaches

In Pelvic Congestion Syndrome, not only physical therapy but also the collaboration of different specialties is important. When necessary, interventional treatments such as intravascular procedures (embolization) performed by an interventional radiologist, monitoring by a gynecologist, and psychological support programs can be added to the process.

Why is Early Treatment Important in Pelvic Congestion Syndrome?

Starting physical therapy and lifestyle adjustments in the early stage can prevent the need for more invasive treatment methods later on. This way, both pain is controlled, and social life returns to normal.