There are many different causes of chronic pelvic pain. This can make diagnosis difficult. Pelvic congestion syndrome (PCS) must be considered if the pain worsens when sitting or standing and is relieved with lying down. Some patients may also experience pain with urination (dysuria) or during/after sexual activity (dyspareunia).
PCS is associated with what is known as ovarian and pelvic vein dilatation. This can result in varicose veins in the pelvis, thighs, buttock regions or vaginal area. A complex medical condition, PCS requires a multidisciplinary team approach to treatment and evaluation.