Pelvic Congestion Syndrome – The Varicose Veins No One Sees

Dear BVTalks,
For the last two years, I’ve had this dull, aching pain low in my belly. It feels heavy and throbbing, especially if I stand too long or during my period. After sex, it sometimes hurts for hours. My OB keeps saying everything looks fine on my exams. Is there something I’m missing?
— Aching and Overlooked, 34

If your pelvis feels heavy, throbbing, or achy—especially after standing or sex—it could be pelvic congestion syndrome.

PCS happens when the veins around your uterus and ovaries become enlarged and full of blood that doesn’t drain properly. Think varicose veins—but in your pelvis.

Common signs:
Dull ache in the pelvis
Pain worse with standing or at the end of the day
Discomfort after sex
Heavier periods or pelvic pressure

How it’s diagnosed:
Pelvic ultrasound, MRI, or specialized vein studies—regular exams can miss it

Treatment options:
Pain management and hormonal suppression
Minimally invasive procedures to block the problematic veins
Pelvic floor therapy for muscle support

You deserve answers—and an ultrasound that goes beyond a quick look. Ask about pelvic vein imaging if nothing else explains your pain.

BVTalks